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 $40.74 Median $40.74 Typical High $40.74 | Facility | None | $40.74 | $40.74 | $40.74 |
Aetna Setting Professional Modifier None Typical Low $40.74 Median $40.74 Typical High $40.74 | Professional | None | $40.74 | $40.74 | $40.74 |
BCBS North Carolina Setting Professional Modifier None Typical Low $54.95 Median $89.13 Typical High $117.49 | Professional | None | $54.95 | $89.13 | $117.49 |
Cigna Setting Facility Modifier None Typical Low $131.83 Median $407.38 Typical High $660.69 | Facility | None | $131.83 | $407.38 | $660.69 |
Cigna Setting Professional Modifier None Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | None | $151.36 | $151.36 | $151.36 |
Medcost Setting Facility Modifier None Typical Low $40.74 Median $40.74 Typical High $42.66 | Facility | None | $40.74 | $40.74 | $42.66 |
Medcost Setting Professional Modifier None Typical Low $39.81 Median $39.81 Typical High $93.33 | Professional | None | $39.81 | $39.81 | $93.33 |
United Setting Professional Modifier None Typical Low $41.69 Median $56.23 Typical High $91.20 | Professional | None | $41.69 | $56.23 | $91.20 |
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 $19.95 Median $19.95 Typical High $56.23 | Professional | 51 · Multiple procedures | $19.95 | $19.95 | $56.23 |
Where North Carolina sits
The same service costs 7.9 times more in New York than in Pennsylvania. 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· 16th of 51
$67.61
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.