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 $77.62 Median $112.20 Typical High $7,413.10 | Facility | None | $77.62 | $112.20 | $7,413.10 |
Aetna Setting Professional Modifier None Typical Low $77.62 Median $112.20 Typical High $190.55 | Professional | None | $77.62 | $112.20 | $190.55 |
Ambetter Setting Professional Modifier None Typical Low $100.00 Median $162.18 Typical High $213.80 | Professional | None | $100.00 | $162.18 | $213.80 |
BCBS North Carolina Setting Facility Modifier None Typical Low $70.79 Median $109.65 Typical High $281.84 | Facility | None | $70.79 | $109.65 | $281.84 |
BCBS North Carolina Setting Professional Modifier None Typical Low $125.89 Median $239.88 Typical High $346.74 | Professional | None | $125.89 | $239.88 | $346.74 |
Cigna Setting Facility Modifier None Typical Low $74.13 Median $107.15 Typical High $165.96 | Facility | None | $74.13 | $107.15 | $165.96 |
Cigna Setting Professional Modifier None Typical Low $95.50 Median $151.36 Typical High $223.87 | Professional | None | $95.50 | $151.36 | $223.87 |
Medcost Setting Facility Modifier None Typical Low $79.43 Median $125.89 Typical High $181.97 | Facility | None | $79.43 | $125.89 | $181.97 |
Medcost Setting Professional Modifier None Typical Low $138.04 Median $158.49 Typical High $213.80 | Professional | None | $138.04 | $158.49 | $213.80 |
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 $79.43 Median $128.82 Typical High $263.03 | Professional | None | $79.43 | $128.82 | $263.03 |
4 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 $38.90 Median $48.98 Typical High $56.23 | Professional | 52 · Reduced service | $38.90 | $48.98 | $56.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.49 Median $19.50 Typical High $22.39 | Professional | 53 · Discontinued | $15.49 | $19.50 | $22.39 |
Medcost Setting Facility Modifier 51 · Multiple procedures Typical Low $39.81 Median $61.66 Typical High $91.20 | Facility | 51 · Multiple procedures | $39.81 | $61.66 | $91.20 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $75.86 Median $79.43 Typical High $169.82 | Professional | 51 · Multiple procedures | $75.86 | $79.43 | $169.82 |
Where North Carolina sits
The same service costs 2.8 times more in Alaska than in Kentucky. 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
$182
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.