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 $295.12 Median $1,995.26 Typical High $2,818.38 | Professional | None | $295.12 | $1,995.26 | $2,818.38 |
Cigna Setting Professional Modifier None Typical Low $74.13 Median $109.65 Typical High $204.17 | Professional | None | $74.13 | $109.65 | $204.17 |
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 $234.42 Median $371.54 Typical High $1,174.90 | Professional | None | $234.42 | $371.54 | $1,174.90 |
United Setting Professional Modifier None Typical Low $120.23 Median $1,071.52 Typical High $1,862.09 | Professional | None | $120.23 | $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 $109.65 Median $109.65 Typical High $186.21 | Professional | 53 · Discontinued | $109.65 | $109.65 | $186.21 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $117.49 Median $186.21 Typical High $724.44 | Professional | 51 · Multiple procedures | $117.49 | $186.21 | $724.44 |
Where North Carolina sits
The same service costs 120.2 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
$1,950
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.