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 $87.10 Median $87.10 Typical High $245.47 | Facility | None | $87.10 | $87.10 | $245.47 |
Aetna Setting Professional Modifier None Typical Low $87.10 Median $87.10 Typical High $131.83 | Professional | None | $87.10 | $87.10 | $131.83 |
BCBS North Carolina Setting Facility Modifier None Typical Low $309.03 Median $446.68 Typical High $446.68 | Facility | None | $309.03 | $446.68 | $446.68 |
BCBS North Carolina Setting Professional Modifier None Typical Low $95.50 Median $100.00 Typical High $190.55 | Professional | None | $95.50 | $100.00 | $190.55 |
Cigna Setting Facility Modifier None Typical Low $89.13 Median $239.88 Typical High $501.19 | Facility | None | $89.13 | $239.88 | $501.19 |
Cigna Setting Professional Modifier None Typical Low $50.12 Median $100.00 Typical High $162.18 | Professional | None | $50.12 | $100.00 | $162.18 |
Medcost Setting Facility Modifier None Typical Low $87.10 Median $87.10 Typical High $128.82 | Facility | None | $87.10 | $87.10 | $128.82 |
Medcost Setting Professional Modifier None Typical Low $147.91 Median $147.91 Typical High $218.78 | Professional | None | $147.91 | $147.91 | $218.78 |
United Setting Professional Modifier None Typical Low $45.71 Median $74.13 Typical High $147.91 | Professional | None | $45.71 | $74.13 | $147.91 |
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 $43.65 Median $43.65 Typical High $66.07 | Professional | 52 · Reduced service | $43.65 | $43.65 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $17.38 Typical High $26.30 | Professional | 53 · Discontinued | $17.38 | $17.38 | $26.30 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $74.13 Median $74.13 Typical High $151.36 | Professional | 51 · Multiple procedures | $74.13 | $74.13 | $151.36 |
Where North Carolina sits
The same service costs 3.9 times more in Alaska 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· 32nd of 51
$100
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.