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 $354.81 Median $354.81 Typical High $1,000.00 | Facility | None | $354.81 | $354.81 | $1,000.00 |
Aetna Setting Professional Modifier None Typical Low $354.81 Median $354.81 Typical High $776.25 | Professional | None | $354.81 | $354.81 | $776.25 |
BCBS North Carolina Setting Facility Modifier None Typical Low $977.24 Median $1,819.70 Typical High $1,819.70 | Facility | None | $977.24 | $1,819.70 | $1,819.70 |
BCBS North Carolina Setting Professional Modifier None Typical Low $75.86 Median $537.03 Typical High $1,737.80 | Professional | None | $75.86 | $537.03 | $1,737.80 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $2,754.23 Typical High $5,888.44 | Facility | None | $602.56 | $2,754.23 | $5,888.44 |
Cigna Setting Professional Modifier None Typical Low $204.17 Median $512.86 Typical High $1,202.26 | Professional | None | $204.17 | $512.86 | $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 $275.42 Median $354.81 Typical High $1,318.26 | Facility | None | $275.42 | $354.81 | $1,318.26 |
Medcost Setting Professional Modifier None Typical Low $524.81 Median $602.56 Typical High $1,122.02 | Professional | None | $524.81 | $602.56 | $1,122.02 |
United Setting Professional Modifier None Typical Low $186.21 Median $302.00 Typical High $645.65 | Professional | None | $186.21 | $302.00 | $645.65 |
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 $173.78 Median $173.78 Typical High $208.93 | Professional | 52 · Reduced service | $173.78 | $173.78 | $208.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $70.79 Median $70.79 Typical High $85.11 | Professional | 53 · Discontinued | $70.79 | $70.79 | $85.11 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $302.00 Median $302.00 Typical High $660.69 | Professional | 51 · Multiple procedures | $302.00 | $302.00 | $660.69 |
Where North Carolina sits
The same service costs 5.2 times more in North Dakota 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· 39th of 51
$513
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.