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 $39.81 Median $39.81 Typical High $112.20 | Facility | None | $39.81 | $39.81 | $112.20 |
Aetna Setting Professional Modifier None Typical Low $39.81 Median $39.81 Typical High $58.88 | Professional | None | $39.81 | $39.81 | $58.88 |
BCBS North Carolina Setting Facility Modifier None Typical Low $109.65 Median $138.04 Typical High $158.49 | Facility | None | $109.65 | $138.04 | $158.49 |
BCBS North Carolina Setting Professional Modifier None Typical Low $43.65 Median $60.26 Typical High $87.10 | Professional | None | $43.65 | $60.26 | $87.10 |
Cigna Setting Facility Modifier None Typical Low $40.74 Median $107.15 Typical High $223.87 | Facility | None | $40.74 | $107.15 | $223.87 |
Cigna Setting Professional Modifier None Typical Low $22.91 Median $45.71 Typical High $74.13 | Professional | None | $22.91 | $45.71 | $74.13 |
Medcost Setting Facility Modifier None Typical Low $39.81 Median $39.81 Typical High $58.88 | Facility | None | $39.81 | $39.81 | $58.88 |
Medcost Setting Professional Modifier None Typical Low $67.61 Median $67.61 Typical High $97.72 | Professional | None | $67.61 | $67.61 | $97.72 |
United Setting Professional Modifier None Typical Low $20.89 Median $33.88 Typical High $67.61 | Professional | None | $20.89 | $33.88 | $67.61 |
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 $19.95 Median $19.95 Typical High $29.51 | Professional | 52 · Reduced service | $19.95 | $19.95 | $29.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.94 Median $7.94 Typical High $12.02 | Professional | 53 · Discontinued | $7.94 | $7.94 | $12.02 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $33.88 Median $33.88 Typical High $67.61 | Professional | 51 · Multiple procedures | $33.88 | $33.88 | $67.61 |
Where North Carolina sits
The same service costs 5.8 times more in Texas than in New Mexico. 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· 12th of 51
$60.26
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.