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 $50.12 Median $51.29 Typical High $87.10 | Facility | None | $50.12 | $51.29 | $87.10 |
Aetna Setting Professional Modifier None Typical Low $43.65 Median $50.12 Typical High $75.86 | Professional | None | $43.65 | $50.12 | $75.86 |
Ambetter Setting Professional Modifier None Typical Low $15.49 Median $30.90 Typical High $52.48 | Professional | None | $15.49 | $30.90 | $52.48 |
BCBS North Carolina Setting Facility Modifier None Typical Low $112.20 Median $138.04 Typical High $199.53 | Facility | None | $112.20 | $138.04 | $199.53 |
BCBS North Carolina Setting Professional Modifier None Typical Low $28.18 Median $46.77 Typical High $46.77 | Professional | None | $28.18 | $46.77 | $46.77 |
Cigna Setting Facility Modifier None Typical Low $42.66 Median $134.90 Typical High $281.84 | Facility | None | $42.66 | $134.90 | $281.84 |
Cigna Setting Professional Modifier None Typical Low $30.20 Median $37.15 Typical High $95.50 | Professional | None | $30.20 | $37.15 | $95.50 |
Medcost Setting Professional Modifier None Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | None | $79.43 | $79.43 | $79.43 |
Medcost Setting Facility Modifier None Typical Low $48.98 Median $50.12 Typical High $74.13 | Facility | None | $48.98 | $50.12 | $74.13 |
Medcost Setting Professional Modifier None Typical Low $46.77 Median $79.43 Typical High $229.09 | Professional | None | $46.77 | $79.43 | $229.09 |
United Setting Professional Modifier None Typical Low $26.30 Median $39.81 Typical High $79.43 | Professional | None | $26.30 | $39.81 | $79.43 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $25.12 Median $25.12 Typical High $25.12 | Professional | 52 · Reduced service | $25.12 | $25.12 | $25.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.00 Median $10.00 Typical High $10.00 | Professional | 53 · Discontinued | $10.00 | $10.00 | $10.00 |
Where North Carolina sits
The same service costs 4.5 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· 40th of 51
$50.12
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.