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 $234.42 Median $234.42 Typical High $489.78 | Facility | None | $234.42 | $234.42 | $489.78 |
Aetna Setting Professional Modifier None Typical Low $229.09 Median $234.42 Typical High $354.81 | Professional | None | $229.09 | $234.42 | $354.81 |
BCBS North Carolina Setting Facility Modifier None Typical Low $831.76 Median $891.25 Typical High $912.01 | Facility | None | $831.76 | $891.25 | $912.01 |
BCBS North Carolina Setting Professional Modifier None Typical Low $131.83 Median $295.12 Typical High $478.63 | Professional | None | $131.83 | $295.12 | $478.63 |
Cigna Setting Facility Modifier None Typical Low $245.47 Median $776.25 Typical High $1,348.96 | Facility | None | $245.47 | $776.25 | $1,348.96 |
Cigna Setting Professional Modifier None Typical Low $138.04 Median $208.93 Typical High $407.38 | Professional | None | $138.04 | $208.93 | $407.38 |
Medcost Setting Facility Modifier None Typical Low $234.42 Median $234.42 Typical High $354.81 | Facility | None | $234.42 | $234.42 | $354.81 |
Medcost Setting Professional Modifier None Typical Low $426.58 Median $446.68 Typical High $512.86 | Professional | None | $426.58 | $446.68 | $512.86 |
United Setting Professional Modifier None Typical Low $123.03 Median $177.83 Typical High $302.00 | Professional | None | $123.03 | $177.83 | $302.00 |
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 $114.82 Median $117.49 Typical High $177.83 | Professional | 52 · Reduced service | $114.82 | $117.49 | $177.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $47.86 Typical High $70.79 | Professional | 53 · Discontinued | $45.71 | $47.86 | $70.79 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $223.87 Median $223.87 Typical High $407.38 | Professional | 51 · Multiple procedures | $223.87 | $223.87 | $407.38 |
Where North Carolina sits
The same service costs 3.8 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· 25th of 51
$288
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.