How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $0.11 Median $0.11 Typical High $0.11 | Facility | None | $0.11 | $0.11 | $0.11 |
Aetna Setting Professional Modifier None Typical Low $0.11 Median $0.15 Typical High $0.15 | Professional | None | $0.11 | $0.15 | $0.15 |
BCBS North Carolina Setting Facility Modifier None Typical Low $0.43 Median $0.43 Typical High $0.52 | Facility | None | $0.43 | $0.43 | $0.52 |
BCBS North Carolina Setting Professional Modifier None Typical Low $0.72 Median $0.76 Typical High $0.79 | Professional | None | $0.72 | $0.76 | $0.79 |
Cigna Setting Facility Modifier None Typical Low $0.32 Median $0.36 Typical High $0.63 | Facility | None | $0.32 | $0.36 | $0.63 |
Cigna Setting Professional Modifier None Typical Low $0.28 Median $0.28 Typical High $0.28 | Professional | None | $0.28 | $0.28 | $0.28 |
Medcost Setting Professional Modifier None Typical Low $0.12 Median $0.12 Typical High $0.12 | Professional | None | $0.12 | $0.12 | $0.12 |
Medcost Setting Professional Modifier None Typical Low $0.12 Median $0.18 Typical High $15.14 | Professional | None | $0.12 | $0.18 | $15.14 |
Oscar Health Setting Professional Modifier None Typical Low $1.07 Median $1.23 Typical High $1.45 | Professional | None | $1.07 | $1.23 | $1.45 |
United Setting Professional Modifier None Typical Low $0.18 Median $0.18 Typical High $0.23 | Professional | None | $0.18 | $0.18 | $0.23 |
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 $0.06 Median $0.06 Typical High $7.59 | Professional | 51 · Multiple procedures | $0.06 | $0.06 | $7.59 |
Where North Carolina sits
The same service costs 5.0 times more in North Carolina than in New Jersey. 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
$0.76
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.