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 $177.83 Median $177.83 Typical High $501.19 | Facility | None | $177.83 | $177.83 | $501.19 |
Aetna Setting Professional Modifier None Typical Low $177.83 Median $177.83 Typical High $263.03 | Professional | None | $177.83 | $177.83 | $263.03 |
BCBS North Carolina Setting Facility Modifier None Typical Low $489.78 Median $501.19 Typical High $707.95 | Facility | None | $489.78 | $501.19 | $707.95 |
BCBS North Carolina Setting Professional Modifier None Typical Low $194.98 Median $269.15 Typical High $389.05 | Professional | None | $194.98 | $269.15 | $389.05 |
Cigna Setting Facility Modifier None Typical Low $181.97 Median $478.63 Typical High $1,000.00 | Facility | None | $181.97 | $478.63 | $1,000.00 |
Cigna Setting Professional Modifier None Typical Low $102.33 Median $204.17 Typical High $331.13 | Professional | None | $102.33 | $204.17 | $331.13 |
Medcost Setting Facility Modifier None Typical Low $177.83 Median $177.83 Typical High $263.03 | Facility | None | $177.83 | $177.83 | $263.03 |
Medcost Setting Professional Modifier None Typical Low $302.00 Median $302.00 Typical High $436.52 | Professional | None | $302.00 | $302.00 | $436.52 |
United Setting Professional Modifier None Typical Low $93.33 Median $151.36 Typical High $302.00 | Professional | None | $93.33 | $151.36 | $302.00 |
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 $89.13 Median $89.13 Typical High $131.83 | Professional | 52 · Reduced service | $89.13 | $89.13 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $35.48 Typical High $52.48 | Professional | 53 · Discontinued | $35.48 | $35.48 | $52.48 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $151.36 Median $151.36 Typical High $302.00 | Professional | 51 · Multiple procedures | $151.36 | $151.36 | $302.00 |
Where North Carolina sits
The same service costs 3.1 times more in Alaska than in New Jersey. 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· 12th 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.