How much rates vary
Facilitymedian $4,677 · 10th to 90th $676 to $10,965Professionalmedian $912 · 10th to 90th $661 to $1,660
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 $660.69 Median $776.25 Typical High $8,317.64 | Facility | None | $660.69 | $776.25 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $977.24 | Professional | None | $660.69 | $660.69 | $977.24 |
Ambetter Setting Professional Modifier None Typical Low $616.60 Median $660.69 Typical High $676.08 | Professional | None | $616.60 | $660.69 | $676.08 |
BCBS North Carolina Setting Facility Modifier None Typical Low $3,235.94 Median $5,248.07 Typical High $8,317.64 | Facility | None | $3,235.94 | $5,248.07 | $8,317.64 |
BCBS North Carolina Setting Professional Modifier None Typical Low $660.69 Median $912.01 Typical High $2,137.96 | Professional | None | $660.69 | $912.01 | $2,137.96 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $5,754.40 Typical High $9,549.93 | Facility | None | $602.56 | $5,754.40 | $9,549.93 |
Cigna Setting Professional Modifier None Typical Low $707.95 Median $851.14 Typical High $1,479.11 | Professional | None | $707.95 | $851.14 | $1,479.11 |
Medcost Setting Facility Modifier None Typical Low $660.69 Median $4,265.80 Typical High $12,302.69 | Facility | None | $660.69 | $4,265.80 | $12,302.69 |
Medcost Setting Professional Modifier None Typical Low $630.96 Median $891.25 Typical High $891.25 | Professional | None | $630.96 | $891.25 | $891.25 |
United Setting Facility Modifier None Typical Low $1,202.26 Median $3,311.31 Typical High $15,848.93 | Facility | None | $1,202.26 | $3,311.31 | $15,848.93 |
United Setting Professional Modifier None Typical Low $645.65 Median $891.25 Typical High $1,548.82 | Professional | None | $645.65 | $891.25 | $1,548.82 |
7 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 $331.13 Median $331.13 Typical High $426.58 | Professional | 52 · Reduced service | $331.13 | $331.13 | $426.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $131.83 Median $131.83 Typical High $169.82 | Professional | 53 · Discontinued | $131.83 | $131.83 | $169.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $489.78 Median $489.78 Typical High $630.96 | Professional | 54 · Surgery only | $489.78 | $489.78 | $630.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $97.72 Median $97.72 Typical High $125.89 | Professional | 55 · Aftercare only | $97.72 | $97.72 | $125.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $66.07 Median $66.07 Typical High $85.11 | Professional | 56 · Pre-op care only | $66.07 | $66.07 | $85.11 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $954.99 Median $1,348.96 Typical High $1,348.96 | Professional | 50 · Both sides | $954.99 | $1,348.96 | $1,348.96 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $316.23 Median $446.68 Typical High $446.68 | Professional | 51 · Multiple procedures | $316.23 | $446.68 | $446.68 |
Where North Carolina sits
The same service costs 5.9 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 $12,304MT $2,095
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.