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 $213.80 Median $302.00 Typical High $8,511.38 | Facility | None | $213.80 | $302.00 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $213.80 Median $302.00 Typical High $331.13 | Professional | None | $213.80 | $302.00 | $331.13 |
BCBS North Carolina Setting Facility Modifier None Typical Low $269.15 Median $389.05 Typical High $537.03 | Facility | None | $269.15 | $389.05 | $537.03 |
BCBS North Carolina Setting Professional Modifier None Typical Low $323.59 Median $467.74 Typical High $776.25 | Professional | None | $323.59 | $467.74 | $776.25 |
Cigna Setting Facility Modifier None Typical Low $213.80 Median $338.84 Typical High $676.08 | Facility | None | $213.80 | $338.84 | $676.08 |
Cigna Setting Professional Modifier None Typical Low $251.19 Median $398.11 Typical High $676.08 | Professional | None | $251.19 | $398.11 | $676.08 |
Medcost Setting Professional Modifier None Typical Low $562.34 Median $562.34 Typical High $724.44 | Professional | None | $562.34 | $562.34 | $724.44 |
Medcost Setting Facility Modifier None Typical Low $229.09 Median $346.74 Typical High $478.63 | Facility | None | $229.09 | $346.74 | $478.63 |
Medcost Setting Professional Modifier None Typical Low $380.19 Median $457.09 Typical High $602.56 | Professional | None | $380.19 | $457.09 | $602.56 |
United Setting Facility Modifier None Typical Low $1,047.13 Median $2,398.83 Typical High $12,022.64 | Facility | None | $1,047.13 | $2,398.83 | $12,022.64 |
United Setting Professional Modifier None Typical Low $208.93 Median $316.23 Typical High $645.65 | Professional | None | $208.93 | $316.23 | $645.65 |
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 78 · Unplanned return to OR Typical Low $151.36 Median $199.53 Typical High $223.87 | Professional | 78 · Unplanned return to OR | $151.36 | $199.53 | $223.87 |
Medcost Setting Facility Modifier 50 · Both sides Typical Low $338.84 Median $524.81 Typical High $812.83 | Facility | 50 · Both sides | $338.84 | $524.81 | $812.83 |
Medcost Setting Facility Modifier 51 · Multiple procedures Typical Low $114.82 Median $177.83 Typical High $269.15 | Facility | 51 · Multiple procedures | $114.82 | $177.83 | $269.15 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $616.60 Median $891.25 Typical High $1,122.02 | Professional | 50 · Both sides | $616.60 | $891.25 | $1,122.02 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $204.17 Median $302.00 Typical High $371.54 | Professional | 51 · Multiple procedures | $204.17 | $302.00 | $371.54 |
Where North Carolina sits
The same service costs 5.0 times more in Alaska than in Texas. 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· 16th 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.