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 $263.03 Median $263.03 Typical High $309.03 | Facility | None | $263.03 | $263.03 | $309.03 |
Aetna Setting Professional Modifier None Typical Low $257.04 Median $263.03 Typical High $316.23 | Professional | None | $257.04 | $263.03 | $316.23 |
BCBS North Carolina Setting Facility Modifier None Typical Low $741.31 Median $741.31 Typical High $1,047.13 | Facility | None | $741.31 | $741.31 | $1,047.13 |
BCBS North Carolina Setting Professional Modifier None Typical Low $147.91 Median $165.96 Typical High $478.63 | Professional | None | $147.91 | $165.96 | $478.63 |
Cigna Setting Facility Modifier None Typical Low $251.19 Median $724.44 Typical High $1,513.56 | Facility | None | $251.19 | $724.44 | $1,513.56 |
Cigna Setting Professional Modifier None Typical Low $154.88 Median $181.97 Typical High $446.68 | Professional | None | $154.88 | $181.97 | $446.68 |
Medcost Setting Facility Modifier None Typical Low $263.03 Median $263.03 Typical High $398.11 | Facility | None | $263.03 | $263.03 | $398.11 |
Medcost Setting Professional Modifier None Typical Low $186.21 Median $186.21 Typical High $575.44 | Professional | None | $186.21 | $186.21 | $575.44 |
United Setting Professional Modifier None Typical Low $93.33 Median $186.21 Typical High $331.13 | Professional | None | $93.33 | $186.21 | $331.13 |
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 $128.82 Median $131.83 Typical High $158.49 | Professional | 52 · Reduced service | $128.82 | $131.83 | $158.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $52.48 Typical High $63.10 | Professional | 53 · Discontinued | $51.29 | $52.48 | $63.10 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $93.33 Median $93.33 Typical High $457.09 | Professional | 51 · Multiple procedures | $93.33 | $93.33 | $457.09 |
Where North Carolina sits
The same service costs 6.5 times more in Texas than in Kentucky. 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· 47th of 51
$186
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.