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 $181.97 Median $398.11 Typical High $7,413.10 | Facility | None | $181.97 | $398.11 | $7,413.10 |
Aetna Setting Professional Modifier None Typical Low $181.97 Median $398.11 Typical High $630.96 | Professional | None | $181.97 | $398.11 | $630.96 |
Ambetter Setting Professional Modifier None Typical Low $269.15 Median $346.74 Typical High $575.44 | Professional | None | $269.15 | $346.74 | $575.44 |
BCBS North Carolina Setting Facility Modifier None Typical Low $263.03 Median $407.38 Typical High $1,047.13 | Facility | None | $263.03 | $407.38 | $1,047.13 |
BCBS North Carolina Setting Professional Modifier None Typical Low $204.17 Median $467.74 Typical High $891.25 | Professional | None | $204.17 | $467.74 | $891.25 |
Cigna Setting Facility Modifier None Typical Low $346.74 Median $416.87 Typical High $870.96 | Facility | None | $346.74 | $416.87 | $870.96 |
Cigna Setting Professional Modifier None Typical Low $208.93 Median $426.58 Typical High $676.08 | Professional | None | $208.93 | $426.58 | $676.08 |
Medcost Setting Professional Modifier None Typical Low $676.08 Median $676.08 Typical High $676.08 | Professional | None | $676.08 | $676.08 | $676.08 |
Medcost Setting Facility Modifier None Typical Low $223.87 Median $354.81 Typical High $398.11 | Facility | None | $223.87 | $354.81 | $398.11 |
Medcost Setting Professional Modifier None Typical Low $389.05 Median $436.52 Typical High $489.78 | Professional | None | $389.05 | $436.52 | $489.78 |
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 $173.78 Median $331.13 Typical High $616.60 | Professional | None | $173.78 | $331.13 | $616.60 |
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 54 · Surgery only Typical Low $138.04 Median $234.42 Typical High $295.12 | Professional | 54 · Surgery only | $138.04 | $234.42 | $295.12 |
Medcost Setting Facility Modifier 51 · Multiple procedures Typical Low $112.20 Median $177.83 Typical High $177.83 | Facility | 51 · Multiple procedures | $112.20 | $177.83 | $177.83 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $194.98 Median $218.78 Typical High $309.03 | Professional | 51 · Multiple procedures | $194.98 | $218.78 | $309.03 |
Where North Carolina sits
The same service costs 3.8 times more in Alaska than in Maryland. 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· 14th of 51
$417
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.