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 $64.57 Median $64.57 Typical High $117.49 | Facility | None | $64.57 | $64.57 | $117.49 |
Aetna Setting Professional Modifier None (both parts) Typical Low $64.57 Median $64.57 Typical High $67.61 | Professional | None (both parts) | $64.57 | $64.57 | $67.61 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $38.90 Typical High $38.90 | Professional | 26 · Professional part | $38.90 | $38.90 | $38.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $25.12 Typical High $26.92 | Professional | TC · Technical part | $25.12 | $25.12 | $26.92 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $61.66 Median $66.07 Typical High $91.20 | Professional | None (both parts) | $61.66 | $66.07 | $91.20 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $63.10 Typical High $104.71 | Professional | 26 · Professional part | $41.69 | $63.10 | $104.71 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $41.69 Typical High $69.18 | Professional | TC · Technical part | $28.18 | $41.69 | $69.18 |
Medcost Setting Facility Modifier None Typical Low $64.57 Median $67.61 Typical High $102.33 | Facility | None | $64.57 | $67.61 | $102.33 |
Medcost Setting Professional Modifier None (both parts) Typical Low $45.71 Median $51.29 Typical High $120.23 | Professional | None (both parts) | $45.71 | $51.29 | $120.23 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $30.90 Typical High $72.44 | Professional | 26 · Professional part | $30.90 | $30.90 | $72.44 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $20.42 Typical High $47.86 | Professional | TC · Technical part | $20.42 | $20.42 | $47.86 |
United Setting Professional Modifier None (both parts) Typical Low $51.29 Median $77.62 Typical High $194.98 | Professional | None (both parts) | $51.29 | $77.62 | $194.98 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $46.77 Typical High $117.49 | Professional | 26 · Professional part | $30.90 | $46.77 | $117.49 |
United Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $30.90 Typical High $79.43 | Professional | TC · Technical part | $20.42 | $30.90 | $79.43 |
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 $31.62 Median $31.62 Typical High $33.88 | Professional | 52 · Reduced service | $31.62 | $31.62 | $33.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.88 Median $12.88 Typical High $13.49 | Professional | 53 · Discontinued | $12.88 | $12.88 | $13.49 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $22.91 Median $25.70 Typical High $87.10 | Professional | 51 · Multiple procedures | $22.91 | $25.70 | $87.10 |
Where North Carolina sits
The same service costs 14.8 times more in Texas 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· 36th of 51
$64.57
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.