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 $223.87 Median $223.87 Typical High $467.74 | Facility | None | $223.87 | $223.87 | $467.74 |
Aetna Setting Professional Modifier None Typical Low $218.78 Median $223.87 Typical High $338.84 | Professional | None | $218.78 | $223.87 | $338.84 |
BCBS North Carolina Setting Facility Modifier None Typical Low $630.96 Median $851.14 Typical High $870.96 | Facility | None | $630.96 | $851.14 | $870.96 |
BCBS North Carolina Setting Professional Modifier None Typical Low $125.89 Median $281.84 Typical High $457.09 | Professional | None | $125.89 | $281.84 | $457.09 |
Cigna Setting Facility Modifier None Typical Low $234.42 Median $741.31 Typical High $1,288.25 | Facility | None | $234.42 | $741.31 | $1,288.25 |
Cigna Setting Professional Modifier None Typical Low $131.83 Median $208.93 Typical High $436.52 | Professional | None | $131.83 | $208.93 | $436.52 |
Medcost Setting Facility Modifier None Typical Low $223.87 Median $223.87 Typical High $338.84 | Facility | None | $223.87 | $223.87 | $338.84 |
Medcost Setting Professional Modifier None Typical Low $281.84 Median $281.84 Typical High $489.78 | Professional | None | $281.84 | $281.84 | $489.78 |
United Setting Professional Modifier None Typical Low $117.49 Median $169.82 Typical High $288.40 | Professional | None | $117.49 | $169.82 | $288.40 |
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 $109.65 Median $112.20 Typical High $169.82 | Professional | 52 · Reduced service | $109.65 | $112.20 | $169.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $45.71 Typical High $67.61 | Professional | 53 · Discontinued | $43.65 | $45.71 | $67.61 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $141.25 Median $141.25 Typical High $389.05 | Professional | 51 · Multiple procedures | $141.25 | $141.25 | $389.05 |
Where North Carolina sits
The same service costs 3.7 times more in Alaska 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· 26th of 51
$275
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.