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 $154.88 Median $154.88 Typical High $154.88 | Facility | None | $154.88 | $154.88 | $154.88 |
Aetna Setting Professional Modifier None Typical Low $151.36 Median $154.88 Typical High $181.97 | Professional | None | $151.36 | $154.88 | $181.97 |
BCBS North Carolina Setting Facility Modifier None Typical Low $426.58 Median $501.19 Typical High $616.60 | Facility | None | $426.58 | $501.19 | $616.60 |
BCBS North Carolina Setting Professional Modifier None Typical Low $165.96 Median $213.80 Typical High $616.60 | Professional | None | $165.96 | $213.80 | $616.60 |
Cigna Setting Facility Modifier None Typical Low $158.49 Median $512.86 Typical High $870.96 | Facility | None | $158.49 | $512.86 | $870.96 |
Cigna Setting Professional Modifier None Typical Low $89.13 Median $144.54 Typical High $302.00 | Professional | None | $89.13 | $144.54 | $302.00 |
Medcost Setting Facility Modifier None Typical Low $154.88 Median $154.88 Typical High $229.09 | Facility | None | $154.88 | $154.88 | $229.09 |
Medcost Setting Professional Modifier None Typical Low $154.88 Median $154.88 Typical High $331.13 | Professional | None | $154.88 | $154.88 | $331.13 |
United Setting Professional Modifier None Typical Low $81.28 Median $114.82 Typical High $199.53 | Professional | None | $81.28 | $114.82 | $199.53 |
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 $75.86 Median $77.62 Typical High $91.20 | Professional | 52 · Reduced service | $75.86 | $77.62 | $91.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $30.90 Typical High $36.31 | Professional | 53 · Discontinued | $30.20 | $30.90 | $36.31 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $77.62 Median $77.62 Typical High $251.19 | Professional | 51 · Multiple procedures | $77.62 | $77.62 | $251.19 |
Where North Carolina sits
The same service costs 8.3 times more in Texas 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· 29th 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.