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 $131.83 Median $147.91 Typical High $281.84 | Facility | None | $131.83 | $147.91 | $281.84 |
Aetna Setting Professional Modifier None Typical Low $147.91 Median $147.91 Typical High $223.87 | Professional | None | $147.91 | $147.91 | $223.87 |
BCBS North Carolina Setting Facility Modifier None Typical Low $407.38 Median $416.87 Typical High $588.84 | Facility | None | $407.38 | $416.87 | $588.84 |
BCBS North Carolina Setting Professional Modifier None Typical Low $158.49 Median $204.17 Typical High $588.84 | Professional | None | $158.49 | $204.17 | $588.84 |
Cigna Setting Facility Modifier None Typical Low $151.36 Median $489.78 Typical High $851.14 | Facility | None | $151.36 | $489.78 | $851.14 |
Cigna Setting Professional Modifier None Typical Low $85.11 Median $138.04 Typical High $295.12 | Professional | None | $85.11 | $138.04 | $295.12 |
Medcost Setting Facility Modifier None Typical Low $147.91 Median $147.91 Typical High $218.78 | Facility | None | $147.91 | $147.91 | $218.78 |
Medcost Setting Professional Modifier None Typical Low $186.21 Median $186.21 Typical High $316.23 | Professional | None | $186.21 | $186.21 | $316.23 |
United Setting Professional Modifier None Typical Low $77.62 Median $112.20 Typical High $194.98 | Professional | None | $77.62 | $112.20 | $194.98 |
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 $72.44 Median $74.13 Typical High $87.10 | Professional | 52 · Reduced service | $72.44 | $74.13 | $87.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $29.51 Typical High $35.48 | Professional | 53 · Discontinued | $28.84 | $29.51 | $35.48 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $93.33 Median $93.33 Typical High $239.88 | Professional | 51 · Multiple procedures | $93.33 | $93.33 | $239.88 |
Where North Carolina sits
The same service costs 3.4 times more in Alaska than in Nebraska. 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· 27th of 51
$186
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.