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 $97.72 Median $131.83 Typical High $269.15 | Facility | None | $97.72 | $131.83 | $269.15 |
Aetna Setting Professional Modifier None Typical Low $125.89 Median $131.83 Typical High $229.09 | Professional | None | $125.89 | $131.83 | $229.09 |
BCBS North Carolina Setting Facility Modifier None Typical Low $457.09 Median $676.08 Typical High $676.08 | Facility | None | $457.09 | $676.08 | $676.08 |
BCBS North Carolina Setting Professional Modifier None Typical Low $74.13 Median $194.98 Typical High $309.03 | Professional | None | $74.13 | $194.98 | $309.03 |
Cigna Setting Facility Modifier None Typical Low $134.90 Median $354.81 Typical High $741.31 | Facility | None | $134.90 | $354.81 | $741.31 |
Cigna Setting Professional Modifier None Typical Low $75.86 Median $151.36 Typical High $245.47 | Professional | None | $75.86 | $151.36 | $245.47 |
Medcost Setting Facility Modifier None Typical Low $131.83 Median $131.83 Typical High $194.98 | Facility | None | $131.83 | $131.83 | $194.98 |
Medcost Setting Professional Modifier None Typical Low $194.98 Median $223.87 Typical High $323.59 | Professional | None | $194.98 | $223.87 | $323.59 |
United Setting Professional Modifier None Typical Low $69.18 Median $112.20 Typical High $223.87 | Professional | None | $69.18 | $112.20 | $223.87 |
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 $66.07 Median $66.07 Typical High $97.72 | Professional | 52 · Reduced service | $66.07 | $66.07 | $97.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $26.30 Typical High $38.90 | Professional | 53 · Discontinued | $26.30 | $26.30 | $38.90 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $112.20 Median $112.20 Typical High $223.87 | Professional | 51 · Multiple procedures | $112.20 | $112.20 | $223.87 |
Where North Carolina sits
The same service costs 3.8 times more in Alaska than in Connecticut. 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· 14th of 51
$191
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.