How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $48.98 Median $50.12 Typical High $102.33 | Facility | None | $48.98 | $50.12 | $102.33 |
Aetna Setting Professional Modifier None Typical Low $40.74 Median $48.98 Typical High $69.18 | Professional | None | $40.74 | $48.98 | $69.18 |
Ambetter Setting Professional Modifier None Typical Low $58.88 Median $58.88 Typical High $104.71 | Professional | None | $58.88 | $58.88 | $104.71 |
BCBS North Carolina Setting Professional Modifier None Typical Low $39.81 Median $50.12 Typical High $223.87 | Professional | None | $39.81 | $50.12 | $223.87 |
Cigna Setting Facility Modifier None Typical Low $45.71 Median $61.66 Typical High $87.10 | Facility | None | $45.71 | $61.66 | $87.10 |
Cigna Setting Professional Modifier None Typical Low $40.74 Median $40.74 Typical High $46.77 | Professional | None | $40.74 | $40.74 | $46.77 |
Medcost Setting Professional Modifier None Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | None | $63.10 | $63.10 | $63.10 |
Medcost Setting Facility Modifier None Typical Low $48.98 Median $48.98 Typical High $48.98 | Facility | None | $48.98 | $48.98 | $48.98 |
Medcost Setting Professional Modifier None Typical Low $61.66 Median $74.13 Typical High $263.03 | Professional | None | $61.66 | $74.13 | $263.03 |
Oscar Health Setting Professional Modifier None Typical Low $43.65 Median $70.79 Typical High $85.11 | Professional | None | $43.65 | $70.79 | $85.11 |
United Setting Professional Modifier None Typical Low $39.81 Median $39.81 Typical High $54.95 | Professional | None | $39.81 | $39.81 | $54.95 |
1 more rate with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $30.90 Median $37.15 Typical High $69.18 | Professional | 51 · Multiple procedures | $30.90 | $37.15 | $69.18 |
Where North Carolina sits
The same service costs 4.7 times more in Wyoming than in Utah. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
North Carolina· 5th of 51
$50.12
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.