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 $602.56 | Facility | None | $602.56 | $602.56 | $602.56 |
Aetna Setting Professional Modifier None Typical Low $549.54 Median $602.56 Typical High $660.69 | Professional | None | $549.54 | $602.56 | $660.69 |
BCBS North Carolina Setting Facility Modifier None Typical Low $1,698.24 Median $2,137.96 Typical High $2,398.83 | Facility | None | $1,698.24 | $2,137.96 | $2,398.83 |
BCBS North Carolina Setting Professional Modifier None Typical Low $676.08 Median $831.76 Typical High $2,398.83 | Professional | None | $676.08 | $831.76 | $2,398.83 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $1,659.59 Typical High $3,467.37 | Facility | None | $512.86 | $1,659.59 | $3,467.37 |
Cigna Setting Professional Modifier None Typical Low $354.81 Median $457.09 Typical High $1,148.15 | Professional | None | $354.81 | $457.09 | $1,148.15 |
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 $457.09 Median $602.56 Typical High $794.33 | Facility | None | $457.09 | $602.56 | $794.33 |
Medcost Setting Professional Modifier None Typical Low $741.31 Median $794.33 Typical High $1,318.26 | Professional | None | $741.31 | $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 $331.13 | Professional | 52 · Reduced service | $302.00 | $302.00 | $331.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $120.23 Median $120.23 Typical High $131.83 | Professional | 53 · Discontinued | $120.23 | $120.23 | $131.83 |
Ambetter Setting Professional Modifier 90 · Outside lab Typical Low $478.63 Median $478.63 Typical High $478.63 | Professional | 90 · Outside lab | $478.63 | $478.63 | $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 4.0 times more in Alaska than in Oklahoma. 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· 22nd of 51
$741
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.