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 $537.03 Median $537.03 Typical High $1,288.25 | Facility | None | $537.03 | $537.03 | $1,288.25 |
Aetna Setting Professional Modifier None Typical Low $524.81 Median $537.03 Typical High $812.83 | Professional | None | $524.81 | $537.03 | $812.83 |
BCBS North Carolina Setting Facility Modifier None Typical Low $1,513.56 Median $2,344.23 Typical High $2,344.23 | Facility | None | $1,513.56 | $2,344.23 | $2,344.23 |
BCBS North Carolina Setting Professional Modifier None Typical Low $512.86 Median $707.95 Typical High $1,071.52 | Professional | None | $512.86 | $707.95 | $1,071.52 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $1,479.11 Typical High $3,090.30 | Facility | None | $512.86 | $1,479.11 | $3,090.30 |
Cigna Setting Professional Modifier None Typical Low $316.23 Median $602.56 Typical High $912.01 | Professional | None | $316.23 | $602.56 | $912.01 |
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 $776.25 Median $776.25 Typical High $1,202.26 | Professional | None | $776.25 | $776.25 | $1,202.26 |
United Setting Professional Modifier None Typical Low $281.84 Median $407.38 Typical High $812.83 | Professional | None | $281.84 | $407.38 | $812.83 |
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 $263.03 Median $269.15 Typical High $407.38 | Professional | 52 · Reduced service | $263.03 | $269.15 | $407.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $104.71 Median $107.15 Typical High $162.18 | Professional | 53 · Discontinued | $104.71 | $107.15 | $162.18 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $389.05 Median $389.05 Typical High $933.25 | Professional | 51 · Multiple procedures | $389.05 | $389.05 | $933.25 |
Where North Carolina sits
The same service costs 3.6 times more in Texas than in Delaware. 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· 21st of 51
$708
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.