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 $70.79 Median $70.79 Typical High $147.91 | Facility | None | $70.79 | $70.79 | $147.91 |
Aetna Setting Professional Modifier None Typical Low $69.18 Median $70.79 Typical High $104.71 | Professional | None | $69.18 | $70.79 | $104.71 |
BCBS North Carolina Setting Facility Modifier None Typical Low $194.98 Median $234.42 Typical High $281.84 | Facility | None | $194.98 | $234.42 | $281.84 |
BCBS North Carolina Setting Professional Modifier None Typical Low $57.54 Median $100.00 Typical High $134.90 | Professional | None | $57.54 | $100.00 | $134.90 |
Cigna Setting Facility Modifier None Typical Low $67.61 Median $194.98 Typical High $398.11 | Facility | None | $67.61 | $194.98 | $398.11 |
Cigna Setting Professional Modifier None Typical Low $40.74 Median $61.66 Typical High $134.90 | Professional | None | $40.74 | $61.66 | $134.90 |
Medcost Setting Facility Modifier None Typical Low $70.79 Median $70.79 Typical High $104.71 | Facility | None | $70.79 | $70.79 | $104.71 |
Medcost Setting Professional Modifier None Typical Low $89.13 Median $89.13 Typical High $151.36 | Professional | None | $89.13 | $89.13 | $151.36 |
United Setting Professional Modifier None Typical Low $37.15 Median $52.48 Typical High $91.20 | Professional | None | $37.15 | $52.48 | $91.20 |
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 $34.67 Median $35.48 Typical High $52.48 | Professional | 52 · Reduced service | $34.67 | $35.48 | $52.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $14.13 Typical High $21.38 | Professional | 53 · Discontinued | $13.80 | $14.13 | $21.38 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $43.65 Median $43.65 Typical High $120.23 | Professional | 51 · Multiple procedures | $43.65 | $43.65 | $120.23 |
Where North Carolina sits
The same service costs 3.8 times more in Alaska than in Florida. 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
$97.72
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.