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 $933.25 Median $933.25 Typical High $933.25 | Facility | None | $933.25 | $933.25 | $933.25 |
Aetna Setting Professional Modifier None Typical Low $912.01 Median $933.25 Typical High $1,096.48 | Professional | None | $912.01 | $933.25 | $1,096.48 |
BCBS North Carolina Setting Facility Modifier None Typical Low $2,691.53 Median $2,691.53 Typical High $3,801.89 | Facility | None | $2,691.53 | $2,691.53 | $3,801.89 |
BCBS North Carolina Setting Professional Modifier None Typical Low $977.24 Median $1,202.26 Typical High $3,715.35 | Professional | None | $977.24 | $1,202.26 | $3,715.35 |
Cigna Setting Facility Modifier None Typical Low $1,778.28 Median $3,019.95 Typical High $5,495.41 | Facility | None | $1,778.28 | $3,019.95 | $5,495.41 |
Cigna Setting Professional Modifier None Typical Low $524.81 Median $1,023.29 Typical High $1,819.70 | Professional | None | $524.81 | $1,023.29 | $1,819.70 |
Medcost Setting Facility Modifier None Typical Low $933.25 Median $933.25 Typical High $1,412.54 | Facility | None | $933.25 | $933.25 | $1,412.54 |
Medcost Setting Professional Modifier None Typical Low $933.25 Median $933.25 Typical High $1,995.26 | Professional | None | $933.25 | $933.25 | $1,995.26 |
United Setting Professional Modifier None Typical Low $489.78 Median $691.83 Typical High $1,202.26 | Professional | None | $489.78 | $691.83 | $1,202.26 |
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 $457.09 Median $467.74 Typical High $549.54 | Professional | 52 · Reduced service | $457.09 | $467.74 | $549.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $181.97 Median $186.21 Typical High $218.78 | Professional | 53 · Discontinued | $181.97 | $186.21 | $218.78 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $467.74 Median $467.74 Typical High $1,548.82 | Professional | 51 · Multiple procedures | $467.74 | $467.74 | $1,548.82 |
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· 22nd of 51
$1,096
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.