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 $173.78 Median $173.78 Typical High $173.78 | Facility | None | $173.78 | $173.78 | $173.78 |
Aetna Setting Professional Modifier None Typical Low $169.82 Median $173.78 Typical High $190.55 | Professional | None | $169.82 | $173.78 | $190.55 |
BCBS North Carolina Setting Professional Modifier None Typical Low $79.43 Median $389.05 Typical High $537.03 | Professional | None | $79.43 | $389.05 | $537.03 |
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 $57.54 Median $87.10 Typical High $199.53 | Professional | None | $57.54 | $87.10 | $199.53 |
Medcost Setting Facility Modifier None Typical Low $173.78 Median $173.78 Typical High $186.21 | Facility | None | $173.78 | $173.78 | $186.21 |
Medcost Setting Professional Modifier None Typical Low $120.23 Median $169.82 Typical High $257.04 | Professional | None | $120.23 | $169.82 | $257.04 |
United Setting Professional Modifier None Typical Low $66.07 Median $199.53 Typical High $354.81 | Professional | None | $66.07 | $199.53 | $354.81 |
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 $60.26 Median $85.11 Typical High $169.82 | Professional | 51 · Multiple procedures | $60.26 | $85.11 | $169.82 |
Where North Carolina sits
The same service costs 6.3 times more in North Carolina than in Montana. 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
$363
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.