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 $154.88 Median $302.00 Typical High $302.00 | Facility | None | $154.88 | $302.00 | $302.00 |
Aetna Setting Professional Modifier None Typical Low $251.19 Median $302.00 Typical High $354.81 | Professional | None | $251.19 | $302.00 | $354.81 |
BCBS North Carolina Setting Facility Modifier None Typical Low $245.47 Median $281.84 Typical High $851.14 | Facility | None | $245.47 | $281.84 | $851.14 |
BCBS North Carolina Setting Professional Modifier None Typical Low $79.43 Median $83.18 Typical High $537.03 | Professional | None | $79.43 | $83.18 | $537.03 |
Cigna Setting Facility Modifier None Typical Low $288.40 Median $812.83 Typical High $1,698.24 | Facility | None | $288.40 | $812.83 | $1,698.24 |
Cigna Setting Professional Modifier None Typical Low $87.10 Median $173.78 Typical High $501.19 | Professional | None | $87.10 | $173.78 | $501.19 |
Medcost Setting Facility Modifier None Typical Low $302.00 Median $302.00 Typical High $446.68 | Facility | None | $302.00 | $302.00 | $446.68 |
Medcost Setting Professional Modifier None Typical Low $93.33 Median $93.33 Typical High $645.65 | Professional | None | $93.33 | $93.33 | $645.65 |
United Setting Professional Modifier None Typical Low $46.77 Median $158.49 Typical High $371.54 | Professional | None | $46.77 | $158.49 | $371.54 |
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 $125.89 Median $151.36 Typical High $177.83 | Professional | 52 · Reduced service | $125.89 | $151.36 | $177.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $60.26 Typical High $70.79 | Professional | 53 · Discontinued | $50.12 | $60.26 | $70.79 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $46.77 Median $46.77 Typical High $512.86 | Professional | 51 · Multiple procedures | $46.77 | $46.77 | $512.86 |
Where North Carolina sits
The same service costs 10.2 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
$110
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.