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 $724.44 Median $724.44 Typical High $1,479.11 | Facility | None | $724.44 | $724.44 | $1,479.11 |
Aetna Setting Professional Modifier None Typical Low $602.56 Median $724.44 Typical High $1,258.93 | Professional | None | $602.56 | $724.44 | $1,258.93 |
BCBS North Carolina Setting Facility Modifier None Typical Low $1,995.26 Median $2,754.23 Typical High $2,754.23 | Facility | None | $1,995.26 | $2,754.23 | $2,754.23 |
BCBS North Carolina Setting Professional Modifier None Typical Low $407.38 Median $891.25 Typical High $1,445.44 | Professional | None | $407.38 | $891.25 | $1,445.44 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $1,949.84 Typical High $4,073.80 | Facility | None | $676.08 | $1,949.84 | $4,073.80 |
Cigna Setting Professional Modifier None Typical Low $416.87 Median $630.96 Typical High $1,380.38 | Professional | None | $416.87 | $630.96 | $1,380.38 |
Medcost Setting Facility Modifier None Typical Low $724.44 Median $724.44 Typical High $1,071.52 | Facility | None | $724.44 | $724.44 | $1,071.52 |
Medcost Setting Professional Modifier None Typical Low $891.25 Median $891.25 Typical High $1,548.82 | Professional | None | $891.25 | $891.25 | $1,548.82 |
United Setting Professional Modifier None Typical Low $380.19 Median $537.03 Typical High $933.25 | Professional | None | $380.19 | $537.03 | $933.25 |
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 $354.81 Median $363.08 Typical High $537.03 | Professional | 52 · Reduced service | $354.81 | $363.08 | $537.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $141.25 Median $144.54 Typical High $213.80 | Professional | 53 · Discontinued | $141.25 | $144.54 | $213.80 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $446.68 Median $446.68 Typical High $1,230.27 | Professional | 51 · Multiple procedures | $446.68 | $446.68 | $1,230.27 |
Where North Carolina sits
The same service costs 5.1 times more in Texas 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· 24th of 51
$891
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.