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 $75.86 Median $75.86 Typical High $208.93 | Facility | None | $75.86 | $75.86 | $208.93 |
Aetna Setting Professional Modifier None Typical Low $75.86 Median $75.86 Typical High $114.82 | Professional | None | $75.86 | $75.86 | $114.82 |
BCBS North Carolina Setting Facility Modifier None Typical Low $269.15 Median $380.19 Typical High $380.19 | Facility | None | $269.15 | $380.19 | $380.19 |
BCBS North Carolina Setting Professional Modifier None Typical Low $81.28 Median $151.36 Typical High $501.19 | Professional | None | $81.28 | $151.36 | $501.19 |
Cigna Setting Facility Modifier None Typical Low $75.86 Median $208.93 Typical High $426.58 | Facility | None | $75.86 | $208.93 | $426.58 |
Cigna Setting Professional Modifier None Typical Low $43.65 Median $85.11 Typical High $138.04 | Professional | None | $43.65 | $85.11 | $138.04 |
Medcost Setting Facility Modifier None Typical Low $75.86 Median $75.86 Typical High $112.20 | Facility | None | $75.86 | $75.86 | $112.20 |
Medcost Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $190.55 | Professional | None | $125.89 | $125.89 | $190.55 |
United Setting Professional Modifier None Typical Low $39.81 Median $63.10 Typical High $125.89 | Professional | None | $39.81 | $63.10 | $125.89 |
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 $38.02 Median $38.02 Typical High $56.23 | Professional | 52 · Reduced service | $38.02 | $38.02 | $56.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.14 Median $15.14 Typical High $22.91 | Professional | 53 · Discontinued | $15.14 | $15.14 | $22.91 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $63.10 Median $63.10 Typical High $128.82 | Professional | 51 · Multiple procedures | $63.10 | $63.10 | $128.82 |
Where North Carolina sits
The same service costs 3.5 times more in Kansas 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· 9th of 51
$126
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.