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 $190.55 Median $467.74 Typical High $8,511.38 | Facility | None | $190.55 | $467.74 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $190.55 Median $467.74 Typical High $660.69 | Professional | None | $190.55 | $467.74 | $660.69 |
BCBS North Carolina Setting Professional Modifier None Typical Low $338.84 Median $645.65 Typical High $1,380.38 | Professional | None | $338.84 | $645.65 | $1,380.38 |
Cigna Setting Professional Modifier None Typical Low $239.88 Median $602.56 Typical High $1,230.27 | Professional | None | $239.88 | $602.56 | $1,230.27 |
Medcost Setting Facility Modifier None Typical Low $190.55 Median $199.53 Typical High $549.54 | Facility | None | $190.55 | $199.53 | $549.54 |
Medcost Setting Professional Modifier None Typical Low $575.44 Median $676.08 Typical High $1,096.48 | Professional | None | $575.44 | $676.08 | $1,096.48 |
Oscar Health Setting Professional Modifier None Typical Low $562.34 Median $562.34 Typical High $562.34 | Professional | None | $562.34 | $562.34 | $562.34 |
United Setting Facility Modifier None Typical Low $5,128.61 Median $8,317.64 Typical High $12,882.50 | Facility | None | $5,128.61 | $8,317.64 | $12,882.50 |
United Setting Professional Modifier None Typical Low $234.42 Median $524.81 Typical High $1,148.15 | Professional | None | $234.42 | $524.81 | $1,148.15 |
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 $1,000.00 Median $1,000.00 Typical High $2,041.74 | Professional | 50 · Both sides | $1,000.00 | $1,000.00 | $2,041.74 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $338.84 Median $338.84 Typical High $691.83 | Professional | 51 · Multiple procedures | $338.84 | $338.84 | $691.83 |
Where North Carolina sits
The same service costs 3.9 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· 11th of 51
$646
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.