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 $38.90 Median $173.78 Typical High $5,495.41 | Facility | None | $38.90 | $173.78 | $5,495.41 |
Aetna Setting Professional Modifier None Typical Low $38.90 Median $134.90 Typical High $213.80 | Professional | None | $38.90 | $134.90 | $213.80 |
Ambetter Setting Professional Modifier None Typical Low $43.65 Median $43.65 Typical High $43.65 | Professional | None | $43.65 | $43.65 | $43.65 |
BCBS North Carolina Setting Professional Modifier None Typical Low $83.18 Median $190.55 Typical High $407.38 | Professional | None | $83.18 | $190.55 | $407.38 |
Cigna Setting Professional Modifier None Typical Low $50.12 Median $165.96 Typical High $346.74 | Professional | None | $50.12 | $165.96 | $346.74 |
Medcost Setting Facility Modifier None Typical Low $38.90 Median $38.90 Typical High $204.17 | Facility | None | $38.90 | $38.90 | $204.17 |
Medcost Setting Professional Modifier None Typical Low $177.83 Median $190.55 Typical High $316.23 | Professional | None | $177.83 | $190.55 | $316.23 |
Oscar Health Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | None | $162.18 | $162.18 | $162.18 |
United Setting Facility Modifier None Typical Low $512.86 Median $891.25 Typical High $2,089.30 | Facility | None | $512.86 | $891.25 | $2,089.30 |
United Setting Professional Modifier None Typical Low $40.74 Median $134.90 Typical High $295.12 | Professional | None | $40.74 | $134.90 | $295.12 |
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 Professional Modifier 50 · Both sides Typical Low $288.40 Median $288.40 Typical High $645.65 | Professional | 50 · Both sides | $288.40 | $288.40 | $645.65 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $95.50 Median $95.50 Typical High $218.78 | Professional | 51 · Multiple procedures | $95.50 | $95.50 | $218.78 |
Where North Carolina sits
The same service costs 5.5 times more in Washington than in Indiana. 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
$178
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.