How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $407.38 Median $407.38 Typical High $831.76 | Facility | None | $407.38 | $407.38 | $831.76 |
Aetna Setting Professional Modifier None Typical Low $389.05 Median $407.38 Typical High $478.63 | Professional | None | $389.05 | $407.38 | $478.63 |
Ambetter Setting Professional Modifier None Typical Low $302.00 Median $302.00 Typical High $316.23 | Professional | None | $302.00 | $302.00 | $316.23 |
BCBS North Carolina Setting Facility Modifier None Typical Low $1,096.48 Median $1,318.26 Typical High $1,584.89 | Facility | None | $1,096.48 | $1,318.26 | $1,584.89 |
BCBS North Carolina Setting Professional Modifier None Typical Low $229.09 Median $501.19 Typical High $812.83 | Professional | None | $229.09 | $501.19 | $812.83 |
Cigna Setting Facility Modifier None Typical Low $416.87 Median $1,318.26 Typical High $2,290.87 | Facility | None | $416.87 | $1,318.26 | $2,290.87 |
Cigna Setting Professional Modifier None Typical Low $234.42 Median $281.84 Typical High $724.44 | Professional | None | $234.42 | $281.84 | $724.44 |
Medcost Setting Facility Modifier None Typical Low $302.00 Median $407.38 Typical High $501.19 | Facility | None | $302.00 | $407.38 | $501.19 |
Medcost Setting Professional Modifier None Typical Low $416.87 Median $501.19 Typical High $851.14 | Professional | None | $416.87 | $501.19 | $851.14 |
Oscar Health Setting Facility Modifier None Typical Low $263.03 Median $263.03 Typical High $263.03 | Facility | None | $263.03 | $263.03 | $263.03 |
United Setting Professional Modifier None Typical Low $213.80 Median $251.19 Typical High $501.19 | Professional | None | $213.80 | $251.19 | $501.19 |
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 $199.53 Median $199.53 Typical High $239.88 | Professional | 52 · Reduced service | $199.53 | $199.53 | $239.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $81.28 Median $81.28 Typical High $97.72 | Professional | 53 · Discontinued | $81.28 | $81.28 | $97.72 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $251.19 Median $251.19 Typical High $691.83 | Professional | 51 · Multiple procedures | $251.19 | $251.19 | $691.83 |
Where North Carolina sits
The same service costs 3.7 times more in Alaska than in Georgia. 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· 31st of 51
$427
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.