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 $478.63 Median $512.86 Typical High $512.86 | Facility | None | $478.63 | $512.86 | $512.86 |
Aetna Setting Professional Modifier None Typical Low $478.63 Median $512.86 Typical High $602.56 | Professional | None | $478.63 | $512.86 | $602.56 |
BCBS North Carolina Setting Facility Modifier None Typical Low $758.58 Median $870.96 Typical High $1,819.70 | Facility | None | $758.58 | $870.96 | $1,819.70 |
BCBS North Carolina Setting Professional Modifier None Typical Low $245.47 Median $257.04 Typical High $912.01 | Professional | None | $245.47 | $257.04 | $912.01 |
Cigna Setting Facility Modifier None Typical Low $489.78 Median $1,412.54 Typical High $2,951.21 | Facility | None | $489.78 | $1,412.54 | $2,951.21 |
Cigna Setting Professional Modifier None Typical Low $269.15 Median $302.00 Typical High $870.96 | Professional | None | $269.15 | $302.00 | $870.96 |
Medcost Setting Facility Modifier None Typical Low $512.86 Median $512.86 Typical High $758.58 | Facility | None | $512.86 | $512.86 | $758.58 |
Medcost Setting Professional Modifier None Typical Low $288.40 Median $288.40 Typical High $1,096.48 | Professional | None | $288.40 | $288.40 | $1,096.48 |
United Setting Professional Modifier None Typical Low $144.54 Median $323.59 Typical High $645.65 | Professional | None | $144.54 | $323.59 | $645.65 |
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 $239.88 Median $257.04 Typical High $302.00 | Professional | 52 · Reduced service | $239.88 | $257.04 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $95.50 Median $102.33 Typical High $123.03 | Professional | 53 · Discontinued | $95.50 | $102.33 | $123.03 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $144.54 Median $144.54 Typical High $870.96 | Professional | 51 · Multiple procedures | $144.54 | $144.54 | $870.96 |
Where North Carolina sits
The same service costs 5.0 times more in Alaska than in North Carolina. 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· 51st of 51
$288
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.