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 $213.80 Median $269.15 Typical High $269.15 | Facility | None | $213.80 | $269.15 | $269.15 |
Aetna Setting Professional Modifier None Typical Low $223.87 Median $269.15 Typical High $323.59 | Professional | None | $223.87 | $269.15 | $323.59 |
BCBS North Carolina Setting Facility Modifier None Typical Low $407.38 Median $758.58 Typical High $1,071.52 | Facility | None | $407.38 | $758.58 | $1,071.52 |
BCBS North Carolina Setting Professional Modifier None Typical Low $109.65 Median $117.49 Typical High $478.63 | Professional | None | $109.65 | $117.49 | $478.63 |
Cigna Setting Facility Modifier None Typical Low $257.04 Median $741.31 Typical High $1,548.82 | Facility | None | $257.04 | $741.31 | $1,548.82 |
Cigna Setting Professional Modifier None Typical Low $120.23 Median $158.49 Typical High $457.09 | Professional | None | $120.23 | $158.49 | $457.09 |
Medcost Setting Facility Modifier None Typical Low $269.15 Median $269.15 Typical High $398.11 | Facility | None | $269.15 | $269.15 | $398.11 |
Medcost Setting Professional Modifier None Typical Low $128.82 Median $128.82 Typical High $575.44 | Professional | None | $128.82 | $128.82 | $575.44 |
United Setting Professional Modifier None Typical Low $64.57 Median $169.82 Typical High $338.84 | Professional | None | $64.57 | $169.82 | $338.84 |
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 $112.20 Median $134.90 Typical High $158.49 | Professional | 52 · Reduced service | $112.20 | $134.90 | $158.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $53.70 Typical High $64.57 | Professional | 53 · Discontinued | $44.67 | $53.70 | $64.57 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $64.57 Median $64.57 Typical High $467.74 | Professional | 51 · Multiple procedures | $64.57 | $64.57 | $467.74 |
Where North Carolina sits
The same service costs 6.6 times more in Texas than in Kentucky. 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· 50th of 51
$141
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.