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 $120.23 Median $120.23 Typical High $251.19 | Facility | None | $120.23 | $120.23 | $251.19 |
Aetna Setting Professional Modifier None Typical Low $117.49 Median $120.23 Typical High $181.97 | Professional | None | $117.49 | $120.23 | $181.97 |
BCBS North Carolina Setting Facility Modifier None Typical Low $331.13 Median $457.09 Typical High $467.74 | Facility | None | $331.13 | $457.09 | $467.74 |
BCBS North Carolina Setting Professional Modifier None Typical Low $128.82 Median $177.83 Typical High $398.11 | Professional | None | $128.82 | $177.83 | $398.11 |
Cigna Setting Facility Modifier None Typical Low $114.82 Median $331.13 Typical High $691.83 | Facility | None | $114.82 | $331.13 | $691.83 |
Cigna Setting Professional Modifier None Typical Low $69.18 Median $104.71 Typical High $229.09 | Professional | None | $69.18 | $104.71 | $229.09 |
Medcost Setting Facility Modifier None Typical Low $120.23 Median $120.23 Typical High $177.83 | Facility | None | $120.23 | $120.23 | $177.83 |
Medcost Setting Professional Modifier None Typical Low $151.36 Median $151.36 Typical High $275.42 | Professional | None | $151.36 | $151.36 | $275.42 |
United Setting Professional Modifier None Typical Low $63.10 Median $91.20 Typical High $165.96 | Professional | None | $63.10 | $91.20 | $165.96 |
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 $58.88 Median $60.26 Typical High $91.20 | Professional | 52 · Reduced service | $58.88 | $60.26 | $91.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $23.99 Typical High $36.31 | Professional | 53 · Discontinued | $23.44 | $23.99 | $36.31 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $75.86 Median $75.86 Typical High $204.17 | Professional | 51 · Multiple procedures | $75.86 | $75.86 | $204.17 |
Where North Carolina sits
The same service costs 5.4 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· 11th of 51
$178
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.