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 $100.00 Median $100.00 Typical High $208.93 | Facility | None | $100.00 | $100.00 | $208.93 |
Aetna Setting Professional Modifier None Typical Low $97.72 Median $100.00 Typical High $173.78 | Professional | None | $97.72 | $100.00 | $173.78 |
BCBS Setting Facility Modifier None Typical Low $275.42 Median $281.84 Typical High $398.11 | Facility | None | $275.42 | $281.84 | $398.11 |
BCBS Setting Professional Modifier None Typical Low $83.18 Median $112.20 Typical High $346.74 | Professional | None | $83.18 | $112.20 | $346.74 |
Cigna Setting Facility Modifier None Typical Low $102.33 Median $331.13 Typical High $562.34 | Facility | None | $102.33 | $331.13 | $562.34 |
Cigna Setting Professional Modifier None Typical Low $57.54 Median $93.33 Typical High $190.55 | Professional | None | $57.54 | $93.33 | $190.55 |
Medcost Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $147.91 | Facility | None | $100.00 | $100.00 | $147.91 |
Medcost Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $213.80 | Professional | None | $125.89 | $125.89 | $213.80 |
United Setting Professional Modifier None Typical Low $52.48 Median $74.13 Typical High $138.04 | Professional | None | $52.48 | $74.13 | $138.04 |
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 $48.98 Median $50.12 Typical High $74.13 | Professional | 52 · Reduced service | $48.98 | $50.12 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $19.95 Typical High $30.20 | Professional | 53 · Discontinued | $19.50 | $19.95 | $30.20 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $63.10 Median $63.10 Typical High $169.82 | Professional | 51 · Multiple procedures | $63.10 | $63.10 | $169.82 |
Where North Carolina sits
The same service costs 4.5 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· 34th 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.