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 $38.02 Median $38.02 Typical High $77.62 | Facility | None | $38.02 | $38.02 | $77.62 |
Aetna Setting Professional Modifier None Typical Low $37.15 Median $38.02 Typical High $56.23 | Professional | None | $37.15 | $38.02 | $56.23 |
BCBS North Carolina Setting Facility Modifier None Typical Low $104.71 Median $144.54 Typical High $147.91 | Facility | None | $104.71 | $144.54 | $147.91 |
BCBS North Carolina Setting Professional Modifier None Typical Low $21.38 Median $46.77 Typical High $75.86 | Professional | None | $21.38 | $46.77 | $75.86 |
Cigna Setting Facility Modifier None Typical Low $37.15 Median $102.33 Typical High $213.80 | Facility | None | $37.15 | $102.33 | $213.80 |
Cigna Setting Professional Modifier None Typical Low $21.88 Median $33.11 Typical High $72.44 | Professional | None | $21.88 | $33.11 | $72.44 |
Medcost Setting Facility Modifier None Typical Low $38.02 Median $38.02 Typical High $56.23 | Facility | None | $38.02 | $38.02 | $56.23 |
Medcost Setting Professional Modifier None Typical Low $46.77 Median $46.77 Typical High $93.33 | Professional | None | $46.77 | $46.77 | $93.33 |
United Setting Professional Modifier None Typical Low $19.95 Median $28.18 Typical High $51.29 | Professional | None | $19.95 | $28.18 | $51.29 |
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 $18.62 Median $19.05 Typical High $28.18 | Professional | 52 · Reduced service | $18.62 | $19.05 | $28.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.41 Median $7.59 Typical High $11.22 | Professional | 53 · Discontinued | $7.41 | $7.59 | $11.22 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $23.44 Median $23.44 Typical High $64.57 | Professional | 51 · Multiple procedures | $23.44 | $23.44 | $64.57 |
Where North Carolina sits
The same service costs 5.8 times more in Kansas 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· 29th of 51
$46.77
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.