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 $29.51 Median $29.51 Typical High $60.26 | Facility | None | $29.51 | $29.51 | $60.26 |
Aetna Setting Professional Modifier None Typical Low $28.84 Median $29.51 Typical High $43.65 | Professional | None | $28.84 | $29.51 | $43.65 |
BCBS North Carolina Setting Facility Modifier None Typical Low $81.28 Median $109.65 Typical High $114.82 | Facility | None | $81.28 | $109.65 | $114.82 |
BCBS North Carolina Setting Professional Modifier None Typical Low $16.60 Median $36.31 Typical High $58.88 | Professional | None | $16.60 | $36.31 | $58.88 |
Cigna Setting Facility Modifier None Typical Low $27.54 Median $79.43 Typical High $165.96 | Facility | None | $27.54 | $79.43 | $165.96 |
Cigna Setting Professional Modifier None Typical Low $16.98 Median $25.12 Typical High $56.23 | Professional | None | $16.98 | $25.12 | $56.23 |
Medcost Setting Facility Modifier None Typical Low $29.51 Median $29.51 Typical High $43.65 | Facility | None | $29.51 | $29.51 | $43.65 |
Medcost Setting Professional Modifier None Typical Low $36.31 Median $36.31 Typical High $72.44 | Professional | None | $36.31 | $36.31 | $72.44 |
United Setting Professional Modifier None Typical Low $15.49 Median $21.88 Typical High $38.90 | Professional | None | $15.49 | $21.88 | $38.90 |
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 $14.13 Median $14.79 Typical High $21.88 | Professional | 52 · Reduced service | $14.13 | $14.79 | $21.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.75 Median $5.89 Typical High $8.71 | Professional | 53 · Discontinued | $5.75 | $5.89 | $8.71 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $18.20 Median $18.20 Typical High $50.12 | Professional | 51 · Multiple procedures | $18.20 | $18.20 | $50.12 |
Where North Carolina sits
The same service costs 3.5 times more in California 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
$36.31
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.