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 $323.59 Median $323.59 Typical High $501.19 | Facility | None | $323.59 | $323.59 | $501.19 |
Aetna Setting Professional Modifier None Typical Low $316.23 Median $323.59 Typical High $489.78 | Professional | None | $316.23 | $323.59 | $489.78 |
BCBS North Carolina Setting Facility Modifier None Typical Low $794.33 Median $912.01 Typical High $1,148.15 | Facility | None | $794.33 | $912.01 | $1,148.15 |
BCBS North Carolina Setting Professional Modifier None Typical Low $194.98 Median $269.15 Typical High $575.44 | Professional | None | $194.98 | $269.15 | $575.44 |
Cigna Setting Facility Modifier None Typical Low $309.03 Median $891.25 Typical High $1,819.70 | Facility | None | $309.03 | $891.25 | $1,819.70 |
Cigna Setting Professional Modifier None Typical Low $186.21 Median $281.84 Typical High $549.54 | Professional | None | $186.21 | $281.84 | $549.54 |
Medcost Setting Facility Modifier None Typical Low $323.59 Median $323.59 Typical High $478.63 | Facility | None | $323.59 | $323.59 | $478.63 |
Medcost Setting Professional Modifier None Typical Low $302.00 Median $302.00 Typical High $794.33 | Professional | None | $302.00 | $302.00 | $794.33 |
United Setting Professional Modifier None Typical Low $151.36 Median $239.88 Typical High $416.87 | Professional | None | $151.36 | $239.88 | $416.87 |
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 $158.49 Median $162.18 Typical High $239.88 | Professional | 52 · Reduced service | $158.49 | $162.18 | $239.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $63.10 Median $64.57 Typical High $97.72 | Professional | 53 · Discontinued | $63.10 | $64.57 | $97.72 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $151.36 Median $151.36 Typical High $549.54 | Professional | 51 · Multiple procedures | $151.36 | $151.36 | $549.54 |
Where North Carolina sits
The same service costs 5.2 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· 48th of 51
$269
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.