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 $81.28 Median $81.28 Typical High $154.88 | Facility | None | $81.28 | $81.28 | $154.88 |
Aetna Setting Professional Modifier None Typical Low $81.28 Median $81.28 Typical High $141.25 | Professional | None | $81.28 | $81.28 | $141.25 |
BCBS North Carolina Setting Facility Modifier None Typical Low $223.87 Median $229.09 Typical High $323.59 | Facility | None | $223.87 | $229.09 | $323.59 |
BCBS North Carolina Setting Professional Modifier None Typical Low $66.07 Median $147.91 Typical High $234.42 | Professional | None | $66.07 | $147.91 | $234.42 |
Cigna Setting Facility Modifier None Typical Low $85.11 Median $223.87 Typical High $467.74 | Facility | None | $85.11 | $223.87 | $467.74 |
Cigna Setting Professional Modifier None Typical Low $47.86 Median $70.79 Typical High $154.88 | Professional | None | $47.86 | $70.79 | $154.88 |
Medcost Setting Facility Modifier None Typical Low $81.28 Median $81.28 Typical High $123.03 | Facility | None | $81.28 | $81.28 | $123.03 |
Medcost Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $204.17 | Professional | None | $102.33 | $102.33 | $204.17 |
United Setting Professional Modifier None Typical Low $42.66 Median $61.66 Typical High $112.20 | Professional | None | $42.66 | $61.66 | $112.20 |
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 $40.74 Median $40.74 Typical High $61.66 | Professional | 52 · Reduced service | $40.74 | $40.74 | $61.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.22 Median $16.22 Typical High $24.55 | Professional | 53 · Discontinued | $16.22 | $16.22 | $24.55 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $51.29 Median $51.29 Typical High $141.25 | Professional | 51 · Multiple procedures | $51.29 | $51.29 | $141.25 |
Where North Carolina sits
The same service costs 3.7 times more in Kansas than in Alabama. 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
$112
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.