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 $97.72 Median $97.72 Typical High $275.42 | Facility | None | $97.72 | $97.72 | $275.42 |
Aetna Setting Professional Modifier None Typical Low $97.72 Median $97.72 Typical High $169.82 | Professional | None | $97.72 | $97.72 | $169.82 |
BCBS North Carolina Setting Facility Modifier None Typical Low $269.15 Median $346.74 Typical High $389.05 | Facility | None | $269.15 | $346.74 | $389.05 |
BCBS North Carolina Setting Professional Modifier None Typical Low $54.95 Median $147.91 Typical High $229.09 | Professional | None | $54.95 | $147.91 | $229.09 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $269.15 Typical High $562.34 | Facility | None | $100.00 | $269.15 | $562.34 |
Cigna Setting Professional Modifier None Typical Low $56.23 Median $112.20 Typical High $181.97 | Professional | None | $56.23 | $112.20 | $181.97 |
Medcost Setting Facility Modifier None Typical Low $97.72 Median $97.72 Typical High $144.54 | Facility | None | $97.72 | $97.72 | $144.54 |
Medcost Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $245.47 | Professional | None | $165.96 | $165.96 | $245.47 |
United Setting Professional Modifier None Typical Low $51.29 Median $81.28 Typical High $165.96 | Professional | None | $51.29 | $81.28 | $165.96 |
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 $48.98 Median $48.98 Typical High $74.13 | Professional | 52 · Reduced service | $48.98 | $48.98 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $19.50 Typical High $29.51 | Professional | 53 · Discontinued | $19.50 | $19.50 | $29.51 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $83.18 Median $83.18 Typical High $165.96 | Professional | 51 · Multiple procedures | $83.18 | $83.18 | $165.96 |
Where North Carolina sits
The same service costs 4.9 times more in Texas 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· 16th of 51
$141
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.