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 $134.90 Median $134.90 Typical High $213.80 | Facility | None | $134.90 | $134.90 | $213.80 |
Aetna Setting Professional Modifier None Typical Low $131.83 Median $134.90 Typical High $213.80 | Professional | None | $131.83 | $134.90 | $213.80 |
BCBS North Carolina Setting Facility Modifier None Typical Low $338.84 Median $389.05 Typical High $398.11 | Facility | None | $338.84 | $389.05 | $398.11 |
BCBS North Carolina Setting Professional Modifier None Typical Low $58.88 Median $109.65 Typical High $245.47 | Professional | None | $58.88 | $109.65 | $245.47 |
Cigna Setting Facility Modifier None Typical Low $128.82 Median $371.54 Typical High $776.25 | Facility | None | $128.82 | $371.54 | $776.25 |
Cigna Setting Professional Modifier None Typical Low $79.43 Median $120.23 Typical High $229.09 | Professional | None | $79.43 | $120.23 | $229.09 |
Medcost Setting Facility Modifier None Typical Low $134.90 Median $134.90 Typical High $204.17 | Facility | None | $134.90 | $134.90 | $204.17 |
Medcost Setting Professional Modifier None Typical Low $128.82 Median $128.82 Typical High $295.12 | Professional | None | $128.82 | $128.82 | $295.12 |
United Setting Professional Modifier None Typical Low $64.57 Median $102.33 Typical High $169.82 | Professional | None | $64.57 | $102.33 | $169.82 |
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 $66.07 Median $67.61 Typical High $102.33 | Professional | 52 · Reduced service | $66.07 | $67.61 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $26.92 Typical High $40.74 | Professional | 53 · Discontinued | $26.30 | $26.92 | $40.74 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $64.57 Median $64.57 Typical High $234.42 | Professional | 51 · Multiple procedures | $64.57 | $64.57 | $234.42 |
Where North Carolina sits
The same service costs 3.5 times more in Alaska than in North Carolina. 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· 51st of 51
$110
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.