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 $478.63 Median $478.63 Typical High $1,000.00 | Facility | None | $478.63 | $478.63 | $1,000.00 |
Aetna Setting Professional Modifier None Typical Low $467.74 Median $478.63 Typical High $602.56 | Professional | None | $467.74 | $478.63 | $602.56 |
BCBS North Carolina Setting Facility Modifier None Typical Low $1,348.96 Median $1,819.70 Typical High $1,819.70 | Facility | None | $1,348.96 | $1,819.70 | $1,819.70 |
BCBS North Carolina Setting Professional Modifier None Typical Low $512.86 Median $660.69 Typical High $1,905.46 | Professional | None | $512.86 | $660.69 | $1,905.46 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $1,584.89 Typical High $2,754.23 | Facility | None | $501.19 | $1,584.89 | $2,754.23 |
Cigna Setting Professional Modifier None Typical Low $275.42 Median $426.58 Typical High $831.76 | Professional | None | $275.42 | $426.58 | $831.76 |
Medcost Setting Facility Modifier None Typical Low $478.63 Median $478.63 Typical High $707.95 | Facility | None | $478.63 | $478.63 | $707.95 |
Medcost Setting Professional Modifier None Typical Low $602.56 Median $602.56 Typical High $1,023.29 | Professional | None | $602.56 | $602.56 | $1,023.29 |
United Setting Professional Modifier None Typical Low $251.19 Median $363.08 Typical High $630.96 | Professional | None | $251.19 | $363.08 | $630.96 |
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 $234.42 Median $239.88 Typical High $302.00 | Professional | 52 · Reduced service | $234.42 | $239.88 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $93.33 Median $95.50 Typical High $120.23 | Professional | 53 · Discontinued | $93.33 | $95.50 | $120.23 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $302.00 Median $302.00 Typical High $812.83 | Professional | 51 · Multiple procedures | $302.00 | $302.00 | $812.83 |
Where North Carolina sits
The same service costs 3.7 times more in Alaska 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· 23rd of 51
$603
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.