How much rates vary
Facilitymedian $10,965 · 10th to 90th $891 to $22,387Professionalmedian $813 · 10th to 90th $575 to $1,445
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 $562.34 Median $1,584.89 Typical High $10,964.78 | Facility | None | $562.34 | $1,584.89 | $10,964.78 |
Aetna Setting Professional Modifier None Typical Low $562.34 Median $562.34 Typical High $1,000.00 | Professional | None | $562.34 | $562.34 | $1,000.00 |
BCBS North Carolina Setting Facility Modifier None Typical Low $7,413.10 Median $12,022.64 Typical High $19,054.61 | Facility | None | $7,413.10 | $12,022.64 | $19,054.61 |
BCBS North Carolina Setting Professional Modifier None Typical Low $707.95 Median $1,047.13 Typical High $1,548.82 | Professional | None | $707.95 | $1,047.13 | $1,548.82 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $10,715.19 Typical High $17,782.79 | Facility | None | $602.56 | $10,715.19 | $17,782.79 |
Cigna Setting Professional Modifier None Typical Low $616.60 Median $758.58 Typical High $1,479.11 | Professional | None | $616.60 | $758.58 | $1,479.11 |
Medcost Setting Facility Modifier None Typical Low $562.34 Median $10,471.29 Typical High $21,877.62 | Facility | None | $562.34 | $10,471.29 | $21,877.62 |
Medcost Setting Professional Modifier None Typical Low $630.96 Median $724.44 Typical High $933.25 | Professional | None | $630.96 | $724.44 | $933.25 |
United Setting Facility Modifier None Typical Low $1,621.81 Median $10,232.93 Typical High $26,302.68 | Facility | None | $1,621.81 | $10,232.93 | $26,302.68 |
United Setting Professional Modifier None Typical Low $537.03 Median $776.25 Typical High $1,380.38 | Professional | None | $537.03 | $776.25 | $1,380.38 |
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 $281.84 Median $281.84 Typical High $323.59 | Professional | 52 · Reduced service | $281.84 | $281.84 | $323.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $112.20 Median $112.20 Typical High $128.82 | Professional | 53 · Discontinued | $112.20 | $112.20 | $128.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $416.87 Median $416.87 Typical High $489.78 | Professional | 54 · Surgery only | $416.87 | $416.87 | $489.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $83.18 Median $83.18 Typical High $97.72 | Professional | 55 · Aftercare only | $83.18 | $83.18 | $97.72 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $56.23 Median $56.23 Typical High $64.57 | Professional | 56 · Pre-op care only | $56.23 | $56.23 | $64.57 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $346.74 Median $354.81 Typical High $812.83 | Professional | 51 · Multiple procedures | $346.74 | $354.81 | $812.83 |
Where North Carolina sits
The same service costs 9.8 times more in Alaska than in Montana. 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.
Physician feeFacility fee
AK $17,480MT $1,783
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.