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 $218.78 Median $218.78 Typical High $457.09 | Facility | None | $218.78 | $218.78 | $457.09 |
Aetna Setting Professional Modifier None Typical Low $213.80 Median $218.78 Typical High $302.00 | Professional | None | $213.80 | $218.78 | $302.00 |
BCBS North Carolina Setting Facility Modifier None Typical Low $616.60 Median $776.25 Typical High $870.96 | Facility | None | $616.60 | $776.25 | $870.96 |
BCBS North Carolina Setting Professional Modifier None Typical Low $123.03 Median $275.42 Typical High $436.52 | Professional | None | $123.03 | $275.42 | $436.52 |
Cigna Setting Facility Modifier None Typical Low $229.09 Median $724.44 Typical High $1,258.93 | Facility | None | $229.09 | $724.44 | $1,258.93 |
Cigna Setting Professional Modifier None Typical Low $125.89 Median $204.17 Typical High $426.58 | Professional | None | $125.89 | $204.17 | $426.58 |
Medcost Setting Facility Modifier None Typical Low $218.78 Median $218.78 Typical High $323.59 | Facility | None | $218.78 | $218.78 | $323.59 |
Medcost Setting Professional Modifier None Typical Low $275.42 Median $275.42 Typical High $467.74 | Professional | None | $275.42 | $275.42 | $467.74 |
United Setting Professional Modifier None Typical Low $114.82 Median $165.96 Typical High $281.84 | Professional | None | $114.82 | $165.96 | $281.84 |
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 $107.15 Median $109.65 Typical High $151.36 | Professional | 52 · Reduced service | $107.15 | $109.65 | $151.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $43.65 Typical High $60.26 | Professional | 53 · Discontinued | $42.66 | $43.65 | $60.26 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $138.04 Median $138.04 Typical High $380.19 | Professional | 51 · Multiple procedures | $138.04 | $138.04 | $380.19 |
Where North Carolina sits
The same service costs 3.7 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· 28th of 51
$263
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.