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 $79.43 Median $371.54 Typical High $7,413.10 | Facility | None | $79.43 | $371.54 | $7,413.10 |
Aetna Setting Professional Modifier None Typical Low $79.43 Median $371.54 Typical High $524.81 | Professional | None | $79.43 | $371.54 | $524.81 |
BCBS North Carolina Setting Facility Modifier None Typical Low $426.58 Median $676.08 Typical High $1,698.24 | Facility | None | $426.58 | $676.08 | $1,698.24 |
BCBS North Carolina Setting Professional Modifier None Typical Low $151.36 Median $588.84 Typical High $1,148.15 | Professional | None | $151.36 | $588.84 | $1,148.15 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $588.84 Typical High $912.01 | Facility | None | $398.11 | $588.84 | $912.01 |
Cigna Setting Professional Modifier None Typical Low $114.82 Median $309.03 Typical High $794.33 | Professional | None | $114.82 | $309.03 | $794.33 |
Medcost Setting Facility Modifier None Typical Low $95.50 Median $446.68 Typical High $851.14 | Facility | None | $95.50 | $446.68 | $851.14 |
Medcost Setting Professional Modifier None Typical Low $354.81 Median $562.34 Typical High $645.65 | Professional | None | $354.81 | $562.34 | $645.65 |
United Setting Facility Modifier None Typical Low $295.12 Median $524.81 Typical High $2,818.38 | Facility | None | $295.12 | $524.81 | $2,818.38 |
United Setting Professional Modifier None Typical Low $97.72 Median $380.19 Typical High $851.14 | Professional | None | $97.72 | $380.19 | $851.14 |
6 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 52 · Reduced service Typical Low $39.81 Median $186.21 Typical High $218.78 | Professional | 52 · Reduced service | $39.81 | $186.21 | $218.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $74.13 Typical High $87.10 | Professional | 53 · Discontinued | $15.85 | $74.13 | $87.10 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $58.88 Median $281.84 Typical High $346.74 | Professional | 54 · Surgery only | $58.88 | $281.84 | $346.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.02 Median $56.23 Typical High $64.57 | Professional | 55 · Aftercare only | $12.02 | $56.23 | $64.57 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.94 Median $37.15 Typical High $43.65 | Professional | 56 · Pre-op care only | $7.94 | $37.15 | $43.65 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $173.78 Median $281.84 Typical High $549.54 | Professional | 51 · Multiple procedures | $173.78 | $281.84 | $549.54 |
Where North Carolina sits
The same service costs 7.8 times more in Oklahoma than in Nebraska. 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
$479
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.