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 $0.08 Median $0.08 Typical High $0.10 | Facility | None | $0.08 | $0.08 | $0.10 |
Aetna Setting Professional Modifier None Typical Low $0.08 Median $0.08 Typical High $0.09 | Professional | None | $0.08 | $0.08 | $0.09 |
BCBS North Carolina Setting Professional Modifier None Typical Low $0.22 Median $0.23 Typical High $0.25 | Professional | None | $0.22 | $0.23 | $0.25 |
Cigna Setting Facility Modifier None Typical Low $0.09 Median $0.12 Typical High $0.17 | Facility | None | $0.09 | $0.12 | $0.17 |
Cigna Setting Professional Modifier None Typical Low $0.08 Median $0.08 Typical High $0.09 | Professional | None | $0.08 | $0.08 | $0.09 |
Medcost Setting Professional Modifier None Typical Low $0.07 Median $0.07 Typical High $0.07 | Professional | None | $0.07 | $0.07 | $0.07 |
Medcost Setting Facility Modifier None Typical Low $0.08 Median $0.08 Typical High $0.10 | Facility | None | $0.08 | $0.08 | $0.10 |
Medcost Setting Professional Modifier None Typical Low $0.07 Median $0.07 Typical High $0.17 | Professional | None | $0.07 | $0.07 | $0.17 |
Oscar Health Setting Professional Modifier None Typical Low $0.08 Median $0.13 Typical High $0.16 | Professional | None | $0.08 | $0.13 | $0.16 |
United Setting Professional Modifier None Typical Low $0.08 Median $0.08 Typical High $0.11 | Professional | None | $0.08 | $0.08 | $0.11 |
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 $0.04 Median $0.04 Typical High $0.10 | Professional | 51 · Multiple procedures | $0.04 | $0.04 | $0.10 |
Where North Carolina sits
The same service costs 2.9 times more in North Carolina than in Alabama. 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· 1st of 51
$0.23
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.