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 $281.84 Median $281.84 Typical High $660.69 | Facility | None | $281.84 | $281.84 | $660.69 |
Aetna Setting Professional Modifier None Typical Low $269.15 Median $281.84 Typical High $346.74 | Professional | None | $269.15 | $281.84 | $346.74 |
BCBS North Carolina Setting Facility Modifier None Typical Low $776.25 Median $870.96 Typical High $1,096.48 | Facility | None | $776.25 | $870.96 | $1,096.48 |
BCBS North Carolina Setting Professional Modifier None Typical Low $177.83 Median $316.23 Typical High $549.54 | Professional | None | $177.83 | $316.23 | $549.54 |
Cigna Setting Facility Modifier None Typical Low $263.03 Median $758.58 Typical High $1,584.89 | Facility | None | $263.03 | $758.58 | $1,584.89 |
Cigna Setting Professional Modifier None Typical Low $162.18 Median $316.23 Typical High $467.74 | Professional | None | $162.18 | $316.23 | $467.74 |
Medcost Setting Facility Modifier None Typical Low $281.84 Median $281.84 Typical High $416.87 | Facility | None | $281.84 | $281.84 | $416.87 |
Medcost Setting Professional Modifier None Typical Low $398.11 Median $398.11 Typical High $602.56 | Professional | None | $398.11 | $398.11 | $602.56 |
United Setting Professional Modifier None Typical Low $147.91 Median $208.93 Typical High $398.11 | Professional | None | $147.91 | $208.93 | $398.11 |
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 $134.90 Median $138.04 Typical High $208.93 | Professional | 52 · Reduced service | $134.90 | $138.04 | $208.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $56.23 Typical High $83.18 | Professional | 53 · Discontinued | $54.95 | $56.23 | $83.18 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $199.53 Median $199.53 Typical High $478.63 | Professional | 51 · Multiple procedures | $199.53 | $199.53 | $478.63 |
Where North Carolina sits
The same service costs 4.5 times more in Alaska than in Alabama. 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· 30th of 51
$316
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.