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 $107.15 Median $120.23 Typical High $123.03 | Facility | None | $107.15 | $120.23 | $123.03 |
Aetna Setting Professional Modifier None Typical Low $117.49 Median $120.23 Typical High $144.54 | Professional | None | $117.49 | $120.23 | $144.54 |
BCBS North Carolina Setting Facility Modifier None Typical Low $331.13 Median $331.13 Typical High $478.63 | Facility | None | $331.13 | $331.13 | $478.63 |
BCBS North Carolina Setting Professional Modifier None Typical Low $128.82 Median $165.96 Typical High $478.63 | Professional | None | $128.82 | $165.96 | $478.63 |
Cigna Setting Facility Modifier None Typical Low $123.03 Median $398.11 Typical High $691.83 | Facility | None | $123.03 | $398.11 | $691.83 |
Cigna Setting Professional Modifier None Typical Low $69.18 Median $112.20 Typical High $239.88 | Professional | None | $69.18 | $112.20 | $239.88 |
Medcost Setting Facility Modifier None Typical Low $120.23 Median $120.23 Typical High $177.83 | Facility | None | $120.23 | $120.23 | $177.83 |
Medcost Setting Professional Modifier None Typical Low $120.23 Median $120.23 Typical High $275.42 | Professional | None | $120.23 | $120.23 | $275.42 |
United Setting Professional Modifier None Typical Low $63.10 Median $91.20 Typical High $165.96 | Professional | None | $63.10 | $91.20 | $165.96 |
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 $58.88 Median $60.26 Typical High $70.79 | Professional | 52 · Reduced service | $58.88 | $60.26 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $23.99 Typical High $28.18 | Professional | 53 · Discontinued | $23.44 | $23.99 | $28.18 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $60.26 Median $60.26 Typical High $194.98 | Professional | 51 · Multiple procedures | $60.26 | $60.26 | $194.98 |
Where North Carolina sits
The same service costs 5.4 times more in Alaska 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· 31st of 51
$141
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.