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 $37.15 Median $37.15 Typical High $87.10 | Facility | None | $37.15 | $37.15 | $87.10 |
Aetna Setting Professional Modifier None Typical Low $37.15 Median $37.15 Typical High $56.23 | Professional | None | $37.15 | $37.15 | $56.23 |
BCBS North Carolina Setting Facility Modifier None Typical Low $104.71 Median $104.71 Typical High $147.91 | Facility | None | $104.71 | $104.71 | $147.91 |
BCBS North Carolina Setting Professional Modifier None Typical Low $41.69 Median $52.48 Typical High $165.96 | Professional | None | $41.69 | $52.48 | $165.96 |
Cigna Setting Facility Modifier None Typical Low $38.90 Median $123.03 Typical High $213.80 | Facility | None | $38.90 | $123.03 | $213.80 |
Cigna Setting Professional Modifier None Typical Low $21.88 Median $32.36 Typical High $70.79 | Professional | None | $21.88 | $32.36 | $70.79 |
Medcost Setting Facility Modifier None Typical Low $37.15 Median $37.15 Typical High $54.95 | Facility | None | $37.15 | $37.15 | $54.95 |
Medcost Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $79.43 | Professional | None | $52.48 | $52.48 | $79.43 |
United Setting Professional Modifier None Typical Low $19.50 Median $28.18 Typical High $52.48 | Professional | None | $19.50 | $28.18 | $52.48 |
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 $18.62 Median $18.62 Typical High $28.18 | Professional | 52 · Reduced service | $18.62 | $18.62 | $28.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.41 Median $7.41 Typical High $11.22 | Professional | 53 · Discontinued | $7.41 | $7.41 | $11.22 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $26.30 Median $26.30 Typical High $64.57 | Professional | 51 · Multiple procedures | $26.30 | $26.30 | $64.57 |
Where North Carolina sits
The same service costs 8.3 times more in Texas than in Oklahoma. 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· 29th of 51
$46.77
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.