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 $257.04 Median $257.04 Typical High $537.03 | Facility | None | $257.04 | $257.04 | $537.03 |
Aetna Setting Professional Modifier None Typical Low $257.04 Median $257.04 Typical High $446.68 | Professional | None | $257.04 | $257.04 | $446.68 |
BCBS North Carolina Setting Facility Modifier None Typical Low $707.95 Median $724.44 Typical High $1,023.29 | Facility | None | $707.95 | $724.44 | $1,023.29 |
BCBS North Carolina Setting Professional Modifier None Typical Low $275.42 Median $354.81 Typical High $1,023.29 | Professional | None | $275.42 | $354.81 | $1,023.29 |
Cigna Setting Facility Modifier None Typical Low $269.15 Median $851.14 Typical High $1,479.11 | Facility | None | $269.15 | $851.14 | $1,479.11 |
Cigna Setting Professional Modifier None Typical Low $151.36 Median $229.09 Typical High $446.68 | Professional | None | $151.36 | $229.09 | $446.68 |
Medcost Setting Facility Modifier None Typical Low $257.04 Median $257.04 Typical High $389.05 | Facility | None | $257.04 | $257.04 | $389.05 |
Medcost Setting Professional Modifier None Typical Low $323.59 Median $323.59 Typical High $562.34 | Professional | None | $323.59 | $323.59 | $562.34 |
United Setting Professional Modifier None Typical Low $134.90 Median $194.98 Typical High $338.84 | Professional | None | $134.90 | $194.98 | $338.84 |
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 $125.89 Median $128.82 Typical High $194.98 | Professional | 52 · Reduced service | $125.89 | $128.82 | $194.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $52.48 Typical High $77.62 | Professional | 53 · Discontinued | $50.12 | $52.48 | $77.62 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $162.18 Median $162.18 Typical High $446.68 | Professional | 51 · Multiple procedures | $162.18 | $162.18 | $446.68 |
Where North Carolina sits
The same service costs 4.2 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· 27th of 51
$324
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.