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 $245.47 Median $245.47 Typical High $245.47 | Facility | None | $245.47 | $245.47 | $245.47 |
Aetna Setting Professional Modifier None Typical Low $239.88 Median $245.47 Typical High $295.12 | Professional | None | $239.88 | $245.47 | $295.12 |
BCBS North Carolina Setting Facility Modifier None Typical Low $676.08 Median $691.83 Typical High $977.24 | Facility | None | $676.08 | $691.83 | $977.24 |
BCBS North Carolina Setting Professional Modifier None Typical Low $263.03 Median $338.84 Typical High $977.24 | Professional | None | $263.03 | $338.84 | $977.24 |
Cigna Setting Facility Modifier None Typical Low $257.04 Median $812.83 Typical High $1,412.54 | Facility | None | $257.04 | $812.83 | $1,412.54 |
Cigna Setting Professional Modifier None Typical Low $144.54 Median $229.09 Typical High $489.78 | Professional | None | $144.54 | $229.09 | $489.78 |
Medcost Setting Facility Modifier None Typical Low $245.47 Median $245.47 Typical High $363.08 | Facility | None | $245.47 | $245.47 | $363.08 |
Medcost Setting Professional Modifier None Typical Low $245.47 Median $245.47 Typical High $524.81 | Professional | None | $245.47 | $245.47 | $524.81 |
United Setting Professional Modifier None Typical Low $128.82 Median $186.21 Typical High $316.23 | Professional | None | $128.82 | $186.21 | $316.23 |
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 $120.23 Median $123.03 Typical High $144.54 | Professional | 52 · Reduced service | $120.23 | $123.03 | $144.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $48.98 Typical High $58.88 | Professional | 53 · Discontinued | $47.86 | $48.98 | $58.88 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $123.03 Median $123.03 Typical High $398.11 | Professional | 51 · Multiple procedures | $123.03 | $123.03 | $398.11 |
Where North Carolina sits
The same service costs 4.6 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· 28th of 51
$295
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.