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 $31.62 Median $31.62 Typical High $64.57 | Facility | None | $31.62 | $31.62 | $64.57 |
Aetna Setting Professional Modifier None Typical Low $30.90 Median $31.62 Typical High $46.77 | Professional | None | $30.90 | $31.62 | $46.77 |
BCBS North Carolina Setting Facility Modifier None Typical Low $109.65 Median $120.23 Typical High $123.03 | Facility | None | $109.65 | $120.23 | $123.03 |
BCBS North Carolina Setting Professional Modifier None Typical Low $17.78 Median $38.90 Typical High $63.10 | Professional | None | $17.78 | $38.90 | $63.10 |
Cigna Setting Facility Modifier None Typical Low $30.20 Median $87.10 Typical High $177.83 | Facility | None | $30.20 | $87.10 | $177.83 |
Cigna Setting Professional Modifier None Typical Low $18.20 Median $27.54 Typical High $60.26 | Professional | None | $18.20 | $27.54 | $60.26 |
Medcost Setting Facility Modifier None Typical Low $31.62 Median $31.62 Typical High $46.77 | Facility | None | $31.62 | $31.62 | $46.77 |
Medcost Setting Professional Modifier None Typical Low $38.90 Median $38.90 Typical High $77.62 | Professional | None | $38.90 | $38.90 | $77.62 |
United Setting Professional Modifier None Typical Low $16.60 Median $23.44 Typical High $41.69 | Professional | None | $16.60 | $23.44 | $41.69 |
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 $15.49 Median $15.85 Typical High $23.44 | Professional | 52 · Reduced service | $15.49 | $15.85 | $23.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.17 Median $6.31 Typical High $9.33 | Professional | 53 · Discontinued | $6.17 | $6.31 | $9.33 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $19.50 Median $19.50 Typical High $53.70 | Professional | 51 · Multiple procedures | $19.50 | $19.50 | $53.70 |
Where North Carolina sits
The same service costs 6.6 times more in Kansas than in Oklahoma. 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· 25th of 51
$38.90
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.