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 $295.12 Median $354.81 Typical High $354.81 | Facility | None | $295.12 | $354.81 | $354.81 |
Aetna Setting Professional Modifier None Typical Low $295.12 Median $354.81 Typical High $416.87 | Professional | None | $295.12 | $354.81 | $416.87 |
BCBS North Carolina Setting Facility Modifier None Typical Low $977.24 Median $1,230.27 Typical High $1,412.54 | Facility | None | $977.24 | $1,230.27 | $1,412.54 |
BCBS North Carolina Setting Professional Modifier None Typical Low $151.36 Median $158.49 Typical High $630.96 | Professional | None | $151.36 | $158.49 | $630.96 |
Cigna Setting Facility Modifier None Typical Low $331.13 Median $954.99 Typical High $1,995.26 | Facility | None | $331.13 | $954.99 | $1,995.26 |
Cigna Setting Professional Modifier None Typical Low $165.96 Median $204.17 Typical High $588.84 | Professional | None | $165.96 | $204.17 | $588.84 |
Medcost Setting Facility Modifier None Typical Low $354.81 Median $354.81 Typical High $524.81 | Facility | None | $354.81 | $354.81 | $524.81 |
Medcost Setting Professional Modifier None Typical Low $177.83 Median $177.83 Typical High $758.58 | Professional | None | $177.83 | $177.83 | $758.58 |
United Setting Professional Modifier None Typical Low $89.13 Median $218.78 Typical High $436.52 | Professional | None | $89.13 | $218.78 | $436.52 |
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 $147.91 Median $177.83 Typical High $208.93 | Professional | 52 · Reduced service | $147.91 | $177.83 | $208.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $58.88 Median $70.79 Typical High $83.18 | Professional | 53 · Discontinued | $58.88 | $70.79 | $83.18 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $89.13 Median $89.13 Typical High $602.56 | Professional | 51 · Multiple procedures | $89.13 | $89.13 | $602.56 |
Where North Carolina sits
The same service costs 7.1 times more in Texas than in North Carolina. 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· 51st of 51
$195
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.