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 $141.25 Median $141.25 Typical High $288.40 | Facility | None | $141.25 | $141.25 | $288.40 |
Aetna Setting Professional Modifier None Typical Low $134.90 Median $141.25 Typical High $208.93 | Professional | None | $134.90 | $141.25 | $208.93 |
BCBS North Carolina Setting Facility Modifier None Typical Low $489.78 Median $537.03 Typical High $549.54 | Facility | None | $489.78 | $537.03 | $549.54 |
BCBS North Carolina Setting Professional Modifier None Typical Low $114.82 Median $158.49 Typical High $263.03 | Professional | None | $114.82 | $158.49 | $263.03 |
Cigna Setting Facility Modifier None Typical Low $131.83 Median $380.19 Typical High $794.33 | Facility | None | $131.83 | $380.19 | $794.33 |
Cigna Setting Professional Modifier None Typical Low $81.28 Median $158.49 Typical High $234.42 | Professional | None | $81.28 | $158.49 | $234.42 |
Medcost Setting Facility Modifier None Typical Low $141.25 Median $141.25 Typical High $208.93 | Facility | None | $141.25 | $141.25 | $208.93 |
Medcost Setting Professional Modifier None Typical Low $173.78 Median $173.78 Typical High $302.00 | Professional | None | $173.78 | $173.78 | $302.00 |
United Setting Professional Modifier None Typical Low $74.13 Median $104.71 Typical High $181.97 | Professional | None | $74.13 | $104.71 | $181.97 |
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 $67.61 Median $69.18 Typical High $104.71 | Professional | 52 · Reduced service | $67.61 | $69.18 | $104.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $28.18 Typical High $41.69 | Professional | 53 · Discontinued | $27.54 | $28.18 | $41.69 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $87.10 Median $87.10 Typical High $239.88 | Professional | 51 · Multiple procedures | $87.10 | $87.10 | $239.88 |
Where North Carolina sits
The same service costs 3.4 times more in Alaska than in Nebraska. 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· 33rd of 51
$158
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.