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 $338.84 | Facility | None | $162.18 | $162.18 | $338.84 |
Aetna Setting Professional Modifier None Typical Low $158.49 Median $162.18 Typical High $245.47 | Professional | None | $158.49 | $162.18 | $245.47 |
BCBS North Carolina Setting Facility Modifier None Typical Low $446.68 Median $575.44 Typical High $645.65 | Facility | None | $446.68 | $575.44 | $645.65 |
BCBS North Carolina Setting Professional Modifier None Typical Low $173.78 Median $223.87 Typical High $645.65 | Professional | None | $173.78 | $223.87 | $645.65 |
Cigna Setting Facility Modifier None Typical Low $165.96 Median $537.03 Typical High $912.01 | Facility | None | $165.96 | $537.03 | $912.01 |
Cigna Setting Professional Modifier None Typical Low $93.33 Median $141.25 Typical High $281.84 | Professional | None | $93.33 | $141.25 | $281.84 |
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 $204.17 Median $204.17 Typical High $346.74 | Professional | None | $204.17 | $204.17 | $346.74 |
United Setting Professional Modifier None Typical Low $85.11 Median $120.23 Typical High $213.80 | Professional | None | $85.11 | $120.23 | $213.80 |
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 $79.43 Median $81.28 Typical High $120.23 | Professional | 52 · Reduced service | $79.43 | $81.28 | $120.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $32.36 Typical High $48.98 | Professional | 53 · Discontinued | $31.62 | $32.36 | $48.98 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $102.33 Median $102.33 Typical High $275.42 | Professional | 51 · Multiple procedures | $102.33 | $102.33 | $275.42 |
Where North Carolina sits
The same service costs 3.8 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· 22nd of 51
$204
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.