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 $478.63 Median $478.63 Typical High $1,000.00 | Facility | None | $478.63 | $478.63 | $1,000.00 |
Aetna Setting Professional Modifier None Typical Low $467.74 Median $478.63 Typical High $724.44 | Professional | None | $467.74 | $478.63 | $724.44 |
BCBS North Carolina Setting Facility Modifier None Typical Low $1,318.26 Median $1,348.96 Typical High $1,905.46 | Facility | None | $1,318.26 | $1,348.96 | $1,905.46 |
BCBS North Carolina Setting Professional Modifier None Typical Low $389.05 Median $537.03 Typical High $1,288.25 | Professional | None | $389.05 | $537.03 | $1,288.25 |
Cigna Setting Facility Modifier None Typical Low $457.09 Median $1,318.26 Typical High $2,754.23 | Facility | None | $457.09 | $1,318.26 | $2,754.23 |
Cigna Setting Professional Modifier None Typical Low $275.42 Median $537.03 Typical High $812.83 | Professional | None | $275.42 | $537.03 | $812.83 |
Medcost Setting Facility Modifier None Typical Low $478.63 Median $478.63 Typical High $707.95 | Facility | None | $478.63 | $478.63 | $707.95 |
Medcost Setting Professional Modifier None Typical Low $602.56 Median $602.56 Typical High $1,023.29 | Professional | None | $602.56 | $602.56 | $1,023.29 |
United Setting Professional Modifier None Typical Low $251.19 Median $363.08 Typical High $616.60 | Professional | None | $251.19 | $363.08 | $616.60 |
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 $234.42 Median $239.88 Typical High $363.08 | Professional | 52 · Reduced service | $234.42 | $239.88 | $363.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $93.33 Median $95.50 Typical High $144.54 | Professional | 53 · Discontinued | $93.33 | $95.50 | $144.54 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $302.00 Median $302.00 Typical High $812.83 | Professional | 51 · Multiple procedures | $302.00 | $302.00 | $812.83 |
Where North Carolina sits
The same service costs 3.4 times more in Alaska than in Nebraska. 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· 36th of 51
$537
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.