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 $144.54 Median $239.88 Typical High $239.88 | Facility | None | $144.54 | $239.88 | $239.88 |
Aetna Setting Professional Modifier None Typical Low $199.53 Median $239.88 Typical High $281.84 | Professional | None | $199.53 | $239.88 | $281.84 |
BCBS North Carolina Setting Facility Modifier None Typical Low $275.42 Median $660.69 Typical High $954.99 | Facility | None | $275.42 | $660.69 | $954.99 |
BCBS North Carolina Setting Professional Modifier None Typical Low $74.13 Median $79.43 Typical High $426.58 | Professional | None | $74.13 | $79.43 | $426.58 |
Cigna Setting Facility Modifier None Typical Low $229.09 Median $660.69 Typical High $1,380.38 | Facility | None | $229.09 | $660.69 | $1,380.38 |
Cigna Setting Professional Modifier None Typical Low $81.28 Median $138.04 Typical High $407.38 | Professional | None | $81.28 | $138.04 | $407.38 |
Medcost Setting Facility Modifier None Typical Low $239.88 Median $239.88 Typical High $354.81 | Facility | None | $239.88 | $239.88 | $354.81 |
Medcost Setting Professional Modifier None Typical Low $87.10 Median $87.10 Typical High $512.86 | Professional | None | $87.10 | $87.10 | $512.86 |
United Setting Professional Modifier None Typical Low $43.65 Median $131.83 Typical High $302.00 | Professional | None | $43.65 | $131.83 | $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 $100.00 Median $120.23 Typical High $141.25 | Professional | 52 · Reduced service | $100.00 | $120.23 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $47.86 Typical High $56.23 | Professional | 53 · Discontinued | $39.81 | $47.86 | $56.23 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $43.65 Median $43.65 Typical High $407.38 | Professional | 51 · Multiple procedures | $43.65 | $43.65 | $407.38 |
Where North Carolina sits
The same service costs 6.9 times more in Texas than in North Carolina. 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· 51st of 51
$135
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.