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 $234.42 Median $234.42 Typical High $660.69 | Facility | None | $234.42 | $234.42 | $660.69 |
Aetna Setting Professional Modifier None Typical Low $234.42 Median $234.42 Typical High $354.81 | Professional | None | $234.42 | $234.42 | $354.81 |
BCBS North Carolina Setting Facility Modifier None Typical Low $660.69 Median $891.25 Typical High $1,071.52 | Facility | None | $660.69 | $891.25 | $1,071.52 |
BCBS North Carolina Setting Professional Modifier None Typical Low $263.03 Median $363.08 Typical High $524.81 | Professional | None | $263.03 | $363.08 | $524.81 |
Cigna Setting Facility Modifier None Typical Low $245.47 Median $645.65 Typical High $1,348.96 | Facility | None | $245.47 | $645.65 | $1,348.96 |
Cigna Setting Professional Modifier None Typical Low $138.04 Median $269.15 Typical High $436.52 | Professional | None | $138.04 | $269.15 | $436.52 |
Medcost Setting Facility Modifier None Typical Low $234.42 Median $234.42 Typical High $346.74 | Facility | None | $234.42 | $234.42 | $346.74 |
Medcost Setting Professional Modifier None Typical Low $354.81 Median $398.11 Typical High $588.84 | Professional | None | $354.81 | $398.11 | $588.84 |
United Setting Professional Modifier None Typical Low $123.03 Median $194.98 Typical High $398.11 | Professional | None | $123.03 | $194.98 | $398.11 |
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 $117.49 Median $117.49 Typical High $177.83 | Professional | 52 · Reduced service | $117.49 | $117.49 | $177.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $46.77 Typical High $70.79 | Professional | 53 · Discontinued | $46.77 | $46.77 | $70.79 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $199.53 Median $199.53 Typical High $407.38 | Professional | 51 · Multiple procedures | $199.53 | $199.53 | $407.38 |
Where North Carolina sits
The same service costs 3.8 times more in Alaska 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· 12th of 51
$363
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.