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 $109.65 Median $109.65 Typical High $229.09 | Facility | None | $109.65 | $109.65 | $229.09 |
Aetna Setting Professional Modifier None Typical Low $107.15 Median $109.65 Typical High $165.96 | Professional | None | $107.15 | $109.65 | $165.96 |
BCBS North Carolina Setting Facility Modifier None Typical Low $269.15 Median $323.59 Typical High $436.52 | Facility | None | $269.15 | $323.59 | $436.52 |
BCBS North Carolina Setting Professional Modifier None Typical Low $61.66 Median $138.04 Typical High $218.78 | Professional | None | $61.66 | $138.04 | $218.78 |
Cigna Setting Facility Modifier None Typical Low $112.20 Median $363.08 Typical High $616.60 | Facility | None | $112.20 | $363.08 | $616.60 |
Cigna Setting Professional Modifier None Typical Low $63.10 Median $102.33 Typical High $208.93 | Professional | None | $63.10 | $102.33 | $208.93 |
Medcost Setting Facility Modifier None Typical Low $109.65 Median $109.65 Typical High $162.18 | Facility | None | $109.65 | $109.65 | $162.18 |
Medcost Setting Professional Modifier None Typical Low $138.04 Median $138.04 Typical High $234.42 | Professional | None | $138.04 | $138.04 | $234.42 |
United Setting Professional Modifier None Typical Low $57.54 Median $81.28 Typical High $144.54 | Professional | None | $57.54 | $81.28 | $144.54 |
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 $53.70 Median $54.95 Typical High $81.28 | Professional | 52 · Reduced service | $53.70 | $54.95 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $21.88 Typical High $33.11 | Professional | 53 · Discontinued | $21.38 | $21.88 | $33.11 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $69.18 Median $69.18 Typical High $186.21 | Professional | 51 · Multiple procedures | $69.18 | $69.18 | $186.21 |
Where North Carolina sits
The same service costs 5.5 times more in Texas 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· 26th of 51
$132
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.