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 $1.23 Median $1.55 Typical High $1.58 | Facility | None | $1.23 | $1.55 | $1.58 |
Aetna Setting Professional Modifier None Typical Low $0.76 Median $1.55 Typical High $1.55 | Professional | None | $0.76 | $1.55 | $1.55 |
Ambetter Setting Professional Modifier None Typical Low $1.20 Median $1.20 Typical High $1.20 | Professional | None | $1.20 | $1.20 | $1.20 |
BCBS North Carolina Setting Professional Modifier None Typical Low $0.71 Median $0.71 Typical High $0.78 | Professional | None | $0.71 | $0.71 | $0.78 |
Cigna Setting Facility Modifier None Typical Low $0.85 Median $1.12 Typical High $1.58 | Facility | None | $0.85 | $1.12 | $1.58 |
Cigna Setting Professional Modifier None Typical Low $0.76 Median $0.76 Typical High $0.79 | Professional | None | $0.76 | $0.76 | $0.79 |
Medcost Setting Professional Modifier None Typical Low $1.82 Median $1.82 Typical High $1.82 | Professional | None | $1.82 | $1.82 | $1.82 |
Medcost Setting Facility Modifier None Typical Low $0.89 Median $0.89 Typical High $1.55 | Facility | None | $0.89 | $0.89 | $1.55 |
Medcost Setting Professional Modifier None Typical Low $0.39 Median $0.93 Typical High $1.20 | Professional | None | $0.39 | $0.93 | $1.20 |
Oscar Health Setting Professional Modifier None Typical Low $1.12 Median $1.82 Typical High $2.45 | Professional | None | $1.12 | $1.82 | $2.45 |
United Setting Professional Modifier None Typical Low $1.15 Median $1.15 Typical High $1.51 | Professional | None | $1.15 | $1.15 | $1.51 |
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 $0.20 Median $0.58 Typical High $1.48 | Professional | 51 · Multiple procedures | $0.20 | $0.58 | $1.48 |
Where North Carolina sits
The same service costs 2.0 times more in Hawaii than in North Carolina. 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· 51st of 51
$0.71
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.