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 Professional Modifier 26 · Professional part Typical Low $22.91 Median $22.91 Typical High $23.44 | Professional | 26 · Professional part | $22.91 | $22.91 | $23.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $22.91 Typical High $22.91 | Professional | TC · Technical part | $22.91 | $22.91 | $22.91 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $34.67 Typical High $70.79 | Professional | 26 · Professional part | $24.55 | $34.67 | $70.79 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $34.67 Typical High $69.18 | Professional | TC · Technical part | $25.12 | $34.67 | $69.18 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $20.42 Typical High $20.42 | Professional | 26 · Professional part | $20.42 | $20.42 | $20.42 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $20.42 Typical High $23.44 | Professional | TC · Technical part | $19.95 | $20.42 | $23.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $27.54 Typical High $58.88 | Professional | 26 · Professional part | $19.50 | $27.54 | $58.88 |
United Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $27.54 Typical High $58.88 | Professional | TC · Technical part | $19.05 | $27.54 | $58.88 |
10 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 Facility Modifier None Typical Low $45.71 Median $45.71 Typical High $95.50 | Facility | None | $45.71 | $45.71 | $95.50 |
Aetna Setting Professional Modifier None (both parts) Typical Low $45.71 Median $45.71 Typical High $46.77 | Professional | None (both parts) | $45.71 | $45.71 | $46.77 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $22.91 Median $22.91 Typical High $23.44 | Professional | 52 · Reduced service | $22.91 | $22.91 | $23.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.12 Median $9.12 Typical High $9.33 | Professional | 53 · Discontinued | $9.12 | $9.12 | $9.33 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $30.90 Median $30.90 Typical High $74.13 | Professional | None (both parts) | $30.90 | $30.90 | $74.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $70.79 Median $70.79 Typical High $257.04 | Professional | None (both parts) | $70.79 | $70.79 | $257.04 |
Medcost Setting Facility Modifier None Typical Low $45.71 Median $45.71 Typical High $48.98 | Facility | None | $45.71 | $45.71 | $48.98 |
Medcost Setting Professional Modifier None (both parts) Typical Low $33.11 Median $41.69 Typical High $41.69 | Professional | None (both parts) | $33.11 | $41.69 | $41.69 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $16.60 Median $20.42 Typical High $20.42 | Professional | 51 · Multiple procedures | $16.60 | $20.42 | $20.42 |
United Setting Professional Modifier None (both parts) Typical Low $38.90 Median $54.95 Typical High $120.23 | Professional | None (both parts) | $38.90 | $54.95 | $120.23 |
Where North Carolina sits
The same service costs 4.2 times more in Nebraska than in Arkansas. 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· 45th of 51
$42.66
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.