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 $467.74 Median $537.03 Typical High $537.03 | Facility | None | $467.74 | $537.03 | $537.03 |
Aetna Setting Professional Modifier None Typical Low $467.74 Median $537.03 Typical High $616.60 | Professional | None | $467.74 | $537.03 | $616.60 |
BCBS Setting Facility Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $2,137.96 | Facility | None | $1,513.56 | $1,513.56 | $2,137.96 |
BCBS Setting Professional Modifier None Typical Low $239.88 Median $602.56 Typical High $954.99 | Professional | None | $239.88 | $602.56 | $954.99 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $1,778.28 Typical High $3,090.30 | Facility | None | $562.34 | $1,778.28 | $3,090.30 |
Cigna Setting Professional Modifier None Typical Low $316.23 Median $501.19 Typical High $1,023.29 | Professional | None | $316.23 | $501.19 | $1,023.29 |
Medcost Setting Facility Modifier None Typical Low $537.03 Median $537.03 Typical High $812.83 | Facility | None | $537.03 | $537.03 | $812.83 |
Medcost Setting Professional Modifier None Typical Low $281.84 Median $281.84 Typical High $676.08 | Professional | None | $281.84 | $281.84 | $676.08 |
United Setting Professional Modifier None Typical Low $117.49 Median $190.55 Typical High $676.08 | Professional | None | $117.49 | $190.55 | $676.08 |
1 more rate 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 |
|---|---|---|---|---|---|
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $141.25 Median $141.25 Typical High $575.44 | Professional | 51 · Multiple procedures | $141.25 | $141.25 | $575.44 |
Where North Carolina sits
The same service costs 7.6 times more in Alaska than in New Jersey. 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· 18th of 51
$537
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.