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 $190.55 Median $190.55 Typical High $269.15 | Facility | None | $190.55 | $190.55 | $269.15 |
Aetna Setting Professional Modifier None Typical Low $186.21 Median $190.55 Typical High $269.15 | Professional | None | $186.21 | $190.55 | $269.15 |
BCBS North Carolina Setting Facility Modifier None Typical Low $426.58 Median $489.78 Typical High $537.03 | Facility | None | $426.58 | $489.78 | $537.03 |
BCBS North Carolina Setting Professional Modifier None Typical Low $107.15 Median $144.54 Typical High $338.84 | Professional | None | $107.15 | $144.54 | $338.84 |
Cigna Setting Facility Modifier None Typical Low $181.97 Median $524.81 Typical High $1,071.52 | Facility | None | $181.97 | $524.81 | $1,071.52 |
Cigna Setting Professional Modifier None Typical Low $109.65 Median $158.49 Typical High $323.59 | Professional | None | $109.65 | $158.49 | $323.59 |
Medcost Setting Facility Modifier None Typical Low $190.55 Median $190.55 Typical High $281.84 | Facility | None | $190.55 | $190.55 | $281.84 |
Medcost Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $407.38 | Professional | None | $162.18 | $162.18 | $407.38 |
United Setting Professional Modifier None Typical Low $81.28 Median $141.25 Typical High $239.88 | Professional | None | $81.28 | $141.25 | $239.88 |
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 $93.33 Median $95.50 Typical High $134.90 | Professional | 52 · Reduced service | $93.33 | $95.50 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $37.15 Median $38.02 Typical High $53.70 | Professional | 53 · Discontinued | $37.15 | $38.02 | $53.70 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $81.28 Median $81.28 Typical High $323.59 | Professional | 51 · Multiple procedures | $81.28 | $81.28 | $323.59 |
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· 50th of 51
$145
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.