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 $467.74 Median $467.74 Typical High $1,318.26 | Facility | None | $467.74 | $467.74 | $1,318.26 |
Aetna Setting Professional Modifier None Typical Low $467.74 Median $467.74 Typical High $776.25 | Professional | None | $467.74 | $467.74 | $776.25 |
Ambetter Setting Professional Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,318.26 | Professional | None | $1,318.26 | $1,318.26 | $1,318.26 |
BCBS North Carolina Setting Facility Modifier None Typical Low $1,659.59 Median $2,398.83 Typical High $2,398.83 | Facility | None | $1,659.59 | $2,398.83 | $2,398.83 |
BCBS North Carolina Setting Professional Modifier None Typical Low $354.81 Median $588.84 Typical High $1,548.82 | Professional | None | $354.81 | $588.84 | $1,548.82 |
Cigna Setting Facility Modifier None Typical Low $812.83 Median $2,754.23 Typical High $5,888.44 | Facility | None | $812.83 | $2,754.23 | $5,888.44 |
Cigna Setting Professional Modifier None Typical Low $269.15 Median $676.08 Typical High $1,202.26 | Professional | None | $269.15 | $676.08 | $1,202.26 |
Medcost Setting Professional Modifier None Typical Low $3,090.30 Median $3,090.30 Typical High $3,090.30 | Professional | None | $3,090.30 | $3,090.30 | $3,090.30 |
Medcost Setting Facility Modifier None Typical Low $416.87 Median $467.74 Typical High $1,318.26 | Facility | None | $416.87 | $467.74 | $1,318.26 |
Medcost Setting Professional Modifier None Typical Low $724.44 Median $741.31 Typical High $1,318.26 | Professional | None | $724.44 | $741.31 | $1,318.26 |
United Setting Professional Modifier None Typical Low $245.47 Median $389.05 Typical High $851.14 | Professional | None | $245.47 | $389.05 | $851.14 |
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 $234.42 Median $234.42 Typical High $281.84 | Professional | 52 · Reduced service | $234.42 | $234.42 | $281.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $93.33 Median $93.33 Typical High $112.20 | Professional | 53 · Discontinued | $93.33 | $93.33 | $112.20 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $371.54 Median $371.54 Typical High $891.25 | Professional | 51 · Multiple procedures | $371.54 | $371.54 | $891.25 |
Where North Carolina sits
The same service costs 4.0 times more in Wisconsin than in Georgia. 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· 41st of 51
$562
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.