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 $131.83 Median $131.83 Typical High $275.42 | Facility | None | $131.83 | $131.83 | $275.42 |
Aetna Setting Professional Modifier None Typical Low $128.82 Median $131.83 Typical High $199.53 | Professional | None | $128.82 | $131.83 | $199.53 |
BCBS North Carolina Setting Facility Modifier None Typical Low $371.54 Median $501.19 Typical High $512.86 | Facility | None | $371.54 | $501.19 | $512.86 |
BCBS North Carolina Setting Professional Modifier None Typical Low $107.15 Median $151.36 Typical High $251.19 | Professional | None | $107.15 | $151.36 | $251.19 |
Cigna Setting Facility Modifier None Typical Low $125.89 Median $363.08 Typical High $758.58 | Facility | None | $125.89 | $363.08 | $758.58 |
Cigna Setting Professional Modifier None Typical Low $75.86 Median $147.91 Typical High $223.87 | Professional | None | $75.86 | $147.91 | $223.87 |
Medcost Setting Facility Modifier None Typical Low $131.83 Median $131.83 Typical High $194.98 | Facility | None | $131.83 | $131.83 | $194.98 |
Medcost Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $281.84 | Professional | None | $165.96 | $165.96 | $281.84 |
United Setting Professional Modifier None Typical Low $69.18 Median $100.00 Typical High $169.82 | Professional | None | $69.18 | $100.00 | $169.82 |
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 $64.57 Median $66.07 Typical High $100.00 | Professional | 52 · Reduced service | $64.57 | $66.07 | $100.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $26.30 Typical High $39.81 | Professional | 53 · Discontinued | $25.70 | $26.30 | $39.81 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $83.18 Median $83.18 Typical High $229.09 | Professional | 51 · Multiple procedures | $83.18 | $83.18 | $229.09 |
Where North Carolina sits
The same service costs 3.7 times more in Alaska than in Florida. 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
$151
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.