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 $15.49 Median $15.49 Typical High $15.49 | Facility | None | $15.49 | $15.49 | $15.49 |
Aetna Setting Professional Modifier None Typical Low $15.49 Median $15.49 Typical High $17.38 | Professional | None | $15.49 | $15.49 | $17.38 |
BCBS North Carolina Setting Professional Modifier None Typical Low $24.55 Median $38.02 Typical High $48.98 | Professional | None | $24.55 | $38.02 | $48.98 |
Cigna Setting Professional Modifier None Typical Low $26.92 Median $40.74 Typical High $75.86 | Professional | None | $26.92 | $40.74 | $75.86 |
Medcost Setting Facility Modifier None Typical Low $13.80 Median $15.49 Typical High $16.22 | Facility | None | $13.80 | $15.49 | $16.22 |
Medcost Setting Professional Modifier None Typical Low $15.14 Median $15.14 Typical High $34.67 | Professional | None | $15.14 | $15.14 | $34.67 |
United Setting Professional Modifier None Typical Low $15.14 Median $20.42 Typical High $42.66 | Professional | None | $15.14 | $20.42 | $42.66 |
1 more rate 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 |
|---|---|---|---|---|---|
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $7.59 Median $7.59 Typical High $20.89 | Professional | 51 · Multiple procedures | $7.59 | $7.59 | $20.89 |
Where North Carolina sits
The same service costs 33.9 times more in Indiana than in Alabama. 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· 12th of 51
$33.88
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.