How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $97.72 Median $97.72 Typical High $223.87 | Facility | None | $97.72 | $97.72 | $223.87 |
Aetna Setting Professional Modifier None Typical Low $97.72 Median $97.72 Typical High $147.91 | Professional | None | $97.72 | $97.72 | $147.91 |
BCBS North Carolina Setting Facility Modifier None Typical Low $269.15 Median $457.09 Typical High $457.09 | Facility | None | $269.15 | $457.09 | $457.09 |
BCBS North Carolina Setting Professional Modifier None Typical Low $109.65 Median $147.91 Typical High $478.63 | Professional | None | $109.65 | $147.91 | $478.63 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $323.59 Typical High $562.34 | Facility | None | $100.00 | $323.59 | $562.34 |
Cigna Setting Professional Modifier None Typical Low $56.23 Median $91.20 Typical High $190.55 | Professional | None | $56.23 | $91.20 | $190.55 |
Medcost Setting Facility Modifier None Typical Low $97.72 Median $97.72 Typical High $144.54 | Facility | None | $97.72 | $97.72 | $144.54 |
Medcost Setting Professional Modifier None Typical Low $208.93 Median $223.87 Typical High $245.47 | Professional | None | $208.93 | $223.87 | $245.47 |
United Setting Professional Modifier None Typical Low $51.29 Median $74.13 Typical High $151.36 | Professional | None | $51.29 | $74.13 | $151.36 |
3 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 $48.98 Median $48.98 Typical High $74.13 | Professional | 52 · Reduced service | $48.98 | $48.98 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $19.50 Typical High $29.51 | Professional | 53 · Discontinued | $19.50 | $19.50 | $29.51 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $112.20 Median $112.20 Typical High $165.96 | Professional | 51 · Multiple procedures | $112.20 | $112.20 | $165.96 |
Where North Carolina sits
The same service costs 4.4 times more in Alaska than in Alabama. 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· 21st of 51
$129
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.