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 $194.98 Median $194.98 Typical High $549.54 | Facility | None | $194.98 | $194.98 | $549.54 |
Aetna Setting Professional Modifier None Typical Low $194.98 Median $194.98 Typical High $288.40 | Professional | None | $194.98 | $194.98 | $288.40 |
BCBS North Carolina Setting Facility Modifier None Typical Low $537.03 Median $1,000.00 Typical High $1,000.00 | Facility | None | $537.03 | $1,000.00 | $1,000.00 |
BCBS North Carolina Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $426.58 | Professional | None | $109.65 | $109.65 | $426.58 |
Cigna Setting Facility Modifier None Typical Low $199.53 Median $630.96 Typical High $1,096.48 | Facility | None | $199.53 | $630.96 | $1,096.48 |
Cigna Setting Professional Modifier None Typical Low $112.20 Median $186.21 Typical High $489.78 | Professional | None | $112.20 | $186.21 | $489.78 |
Medcost Setting Facility Modifier None Typical Low $194.98 Median $194.98 Typical High $288.40 | Facility | None | $194.98 | $194.98 | $288.40 |
Medcost Setting Professional Modifier None Typical Low $288.40 Median $331.13 Typical High $478.63 | Professional | None | $288.40 | $331.13 | $478.63 |
United Setting Professional Modifier None Typical Low $102.33 Median $165.96 Typical High $331.13 | Professional | None | $102.33 | $165.96 | $331.13 |
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 $97.72 Median $97.72 Typical High $144.54 | Professional | 52 · Reduced service | $97.72 | $97.72 | $144.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $38.90 Typical High $57.54 | Professional | 53 · Discontinued | $38.90 | $38.90 | $57.54 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $165.96 Median $165.96 Typical High $331.13 | Professional | 51 · Multiple procedures | $165.96 | $165.96 | $331.13 |
Where North Carolina sits
The same service costs 4.3 times more in Texas than in Delaware. 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· 46th 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.