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 $239.88 Median $239.88 Typical High $501.19 | Facility | None | $239.88 | $239.88 | $501.19 |
Aetna Setting Professional Modifier None Typical Low $234.42 Median $239.88 Typical High $363.08 | Professional | None | $234.42 | $239.88 | $363.08 |
BCBS North Carolina Setting Facility Modifier None Typical Low $588.84 Median $707.95 Typical High $954.99 | Facility | None | $588.84 | $707.95 | $954.99 |
BCBS North Carolina Setting Professional Modifier None Typical Low $134.90 Median $302.00 Typical High $478.63 | Professional | None | $134.90 | $302.00 | $478.63 |
Cigna Setting Facility Modifier None Typical Low $251.19 Median $794.33 Typical High $1,380.38 | Facility | None | $251.19 | $794.33 | $1,380.38 |
Cigna Setting Professional Modifier None Typical Low $138.04 Median $223.87 Typical High $467.74 | Professional | None | $138.04 | $223.87 | $467.74 |
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 $302.00 Median $302.00 Typical High $512.86 | Professional | None | $302.00 | $302.00 | $512.86 |
United Setting Professional Modifier None Typical Low $125.89 Median $181.97 Typical High $309.03 | Professional | None | $125.89 | $181.97 | $309.03 |
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 $117.49 Median $120.23 Typical High $181.97 | Professional | 52 · Reduced service | $117.49 | $120.23 | $181.97 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $47.86 Typical High $72.44 | Professional | 53 · Discontinued | $46.77 | $47.86 | $72.44 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $151.36 Median $151.36 Typical High $416.87 | Professional | 51 · Multiple procedures | $151.36 | $151.36 | $416.87 |
Where North Carolina sits
The same service costs 4.7 times more in Texas than in Alabama. 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
$288
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.