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 $40.74 Median $40.74 Typical High $85.11 | Facility | None | $40.74 | $40.74 | $85.11 |
Aetna Setting Professional Modifier None Typical Low $40.74 Median $40.74 Typical High $61.66 | Professional | None | $40.74 | $40.74 | $61.66 |
BCBS North Carolina Setting Facility Modifier None Typical Low $114.82 Median $154.88 Typical High $158.49 | Facility | None | $114.82 | $154.88 | $158.49 |
BCBS North Carolina Setting Professional Modifier None Typical Low $22.91 Median $51.29 Typical High $81.28 | Professional | None | $22.91 | $51.29 | $81.28 |
Cigna Setting Facility Modifier None Typical Low $42.66 Median $112.20 Typical High $234.42 | Facility | None | $42.66 | $112.20 | $234.42 |
Cigna Setting Professional Modifier None Typical Low $23.44 Median $35.48 Typical High $77.62 | Professional | None | $23.44 | $35.48 | $77.62 |
Medcost Setting Facility Modifier None Typical Low $40.74 Median $40.74 Typical High $60.26 | Facility | None | $40.74 | $40.74 | $60.26 |
Medcost Setting Professional Modifier None Typical Low $51.29 Median $51.29 Typical High $87.10 | Professional | None | $51.29 | $51.29 | $87.10 |
United Setting Professional Modifier None Typical Low $21.38 Median $30.90 Typical High $53.70 | Professional | None | $21.38 | $30.90 | $53.70 |
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 $20.42 Median $20.42 Typical High $30.90 | Professional | 52 · Reduced service | $20.42 | $20.42 | $30.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.13 Median $8.13 Typical High $12.30 | Professional | 53 · Discontinued | $8.13 | $8.13 | $12.30 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $25.70 Median $25.70 Typical High $69.18 | Professional | 51 · Multiple procedures | $25.70 | $25.70 | $69.18 |
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· 30th of 51
$51.29
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.