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 $478.63 Median $1,122.02 Typical High $10,471.29 | Facility | None | $478.63 | $1,122.02 | $10,471.29 |
Aetna Setting Professional Modifier None Typical Low $467.74 Median $478.63 Typical High $1,122.02 | Professional | None | $467.74 | $478.63 | $1,122.02 |
BCBS North Carolina Setting Facility Modifier None Typical Low $19,054.61 Median $30,902.95 Typical High $47,863.01 | Facility | None | $19,054.61 | $30,902.95 | $47,863.01 |
BCBS North Carolina Setting Professional Modifier None Typical Low $707.95 Median $1,174.90 Typical High $1,584.89 | Professional | None | $707.95 | $1,174.90 | $1,584.89 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $27,542.29 Typical High $38,018.94 | Facility | None | $602.56 | $27,542.29 | $38,018.94 |
Medcost Setting Facility Modifier None Typical Low $501.19 Median $26,915.35 Typical High $56,234.13 | Facility | None | $501.19 | $26,915.35 | $56,234.13 |
Medcost Setting Professional Modifier None Typical Low $323.59 Median $489.78 Typical High $831.76 | Professional | None | $323.59 | $489.78 | $831.76 |
United Setting Facility Modifier None Typical Low $2,344.23 Median $28,183.83 Typical High $74,131.02 | Facility | None | $2,344.23 | $28,183.83 | $74,131.02 |
United Setting Professional Modifier None Typical Low $489.78 Median $776.25 Typical High $1,288.25 | Professional | None | $489.78 | $776.25 | $1,288.25 |
6 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 $234.42 Median $234.42 Typical High $239.88 | Professional | 52 · Reduced service | $234.42 | $234.42 | $239.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $93.33 Median $95.50 Typical High $95.50 | Professional | 53 · Discontinued | $93.33 | $95.50 | $95.50 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $346.74 Median $354.81 Typical High $354.81 | Professional | 54 · Surgery only | $346.74 | $354.81 | $354.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $70.79 Median $70.79 Typical High $72.44 | Professional | 55 · Aftercare only | $70.79 | $70.79 | $72.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $46.77 Median $47.86 Typical High $47.86 | Professional | 56 · Pre-op care only | $46.77 | $47.86 | $47.86 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $162.18 Median $245.47 Typical High $707.95 | Professional | 51 · Multiple procedures | $162.18 | $245.47 | $707.95 |
Where North Carolina sits
The same service costs 29.5 times more in Louisiana than in Maine. 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· 23rd of 51
$1,202
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.