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 $87.10 Median $93.33 Typical High $7,413.10 | Facility | None | $87.10 | $93.33 | $7,413.10 |
Aetna Setting Professional Modifier None Typical Low $87.10 Median $93.33 Typical High $97.72 | Professional | None | $87.10 | $93.33 | $97.72 |
BCBS Setting Facility Modifier None Typical Low $912.01 Median $1,412.54 Typical High $3,630.78 | Facility | None | $912.01 | $1,412.54 | $3,630.78 |
BCBS Setting Professional Modifier None Typical Low $87.10 Median $109.65 Typical High $213.80 | Professional | None | $87.10 | $109.65 | $213.80 |
Cigna Setting Facility Modifier None Typical Low $346.74 Median $645.65 Typical High $1,348.96 | Facility | None | $346.74 | $645.65 | $1,348.96 |
Cigna Setting Professional Modifier None Typical Low $97.72 Median $112.20 Typical High $208.93 | Professional | None | $97.72 | $112.20 | $208.93 |
Medcost Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $169.82 | Professional | None | $165.96 | $165.96 | $169.82 |
Medcost Setting Facility Modifier None Typical Low $104.71 Median $416.87 Typical High $794.33 | Facility | None | $104.71 | $416.87 | $794.33 |
Medcost Setting Professional Modifier None Typical Low $89.13 Median $107.15 Typical High $117.49 | Professional | None | $89.13 | $107.15 | $117.49 |
United Setting Facility Modifier None Typical Low $77.62 Median $165.96 Typical High $1,096.48 | Facility | None | $77.62 | $165.96 | $1,096.48 |
United Setting Professional Modifier None Typical Low $72.44 Median $93.33 Typical High $213.80 | Professional | None | $72.44 | $93.33 | $213.80 |
2 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 |
|---|---|---|---|---|---|
Medcost Setting Facility Modifier 51 · Multiple procedures Typical Low $186.21 Median $245.47 Typical High $398.11 | Facility | 51 · Multiple procedures | $186.21 | $245.47 | $398.11 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $44.67 Median $53.70 Typical High $83.18 | Professional | 51 · Multiple procedures | $44.67 | $53.70 | $83.18 |
Where North Carolina sits
The same service costs 4.1 times more in Alaska than in New Jersey. 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· 28th of 51
$110
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.