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 $3,801.89 Median $3,801.89 Typical High $7,943.28 | Facility | None | $3,801.89 | $3,801.89 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $3,162.28 Median $3,801.89 Typical High $4,570.88 | Professional | None | $3,162.28 | $3,801.89 | $4,570.88 |
Ambetter Setting Professional Modifier None Typical Low $2,884.03 Median $2,884.03 Typical High $2,884.03 | Professional | None | $2,884.03 | $2,884.03 | $2,884.03 |
BCBS North Carolina Setting Facility Modifier None Typical Low $10,471.29 Median $12,589.25 Typical High $15,135.61 | Facility | None | $10,471.29 | $12,589.25 | $15,135.61 |
BCBS North Carolina Setting Professional Modifier None Typical Low $2,137.96 Median $4,786.30 Typical High $7,585.78 | Professional | None | $2,137.96 | $4,786.30 | $7,585.78 |
Cigna Setting Facility Modifier None Typical Low $3,801.89 Median $10,471.29 Typical High $21,877.62 | Facility | None | $3,801.89 | $10,471.29 | $21,877.62 |
Cigna Setting Professional Modifier None Typical Low $2,238.72 Median $2,691.53 Typical High $6,918.31 | Professional | None | $2,238.72 | $2,691.53 | $6,918.31 |
Medcost Setting Professional Modifier None Typical Low $4,570.88 Median $4,570.88 Typical High $4,570.88 | Professional | None | $4,570.88 | $4,570.88 | $4,570.88 |
Medcost Setting Facility Modifier None Typical Low $3,019.95 Median $3,801.89 Typical High $4,786.30 | Facility | None | $3,019.95 | $3,801.89 | $4,786.30 |
Medcost Setting Professional Modifier None Typical Low $4,677.35 Median $4,786.30 Typical High $8,128.31 | Professional | None | $4,677.35 | $4,786.30 | $8,128.31 |
United Setting Professional Modifier None Typical Low $1,995.26 Median $2,398.83 Typical High $4,786.30 | Professional | None | $1,995.26 | $2,398.83 | $4,786.30 |
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 $1,905.46 Median $1,905.46 Typical High $2,290.87 | Professional | 52 · Reduced service | $1,905.46 | $1,905.46 | $2,290.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $758.58 Median $758.58 Typical High $912.01 | Professional | 53 · Discontinued | $758.58 | $758.58 | $912.01 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $2,398.83 Median $2,398.83 Typical High $6,606.93 | Professional | 51 · Multiple procedures | $2,398.83 | $2,398.83 | $6,606.93 |
Where North Carolina sits
The same service costs 10.7 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· 26th of 51
$4,074
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.