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 $724.44 | Facility | None | $165.96 | $165.96 | $724.44 |
Aetna Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $251.19 | Professional | None | $165.96 | $165.96 | $251.19 |
BCBS North Carolina Setting Facility Modifier None Typical Low $457.09 Median $660.69 Typical High $1,148.15 | Facility | None | $457.09 | $660.69 | $1,148.15 |
BCBS North Carolina Setting Professional Modifier None Typical Low $186.21 Median $389.05 Typical High $478.63 | Professional | None | $186.21 | $389.05 | $478.63 |
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 $199.53 Typical High $426.58 | Professional | None | $95.50 | $199.53 | $426.58 |
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 $354.81 Median $426.58 Typical High $436.52 | Professional | None | $354.81 | $426.58 | $436.52 |
United Setting Professional Modifier None Typical Low $87.10 Median $144.54 Typical High $426.58 | Professional | None | $87.10 | $144.54 | $426.58 |
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 $213.80 Median $213.80 Typical High $295.12 | Professional | 51 · Multiple procedures | $213.80 | $213.80 | $295.12 |
Where North Carolina sits
The same service costs 3.4 times more in Texas than in Ohio. 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· 4th of 51
$363
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.