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 $51.29 Median $51.29 Typical High $107.15 | Facility | None | $51.29 | $51.29 | $107.15 |
Aetna Setting Professional Modifier None Typical Low $51.29 Median $51.29 Typical High $89.13 | Professional | None | $51.29 | $51.29 | $89.13 |
BCBS North Carolina Setting Facility Modifier None Typical Low $141.25 Median $169.82 Typical High $204.17 | Facility | None | $141.25 | $169.82 | $204.17 |
BCBS North Carolina Setting Professional Modifier None Typical Low $19.05 Median $54.95 Typical High $165.96 | Professional | None | $19.05 | $54.95 | $165.96 |
Cigna Setting Facility Modifier None Typical Low $48.98 Median $141.25 Typical High $288.40 | Facility | None | $48.98 | $141.25 | $288.40 |
Cigna Setting Professional Modifier None Typical Low $29.51 Median $44.67 Typical High $97.72 | Professional | None | $29.51 | $44.67 | $97.72 |
Medcost Setting Facility Modifier None Typical Low $51.29 Median $51.29 Typical High $75.86 | Facility | None | $51.29 | $51.29 | $75.86 |
Medcost Setting Professional Modifier None Typical Low $64.57 Median $64.57 Typical High $109.65 | Professional | None | $64.57 | $64.57 | $109.65 |
United Setting Professional Modifier None Typical Low $26.92 Median $38.02 Typical High $67.61 | Professional | None | $26.92 | $38.02 | $67.61 |
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 $25.70 Median $25.70 Typical High $38.02 | Professional | 52 · Reduced service | $25.70 | $25.70 | $38.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.23 Median $10.23 Typical High $15.49 | Professional | 53 · Discontinued | $10.23 | $10.23 | $15.49 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $31.62 Median $31.62 Typical High $87.10 | Professional | 51 · Multiple procedures | $31.62 | $31.62 | $87.10 |
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· 36th of 51
$54.95
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.