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 $245.47 Median $245.47 Typical High $269.15 | Facility | None | $245.47 | $245.47 | $269.15 |
Aetna Setting Professional Modifier None Typical Low $239.88 Median $245.47 Typical High $295.12 | Professional | None | $239.88 | $245.47 | $295.12 |
BCBS North Carolina Setting Facility Modifier None Typical Low $501.19 Median $691.83 Typical High $977.24 | Facility | None | $501.19 | $691.83 | $977.24 |
BCBS North Carolina Setting Professional Modifier None Typical Low $138.04 Median $144.54 Typical High $436.52 | Professional | None | $138.04 | $144.54 | $436.52 |
Cigna Setting Facility Modifier None Typical Low $234.42 Median $676.08 Typical High $1,412.54 | Facility | None | $234.42 | $676.08 | $1,412.54 |
Cigna Setting Professional Modifier None Typical Low $141.25 Median $158.49 Typical High $416.87 | Professional | None | $141.25 | $158.49 | $416.87 |
Medcost Setting Facility Modifier None Typical Low $245.47 Median $245.47 Typical High $363.08 | Facility | None | $245.47 | $245.47 | $363.08 |
Medcost Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $524.81 | Professional | None | $162.18 | $162.18 | $524.81 |
United Setting Professional Modifier None Typical Low $81.28 Median $162.18 Typical High $309.03 | Professional | None | $81.28 | $162.18 | $309.03 |
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 $120.23 Median $123.03 Typical High $144.54 | Professional | 52 · Reduced service | $120.23 | $123.03 | $144.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $48.98 Typical High $58.88 | Professional | 53 · Discontinued | $47.86 | $48.98 | $58.88 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $81.28 Median $81.28 Typical High $426.58 | Professional | 51 · Multiple procedures | $81.28 | $81.28 | $426.58 |
Where North Carolina sits
The same service costs 5.9 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
$162
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.