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 $58.88 Median $58.88 Typical High $123.03 | Facility | None | $58.88 | $58.88 | $123.03 |
Aetna Setting Professional Modifier None Typical Low $57.54 Median $58.88 Typical High $87.10 | Professional | None | $57.54 | $58.88 | $87.10 |
BCBS North Carolina Setting Facility Modifier None Typical Low $165.96 Median $229.09 Typical High $234.42 | Facility | None | $165.96 | $229.09 | $234.42 |
BCBS North Carolina Setting Professional Modifier None Typical Low $64.57 Median $75.86 Typical High $239.88 | Professional | None | $64.57 | $75.86 | $239.88 |
Cigna Setting Facility Modifier None Typical Low $60.26 Median $194.98 Typical High $331.13 | Facility | None | $60.26 | $194.98 | $331.13 |
Cigna Setting Professional Modifier None Typical Low $33.88 Median $51.29 Typical High $104.71 | Professional | None | $33.88 | $51.29 | $104.71 |
Medcost Setting Facility Modifier None Typical Low $58.88 Median $58.88 Typical High $87.10 | Facility | None | $58.88 | $58.88 | $87.10 |
Medcost Setting Professional Modifier None Typical Low $75.86 Median $75.86 Typical High $125.89 | Professional | None | $75.86 | $75.86 | $125.89 |
United Setting Professional Modifier None Typical Low $30.90 Median $43.65 Typical High $75.86 | Professional | None | $30.90 | $43.65 | $75.86 |
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 $28.84 Median $29.51 Typical High $43.65 | Professional | 52 · Reduced service | $28.84 | $29.51 | $43.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.48 Median $11.75 Typical High $17.78 | Professional | 53 · Discontinued | $11.48 | $11.75 | $17.78 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $38.02 Median $38.02 Typical High $100.00 | Professional | 51 · Multiple procedures | $38.02 | $38.02 | $100.00 |
Where North Carolina sits
The same service costs 3.8 times more in Alaska 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· 21st of 51
$74.13
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.