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 $162.18 Median $162.18 Typical High $457.09 | Facility | None | $162.18 | $162.18 | $457.09 |
Aetna Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $199.53 | Professional | None | $162.18 | $162.18 | $199.53 |
BCBS North Carolina Setting Facility Modifier None Typical Low $562.34 Median $831.76 Typical High $831.76 | Facility | None | $562.34 | $831.76 | $831.76 |
BCBS North Carolina Setting Professional Modifier None Typical Low $75.86 Median $181.97 Typical High $354.81 | Professional | None | $75.86 | $181.97 | $354.81 |
Cigna Setting Facility Modifier None Typical Low $165.96 Median $436.52 Typical High $912.01 | Facility | None | $165.96 | $436.52 | $912.01 |
Cigna Setting Professional Modifier None Typical Low $93.33 Median $186.21 Typical High $302.00 | Professional | None | $93.33 | $186.21 | $302.00 |
Medcost Setting Facility Modifier None Typical Low $162.18 Median $162.18 Typical High $239.88 | Facility | None | $162.18 | $162.18 | $239.88 |
Medcost Setting Professional Modifier None Typical Low $239.88 Median $275.42 Typical High $398.11 | Professional | None | $239.88 | $275.42 | $398.11 |
United Setting Professional Modifier None Typical Low $85.11 Median $134.90 Typical High $275.42 | Professional | None | $85.11 | $134.90 | $275.42 |
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 $81.28 Median $81.28 Typical High $120.23 | Professional | 52 · Reduced service | $81.28 | $81.28 | $120.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $32.36 Typical High $47.86 | Professional | 53 · Discontinued | $32.36 | $32.36 | $47.86 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $138.04 Median $138.04 Typical High $275.42 | Professional | 51 · Multiple procedures | $138.04 | $138.04 | $275.42 |
Where North Carolina sits
The same service costs 3.2 times more in Alaska than in Delaware. 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· 34th of 51
$182
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.