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 $1,445.44 Median $1,445.44 Typical High $4,168.69 | Facility | None | $1,445.44 | $1,445.44 | $4,168.69 |
Aetna Setting Professional Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $2,187.76 | Professional | None | $1,445.44 | $1,445.44 | $2,187.76 |
BCBS North Carolina Setting Facility Modifier None Typical Low $5,128.61 Median $7,585.78 Typical High $7,585.78 | Facility | None | $5,128.61 | $7,585.78 | $7,585.78 |
BCBS North Carolina Setting Professional Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $6,309.57 | Professional | None | $1,659.59 | $1,659.59 | $6,309.57 |
Cigna Setting Facility Modifier None Typical Low $1,513.56 Median $4,786.30 Typical High $8,317.64 | Facility | None | $1,513.56 | $4,786.30 | $8,317.64 |
Cigna Setting Professional Modifier None Typical Low $851.14 Median $1,412.54 Typical High $3,715.35 | Professional | None | $851.14 | $1,412.54 | $3,715.35 |
Medcost Setting Facility Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $2,187.76 | Facility | None | $1,445.44 | $1,445.44 | $2,187.76 |
Medcost Setting Professional Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $3,630.78 | Professional | None | $2,511.89 | $2,511.89 | $3,630.78 |
United Setting Professional Modifier None Typical Low $758.58 Median $1,230.27 Typical High $2,511.89 | Professional | None | $758.58 | $1,230.27 | $2,511.89 |
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 $724.44 Median $724.44 Typical High $1,096.48 | Professional | 52 · Reduced service | $724.44 | $724.44 | $1,096.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $295.12 Median $295.12 Typical High $436.52 | Professional | 53 · Discontinued | $295.12 | $295.12 | $436.52 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $1,230.27 Median $1,230.27 Typical High $2,511.89 | Professional | 51 · Multiple procedures | $1,230.27 | $1,230.27 | $2,511.89 |
Where North Carolina sits
The same service costs 4.3 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· 37th of 51
$1,660
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.