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 $165.96 Median $165.96 Typical High $467.74 | Facility | None | $165.96 | $165.96 | $467.74 |
Aetna Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $208.93 | Professional | None | $165.96 | $165.96 | $208.93 |
BCBS North Carolina Setting Facility Modifier None Typical Low $467.74 Median $851.14 Typical High $851.14 | Facility | None | $467.74 | $851.14 | $851.14 |
BCBS North Carolina Setting Professional Modifier None Typical Low $181.97 Median $251.19 Typical High $363.08 | Professional | None | $181.97 | $251.19 | $363.08 |
Cigna Setting Facility Modifier None Typical Low $169.82 Median $457.09 Typical High $933.25 | Facility | None | $169.82 | $457.09 | $933.25 |
Cigna Setting Professional Modifier None Typical Low $95.50 Median $190.55 Typical High $309.03 | Professional | None | $95.50 | $190.55 | $309.03 |
Medcost Setting Facility Modifier None Typical Low $165.96 Median $165.96 Typical High $245.47 | Facility | None | $165.96 | $165.96 | $245.47 |
Medcost Setting Professional Modifier None Typical Low $251.19 Median $281.84 Typical High $407.38 | Professional | None | $251.19 | $281.84 | $407.38 |
United Setting Professional Modifier None Typical Low $87.10 Median $123.03 Typical High $281.84 | Professional | None | $87.10 | $123.03 | $281.84 |
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 $83.18 Median $83.18 Typical High $123.03 | Professional | 52 · Reduced service | $83.18 | $83.18 | $123.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $33.11 Typical High $50.12 | Professional | 53 · Discontinued | $33.11 | $33.11 | $50.12 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $141.25 Median $141.25 Typical High $281.84 | Professional | 51 · Multiple procedures | $141.25 | $141.25 | $281.84 |
Where North Carolina sits
The same service costs 3.8 times more in Alaska than in Connecticut. 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· 11th of 51
$251
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.