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 $45.71 Median $45.71 Typical High $95.50 | Facility | None | $45.71 | $45.71 | $95.50 |
Aetna Setting Professional Modifier None Typical Low $45.71 Median $45.71 Typical High $87.10 | Professional | None | $45.71 | $45.71 | $87.10 |
BCBS North Carolina Setting Facility Modifier None Typical Low $125.89 Median $162.18 Typical High $181.97 | Facility | None | $125.89 | $162.18 | $181.97 |
BCBS North Carolina Setting Professional Modifier None Typical Low $37.15 Median $81.28 Typical High $208.93 | Professional | None | $37.15 | $81.28 | $208.93 |
Cigna Setting Facility Modifier None Typical Low $46.77 Median $123.03 Typical High $257.04 | Facility | None | $46.77 | $123.03 | $257.04 |
Cigna Setting Professional Modifier None Typical Low $26.30 Median $39.81 Typical High $87.10 | Professional | None | $26.30 | $39.81 | $87.10 |
Medcost Setting Facility Modifier None Typical Low $45.71 Median $45.71 Typical High $67.61 | Facility | None | $45.71 | $45.71 | $67.61 |
Medcost Setting Professional Modifier None Typical Low $57.54 Median $57.54 Typical High $97.72 | Professional | None | $57.54 | $57.54 | $97.72 |
United Setting Professional Modifier None Typical Low $23.99 Median $33.88 Typical High $58.88 | Professional | None | $23.99 | $33.88 | $58.88 |
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 $22.91 Median $22.91 Typical High $33.88 | Professional | 52 · Reduced service | $22.91 | $22.91 | $33.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.12 Median $9.12 Typical High $13.80 | Professional | 53 · Discontinued | $9.12 | $9.12 | $13.80 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $28.84 Median $28.84 Typical High $77.62 | Professional | 51 · Multiple procedures | $28.84 | $28.84 | $77.62 |
Where North Carolina sits
The same service costs 3.4 times more in Alaska 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· 19th of 51
$63.10
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.