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 $309.03 Median $616.60 Typical High $7,585.78 | Facility | None | $309.03 | $616.60 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $309.03 Median $616.60 Typical High $977.24 | Professional | None | $309.03 | $616.60 | $977.24 |
Ambetter Setting Professional Modifier None Typical Low $446.68 Median $537.03 Typical High $831.76 | Professional | None | $446.68 | $537.03 | $831.76 |
BCBS North Carolina Setting Facility Modifier None Typical Low $269.15 Median $398.11 Typical High $537.03 | Facility | None | $269.15 | $398.11 | $537.03 |
BCBS North Carolina Setting Professional Modifier None Typical Low $346.74 Median $707.95 Typical High $1,348.96 | Professional | None | $346.74 | $707.95 | $1,348.96 |
Cigna Setting Facility Modifier None Typical Low $389.05 Median $660.69 Typical High $1,000.00 | Facility | None | $389.05 | $660.69 | $1,000.00 |
Cigna Setting Professional Modifier None Typical Low $354.81 Median $645.65 Typical High $1,071.52 | Professional | None | $354.81 | $645.65 | $1,071.52 |
Medcost Setting Professional Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,023.29 | Professional | None | $1,023.29 | $1,023.29 | $1,023.29 |
Medcost Setting Facility Modifier None Typical Low $239.88 Median $354.81 Typical High $660.69 | Facility | None | $239.88 | $354.81 | $660.69 |
Medcost Setting Professional Modifier None Typical Low $602.56 Median $758.58 Typical High $870.96 | Professional | None | $602.56 | $758.58 | $870.96 |
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 $295.12 Median $537.03 Typical High $954.99 | Professional | None | $295.12 | $537.03 | $954.99 |
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 $234.42 Median $363.08 Typical High $457.09 | Professional | 54 · Surgery only | $234.42 | $363.08 | $457.09 |
Medcost Setting Facility Modifier 51 · Multiple procedures Typical Low $112.20 Median $177.83 Typical High $331.13 | Facility | 51 · Multiple procedures | $112.20 | $177.83 | $331.13 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $302.00 Median $371.54 Typical High $489.78 | Professional | 51 · Multiple procedures | $302.00 | $371.54 | $489.78 |
Where North Carolina sits
The same service costs 3.1 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· 15th of 51
$631
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.