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 $52.48 Median $52.48 Typical High $100.00 | Facility | None | $52.48 | $52.48 | $100.00 |
Aetna Setting Professional Modifier None Typical Low $51.29 Median $52.48 Typical High $91.20 | Professional | None | $51.29 | $52.48 | $91.20 |
BCBS North Carolina Setting Facility Modifier None Typical Low $147.91 Median $204.17 Typical High $204.17 | Facility | None | $147.91 | $204.17 | $204.17 |
BCBS North Carolina Setting Professional Modifier None Typical Low $44.67 Median $51.29 Typical High $100.00 | Professional | None | $44.67 | $51.29 | $100.00 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $144.54 Typical High $302.00 | Facility | None | $50.12 | $144.54 | $302.00 |
Cigna Setting Professional Modifier None Typical Low $30.20 Median $58.88 Typical High $89.13 | Professional | None | $30.20 | $58.88 | $89.13 |
Medcost Setting Facility Modifier None Typical Low $52.48 Median $52.48 Typical High $77.62 | Facility | None | $52.48 | $52.48 | $77.62 |
Medcost Setting Professional Modifier None Typical Low $67.61 Median $67.61 Typical High $112.20 | Professional | None | $67.61 | $67.61 | $112.20 |
United Setting Professional Modifier None Typical Low $27.54 Median $39.81 Typical High $67.61 | Professional | None | $27.54 | $39.81 | $67.61 |
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 $25.70 Median $26.30 Typical High $39.81 | Professional | 52 · Reduced service | $25.70 | $26.30 | $39.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.23 Median $10.47 Typical High $15.85 | Professional | 53 · Discontinued | $10.23 | $10.47 | $15.85 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $33.88 Median $33.88 Typical High $89.13 | Professional | 51 · Multiple procedures | $33.88 | $33.88 | $89.13 |
Where North Carolina sits
The same service costs 3.4 times more in Alaska than in Kentucky. 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· 42nd of 51
$52.48
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.