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 $288.40 Median $1,000.00 Typical High $7,943.28 | Facility | None | $288.40 | $1,000.00 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $281.84 Median $288.40 Typical High $323.59 | Professional | None | $281.84 | $288.40 | $323.59 |
BCBS North Carolina Setting Facility Modifier None Typical Low $724.44 Median $1,071.52 Typical High $1,445.44 | Facility | None | $724.44 | $1,071.52 | $1,445.44 |
BCBS North Carolina Setting Professional Modifier None Typical Low $100.00 Median $616.60 Typical High $851.14 | Professional | None | $100.00 | $616.60 | $851.14 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $1,348.96 Typical High $2,187.76 | Facility | None | $602.56 | $1,348.96 | $2,187.76 |
Cigna Setting Professional Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $1,584.89 | Professional | None | $1,584.89 | $1,584.89 | $1,584.89 |
Medcost Setting Facility Modifier None Typical Low $302.00 Median $933.25 Typical High $2,041.74 | Facility | None | $302.00 | $933.25 | $2,041.74 |
Medcost Setting Professional Modifier None Typical Low $194.98 Median $281.84 Typical High $281.84 | Professional | None | $194.98 | $281.84 | $281.84 |
United Setting Facility Modifier None Typical Low $478.63 Median $891.25 Typical High $4,897.79 | Facility | None | $478.63 | $891.25 | $4,897.79 |
United Setting Professional Modifier None Typical Low $275.42 Median $363.08 Typical High $562.34 | Professional | None | $275.42 | $363.08 | $562.34 |
5 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 $141.25 Median $144.54 Typical High $147.91 | Professional | 52 · Reduced service | $141.25 | $144.54 | $147.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $57.54 Typical High $58.88 | Professional | 53 · Discontinued | $56.23 | $57.54 | $58.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $42.66 Median $42.66 Typical High $44.67 | Professional | 55 · Aftercare only | $42.66 | $42.66 | $44.67 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $28.18 Median $28.84 Typical High $29.51 | Professional | 56 · Pre-op care only | $28.18 | $28.84 | $29.51 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $97.72 Median $141.25 Typical High $141.25 | Professional | 51 · Multiple procedures | $97.72 | $141.25 | $141.25 |
Where North Carolina sits
The same service costs 7.1 times more in Alaska than in Kentucky. 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· 7th of 51
$550
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.