How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $3,890.45 Median $3,890.45 Typical High $3,890.45 | Facility | None | $3,890.45 | $3,890.45 | $3,890.45 |
Aetna Setting Professional Modifier None Typical Low $5.01 Median $3,890.45 Typical High $3,890.45 | Professional | None | $5.01 | $3,890.45 | $3,890.45 |
BCBS North Carolina Setting Facility Modifier None Typical Low $5,248.07 Median $6,606.93 Typical High $7,413.10 | Facility | None | $5,248.07 | $6,606.93 | $7,413.10 |
BCBS North Carolina Setting Professional Modifier None Typical Low $1,047.13 Median $2,344.23 Typical High $3,715.35 | Professional | None | $1,047.13 | $2,344.23 | $3,715.35 |
Cigna Setting Facility Modifier None Typical Low $1,949.84 Median $6,165.95 Typical High $10,715.19 | Facility | None | $1,949.84 | $6,165.95 | $10,715.19 |
Cigna Setting Professional Modifier None Typical Low $1,096.48 Median $1,621.81 Typical High $3,548.13 | Professional | None | $1,096.48 | $1,621.81 | $3,548.13 |
Medcost Setting Facility Modifier None Typical Low $2,754.23 Median $2,754.23 Typical High $2,754.23 | Facility | None | $2,754.23 | $2,754.23 | $2,754.23 |
Medcost Setting Professional Modifier None Typical Low $2,344.23 Median $2,344.23 Typical High $3,981.07 | Professional | None | $2,344.23 | $2,344.23 | $3,981.07 |
United Setting Professional Modifier None Typical Low $977.24 Median $1,412.54 Typical High $2,398.83 | Professional | None | $977.24 | $1,412.54 | $2,398.83 |
1 more rate 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 |
|---|---|---|---|---|---|
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $1,174.90 Median $1,174.90 Typical High $3,235.94 | Professional | 51 · Multiple procedures | $1,174.90 | $1,174.90 | $3,235.94 |
Where North Carolina sits
The same service costs 67.6 times more in Texas than in Alabama. 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
$2,344
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.