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 $602.56 Median $602.56 Typical High $1,318.26 | Facility | None | $602.56 | $602.56 | $1,318.26 |
Aetna Setting Professional Modifier None Typical Low $562.34 Median $602.56 Typical High $912.01 | Professional | None | $562.34 | $602.56 | $912.01 |
BCBS North Carolina Setting Facility Modifier None Typical Low $1,698.24 Median $2,454.71 Typical High $2,454.71 | Facility | None | $1,698.24 | $2,454.71 | $2,454.71 |
BCBS North Carolina Setting Professional Modifier None Typical Low $371.54 Median $1,148.15 Typical High $2,290.87 | Professional | None | $371.54 | $1,148.15 | $2,290.87 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $1,659.59 Typical High $3,467.37 | Facility | None | $630.96 | $1,659.59 | $3,467.37 |
Cigna Setting Professional Modifier None Typical Low $354.81 Median $707.95 Typical High $1,023.29 | Professional | None | $354.81 | $707.95 | $1,023.29 |
Medcost Setting Professional Modifier None Typical Low $794.33 Median $794.33 Typical High $794.33 | Professional | None | $794.33 | $794.33 | $794.33 |
Medcost Setting Facility Modifier None Typical Low $562.34 Median $602.56 Typical High $794.33 | Facility | None | $562.34 | $602.56 | $794.33 |
Medcost Setting Professional Modifier None Typical Low $758.58 Median $794.33 Typical High $1,318.26 | Professional | None | $758.58 | $794.33 | $1,318.26 |
United Setting Professional Modifier None Typical Low $316.23 Median $398.11 Typical High $794.33 | Professional | None | $316.23 | $398.11 | $794.33 |
4 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 $302.00 Median $302.00 Typical High $363.08 | Professional | 52 · Reduced service | $302.00 | $302.00 | $363.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $120.23 Median $120.23 Typical High $144.54 | Professional | 53 · Discontinued | $120.23 | $120.23 | $144.54 |
Ambetter Setting Professional Modifier 90 · Outside lab Typical Low $407.38 Median $457.09 Typical High $478.63 | Professional | 90 · Outside lab | $407.38 | $457.09 | $478.63 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $398.11 Median $398.11 Typical High $1,047.13 | Professional | 51 · Multiple procedures | $398.11 | $398.11 | $1,047.13 |
Where North Carolina sits
The same service costs 3.4 times more in Alaska than in Maine. 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· 14th of 51
$794
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.