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 $165.96 Median $165.96 Typical High $165.96 | Facility | None | $165.96 | $165.96 | $165.96 |
Aetna Setting Professional Modifier None Typical Low $162.18 Median $165.96 Typical High $194.98 | Professional | None | $162.18 | $165.96 | $194.98 |
BCBS North Carolina Setting Facility Modifier None Typical Low $457.09 Median $562.34 Typical High $660.69 | Facility | None | $457.09 | $562.34 | $660.69 |
BCBS North Carolina Setting Professional Modifier None Typical Low $177.83 Median $229.09 Typical High $660.69 | Professional | None | $177.83 | $229.09 | $660.69 |
Cigna Setting Facility Modifier None Typical Low $169.82 Median $549.54 Typical High $933.25 | Facility | None | $169.82 | $549.54 | $933.25 |
Cigna Setting Professional Modifier None Typical Low $95.50 Median $154.88 Typical High $323.59 | Professional | None | $95.50 | $154.88 | $323.59 |
Medcost Setting Facility Modifier None Typical Low $165.96 Median $165.96 Typical High $245.47 | Facility | None | $165.96 | $165.96 | $245.47 |
Medcost Setting Professional Modifier None Typical Low $208.93 Median $208.93 Typical High $354.81 | Professional | None | $208.93 | $208.93 | $354.81 |
United Setting Professional Modifier None Typical Low $87.10 Median $123.03 Typical High $213.80 | Professional | None | $87.10 | $123.03 | $213.80 |
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 $81.28 Median $83.18 Typical High $97.72 | Professional | 52 · Reduced service | $81.28 | $83.18 | $97.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $33.11 Typical High $38.90 | Professional | 53 · Discontinued | $32.36 | $33.11 | $38.90 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $104.71 Median $104.71 Typical High $269.15 | Professional | 51 · Multiple procedures | $104.71 | $104.71 | $269.15 |
Where North Carolina sits
The same service costs 5.2 times more in Texas than in Oklahoma. 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· 20th of 51
$209
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.