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 $154.88 Median $154.88 Typical High $323.59 | Facility | None | $154.88 | $154.88 | $323.59 |
Aetna Setting Professional Modifier None Typical Low $151.36 Median $154.88 Typical High $234.42 | Professional | None | $151.36 | $154.88 | $234.42 |
BCBS North Carolina Setting Facility Modifier None Typical Low $426.58 Median $512.86 Typical High $616.60 | Facility | None | $426.58 | $512.86 | $616.60 |
BCBS North Carolina Setting Professional Modifier None Typical Low $165.96 Median $213.80 Typical High $616.60 | Professional | None | $165.96 | $213.80 | $616.60 |
Cigna Setting Facility Modifier None Typical Low $158.49 Median $512.86 Typical High $870.96 | Facility | None | $158.49 | $512.86 | $870.96 |
Cigna Setting Professional Modifier None Typical Low $89.13 Median $134.90 Typical High $269.15 | Professional | None | $89.13 | $134.90 | $269.15 |
Medcost Setting Facility Modifier None Typical Low $154.88 Median $154.88 Typical High $229.09 | Facility | None | $154.88 | $154.88 | $229.09 |
Medcost Setting Professional Modifier None Typical Low $281.84 Median $288.40 Typical High $331.13 | Professional | None | $281.84 | $288.40 | $331.13 |
United Setting Professional Modifier None Typical Low $81.28 Median $114.82 Typical High $204.17 | Professional | None | $81.28 | $114.82 | $204.17 |
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 $75.86 Median $77.62 Typical High $114.82 | Professional | 52 · Reduced service | $75.86 | $77.62 | $114.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $30.90 Typical High $46.77 | Professional | 53 · Discontinued | $30.20 | $30.90 | $46.77 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $144.54 Median $144.54 Typical High $263.03 | Professional | 51 · Multiple procedures | $144.54 | $144.54 | $263.03 |
Where North Carolina sits
The same service costs 3.8 times more in Alaska than in Delaware. 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· 22nd of 51
$195
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.