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 $208.93 Median $208.93 Typical High $588.84 | Facility | None | $208.93 | $208.93 | $588.84 |
Aetna Setting Professional Modifier None Typical Low $208.93 Median $208.93 Typical High $316.23 | Professional | None | $208.93 | $208.93 | $316.23 |
BCBS North Carolina Setting Facility Modifier None Typical Low $575.44 Median $588.84 Typical High $831.76 | Facility | None | $575.44 | $588.84 | $831.76 |
BCBS North Carolina Setting Professional Modifier None Typical Low $229.09 Median $316.23 Typical High $457.09 | Professional | None | $229.09 | $316.23 | $457.09 |
Cigna Setting Facility Modifier None Typical Low $213.80 Median $575.44 Typical High $1,174.90 | Facility | None | $213.80 | $575.44 | $1,174.90 |
Cigna Setting Professional Modifier None Typical Low $120.23 Median $239.88 Typical High $389.05 | Professional | None | $120.23 | $239.88 | $389.05 |
Medcost Setting Facility Modifier None Typical Low $208.93 Median $208.93 Typical High $309.03 | Facility | None | $208.93 | $208.93 | $309.03 |
Medcost Setting Professional Modifier None Typical Low $354.81 Median $354.81 Typical High $512.86 | Professional | None | $354.81 | $354.81 | $512.86 |
United Setting Professional Modifier None Typical Low $109.65 Median $177.83 Typical High $354.81 | Professional | None | $109.65 | $177.83 | $354.81 |
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 $104.71 Median $104.71 Typical High $154.88 | Professional | 52 · Reduced service | $104.71 | $104.71 | $154.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $41.69 Typical High $63.10 | Professional | 53 · Discontinued | $41.69 | $41.69 | $63.10 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $177.83 Median $177.83 Typical High $354.81 | Professional | 51 · Multiple procedures | $177.83 | $177.83 | $354.81 |
Where North Carolina sits
The same service costs 3.4 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· 14th of 51
$316
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.