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 $1,000.00 Median $1,949.84 Typical High $1,949.84 | Facility | None | $1,000.00 | $1,949.84 | $1,949.84 |
Aetna Setting Professional Modifier None Typical Low $1,000.00 Median $1,949.84 Typical High $1,949.84 | Professional | None | $1,000.00 | $1,949.84 | $1,949.84 |
BCBS North Carolina Setting Facility Modifier None Typical Low $1,318.26 Median $1,862.09 Typical High $7,762.47 | Facility | None | $1,318.26 | $1,862.09 | $7,762.47 |
BCBS North Carolina Setting Professional Modifier None Typical Low $512.86 Median $1,584.89 Typical High $7,762.47 | Professional | None | $512.86 | $1,584.89 | $7,762.47 |
Cigna Setting Facility Modifier None Typical Low $1,047.13 Median $5,370.32 Typical High $11,220.18 | Facility | None | $1,047.13 | $5,370.32 | $11,220.18 |
Cigna Setting Professional Modifier None Typical Low $588.84 Median $1,148.15 Typical High $3,311.31 | Professional | None | $588.84 | $1,148.15 | $3,311.31 |
Medcost Setting Professional Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $1,513.56 | Professional | None | $1,513.56 | $1,513.56 | $1,513.56 |
Medcost Setting Facility Modifier None Typical Low $602.56 Median $1,949.84 Typical High $2,454.71 | Facility | None | $602.56 | $1,949.84 | $2,454.71 |
Medcost Setting Professional Modifier None Typical Low $602.56 Median $602.56 Typical High $4,168.69 | Professional | None | $602.56 | $602.56 | $4,168.69 |
United Setting Professional Modifier None Typical Low $302.00 Median $1,023.29 Typical High $1,698.24 | Professional | None | $302.00 | $1,023.29 | $1,698.24 |
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 $933.25 Median $977.24 Typical High $1,071.52 | Professional | 52 · Reduced service | $933.25 | $977.24 | $1,071.52 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $371.54 Median $389.05 Typical High $426.58 | Professional | 53 · Discontinued | $371.54 | $389.05 | $426.58 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $302.00 Median $302.00 Typical High $3,388.44 | Professional | 51 · Multiple procedures | $302.00 | $302.00 | $3,388.44 |
Where North Carolina sits
The same service costs 6.8 times more in Alaska than in Kentucky. 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· 39th of 51
$1,479
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.