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 $141.25 Median $141.25 Typical High $398.11 | Facility | None | $141.25 | $141.25 | $398.11 |
Aetna Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $213.80 | Professional | None | $141.25 | $141.25 | $213.80 |
BCBS North Carolina Setting Facility Modifier None Typical Low $398.11 Median $537.03 Typical High $630.96 | Facility | None | $398.11 | $537.03 | $630.96 |
BCBS North Carolina Setting Professional Modifier None Typical Low $158.49 Median $218.78 Typical High $316.23 | Professional | None | $158.49 | $218.78 | $316.23 |
Cigna Setting Facility Modifier None Typical Low $147.91 Median $389.05 Typical High $812.83 | Facility | None | $147.91 | $389.05 | $812.83 |
Cigna Setting Professional Modifier None Typical Low $83.18 Median $162.18 Typical High $263.03 | Professional | None | $83.18 | $162.18 | $263.03 |
Medcost Setting Facility Modifier None Typical Low $141.25 Median $141.25 Typical High $208.93 | Facility | None | $141.25 | $141.25 | $208.93 |
Medcost Setting Professional Modifier None Typical Low $239.88 Median $239.88 Typical High $354.81 | Professional | None | $239.88 | $239.88 | $354.81 |
United Setting Professional Modifier None Typical Low $74.13 Median $120.23 Typical High $239.88 | Professional | None | $74.13 | $120.23 | $239.88 |
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 $70.79 Median $70.79 Typical High $107.15 | Professional | 52 · Reduced service | $70.79 | $70.79 | $107.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $28.18 Typical High $42.66 | Professional | 53 · Discontinued | $28.18 | $28.18 | $42.66 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $120.23 Median $120.23 Typical High $245.47 | Professional | 51 · Multiple procedures | $120.23 | $120.23 | $245.47 |
Where North Carolina sits
The same service costs 3.4 times more in Alaska than in Delaware. 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· 13th of 51
$219
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.