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 $549.54 Median $549.54 Typical High $549.54 | Facility | None | $549.54 | $549.54 | $549.54 |
Aetna Setting Professional Modifier None Typical Low $436.52 Median $549.54 Typical High $933.25 | Professional | None | $436.52 | $549.54 | $933.25 |
BCBS North Carolina Setting Professional Modifier None Typical Low $501.19 Median $1,995.26 Typical High $2,691.53 | Professional | None | $501.19 | $1,995.26 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $288.40 Median $436.52 Typical High $794.33 | Professional | None | $288.40 | $436.52 | $794.33 |
Medcost Setting Facility Modifier None Typical Low $501.19 Median $549.54 Typical High $588.84 | Facility | None | $501.19 | $549.54 | $588.84 |
Medcost Setting Professional Modifier None Typical Low $331.13 Median $371.54 Typical High $1,174.90 | Professional | None | $331.13 | $371.54 | $1,174.90 |
United Setting Professional Modifier None Typical Low $363.08 Median $1,071.52 Typical High $1,862.09 | Professional | None | $363.08 | $1,071.52 | $1,862.09 |
3 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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $218.78 Median $275.42 Typical High $467.74 | Professional | 52 · Reduced service | $218.78 | $275.42 | $467.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $87.10 Median $109.65 Typical High $186.21 | Professional | 53 · Discontinued | $87.10 | $109.65 | $186.21 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $186.21 Median $186.21 Typical High $724.44 | Professional | 51 · Multiple procedures | $186.21 | $186.21 | $724.44 |
Where North Carolina sits
The same service costs 14.8 times more in North Carolina than in New York. 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
$1,905
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.