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 $102.33 Median $102.33 Typical High $251.19 | Facility | None | $102.33 | $102.33 | $251.19 |
Aetna Setting Professional Modifier None Typical Low $100.00 Median $102.33 Typical High $128.82 | Professional | None | $100.00 | $102.33 | $128.82 |
BCBS North Carolina Setting Facility Modifier None Typical Low $281.84 Median $288.40 Typical High $478.63 | Facility | None | $281.84 | $288.40 | $478.63 |
BCBS North Carolina Setting Professional Modifier None Typical Low $85.11 Median $85.11 Typical High $204.17 | Professional | None | $85.11 | $85.11 | $204.17 |
Cigna Setting Facility Modifier None Typical Low $97.72 Median $275.42 Typical High $575.44 | Facility | None | $97.72 | $275.42 | $575.44 |
Cigna Setting Professional Modifier None Typical Low $58.88 Median $114.82 Typical High $169.82 | Professional | None | $58.88 | $114.82 | $169.82 |
Medcost Setting Facility Modifier None Typical Low $102.33 Median $102.33 Typical High $151.36 | Facility | None | $102.33 | $102.33 | $151.36 |
Medcost Setting Professional Modifier None Typical Low $151.36 Median $151.36 Typical High $251.19 | Professional | None | $151.36 | $151.36 | $251.19 |
United Setting Professional Modifier None Typical Low $53.70 Median $75.86 Typical High $158.49 | Professional | None | $53.70 | $75.86 | $158.49 |
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 $50.12 Median $51.29 Typical High $75.86 | Professional | 52 · Reduced service | $50.12 | $51.29 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $20.42 Typical High $30.90 | Professional | 53 · Discontinued | $19.95 | $20.42 | $30.90 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $75.86 Median $75.86 Typical High $173.78 | Professional | 51 · Multiple procedures | $75.86 | $75.86 | $173.78 |
Where North Carolina sits
The same service costs 4.6 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· 42nd of 51
$102
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.