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 $234.42 Median $234.42 Typical High $478.63 | Facility | None | $234.42 | $234.42 | $478.63 |
Aetna Setting Professional Modifier None Typical Low $229.09 Median $234.42 Typical High $346.74 | Professional | None | $229.09 | $234.42 | $346.74 |
BCBS North Carolina Setting Facility Modifier None Typical Low $645.65 Median $891.25 Typical High $891.25 | Facility | None | $645.65 | $891.25 | $891.25 |
BCBS North Carolina Setting Professional Modifier None Typical Low $131.83 Median $288.40 Typical High $467.74 | Professional | None | $131.83 | $288.40 | $467.74 |
Cigna Setting Facility Modifier None Typical Low $239.88 Median $758.58 Typical High $1,318.26 | Facility | None | $239.88 | $758.58 | $1,318.26 |
Cigna Setting Professional Modifier None Typical Low $134.90 Median $213.80 Typical High $446.68 | Professional | None | $134.90 | $213.80 | $446.68 |
Medcost Setting Facility Modifier None Typical Low $234.42 Median $234.42 Typical High $346.74 | Facility | None | $234.42 | $234.42 | $346.74 |
Medcost Setting Professional Modifier None Typical Low $288.40 Median $288.40 Typical High $501.19 | Professional | None | $288.40 | $288.40 | $501.19 |
United Setting Professional Modifier None Typical Low $123.03 Median $173.78 Typical High $302.00 | Professional | None | $123.03 | $173.78 | $302.00 |
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 $114.82 Median $117.49 Typical High $173.78 | Professional | 52 · Reduced service | $114.82 | $117.49 | $173.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $46.77 Typical High $69.18 | Professional | 53 · Discontinued | $45.71 | $46.77 | $69.18 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $144.54 Median $144.54 Typical High $398.11 | Professional | 51 · Multiple procedures | $144.54 | $144.54 | $398.11 |
Where North Carolina sits
The same service costs 4.5 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· 28th of 51
$282
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.