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 $17.78 Median $17.78 Typical High $21.38 | Facility | None | $17.78 | $17.78 | $21.38 |
Aetna Setting Professional Modifier None Typical Low $2.29 Median $17.78 Typical High $17.78 | Professional | None | $2.29 | $17.78 | $17.78 |
BCBS North Carolina Setting Professional Modifier None Typical Low $32.36 Median $33.88 Typical High $36.31 | Professional | None | $32.36 | $33.88 | $36.31 |
Cigna Setting Facility Modifier None Typical Low $3.09 Median $3.47 Typical High $5.89 | Facility | None | $3.09 | $3.47 | $5.89 |
Cigna Setting Professional Modifier None Typical Low $2.75 Median $2.75 Typical High $2.75 | Professional | None | $2.75 | $2.75 | $2.75 |
Medcost Setting Facility Modifier None Typical Low $17.78 Median $17.78 Typical High $19.05 | Facility | None | $17.78 | $17.78 | $19.05 |
Medcost Setting Professional Modifier None Typical Low $0.65 Median $0.65 Typical High $3.80 | Professional | None | $0.65 | $0.65 | $3.80 |
Oscar Health Setting Professional Modifier None Typical Low $47.86 Median $54.95 Typical High $64.57 | Professional | None | $47.86 | $54.95 | $64.57 |
United Setting Professional Modifier None Typical Low $2.40 Median $2.40 Typical High $3.09 | Professional | None | $2.40 | $2.40 | $3.09 |
2 more rates 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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier JW · Drug discarded Typical Low $12.59 Median $12.59 Typical High $12.59 | Professional | JW · Drug discarded | $12.59 | $12.59 | $12.59 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $0.32 Median $0.32 Typical High $0.32 | Professional | 51 · Multiple procedures | $0.32 | $0.32 | $0.32 |
Where North Carolina sits
The same service costs 50.1 times more in North Carolina than in Kentucky. 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
$33.88
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.