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 $446.68 Median $446.68 Typical High $933.25 | Facility | None | $446.68 | $446.68 | $933.25 |
Aetna Setting Professional Modifier None Typical Low $446.68 Median $446.68 Typical High $870.96 | Professional | None | $446.68 | $446.68 | $870.96 |
BCBS North Carolina Setting Facility Modifier None Typical Low $1,230.27 Median $1,698.24 Typical High $1,737.80 | Facility | None | $1,230.27 | $1,698.24 | $1,737.80 |
BCBS North Carolina Setting Professional Modifier None Typical Low $363.08 Median $446.68 Typical High $851.14 | Professional | None | $363.08 | $446.68 | $851.14 |
Cigna Setting Facility Modifier None Typical Low $426.58 Median $1,230.27 Typical High $2,511.89 | Facility | None | $426.58 | $1,230.27 | $2,511.89 |
Cigna Setting Professional Modifier None Typical Low $257.04 Median $389.05 Typical High $851.14 | Professional | None | $257.04 | $389.05 | $851.14 |
Medcost Setting Facility Modifier None Typical Low $446.68 Median $446.68 Typical High $660.69 | Facility | None | $446.68 | $446.68 | $660.69 |
Medcost Setting Professional Modifier None Typical Low $562.34 Median $562.34 Typical High $954.99 | Professional | None | $562.34 | $562.34 | $954.99 |
United Setting Professional Modifier None Typical Low $234.42 Median $331.13 Typical High $588.84 | Professional | None | $234.42 | $331.13 | $588.84 |
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 $218.78 Median $223.87 Typical High $331.13 | Professional | 52 · Reduced service | $218.78 | $223.87 | $331.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $87.10 Median $89.13 Typical High $134.90 | Professional | 53 · Discontinued | $87.10 | $89.13 | $134.90 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $275.42 Median $275.42 Typical High $758.58 | Professional | 51 · Multiple procedures | $275.42 | $275.42 | $758.58 |
Where North Carolina sits
The same service costs 4.6 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· 38th of 51
$468
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.