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 $467.74 | Facility | None | $467.74 | $467.74 | $467.74 |
Aetna Setting Professional Modifier None Typical Low $457.09 Median $467.74 Typical High $524.81 | Professional | None | $457.09 | $467.74 | $524.81 |
Ambetter Setting Professional Modifier None Typical Low $588.84 Median $588.84 Typical High $588.84 | Professional | None | $588.84 | $588.84 | $588.84 |
BCBS Setting Facility Modifier None Typical Low $1,288.25 Median $1,659.59 Typical High $2,511.89 | Facility | None | $1,288.25 | $1,659.59 | $2,511.89 |
BCBS Setting Professional Modifier None Typical Low $524.81 Median $707.95 Typical High $2,290.87 | Professional | None | $524.81 | $707.95 | $2,290.87 |
Cigna Setting Facility Modifier None Typical Low $407.38 Median $1,288.25 Typical High $2,691.53 | Facility | None | $407.38 | $1,288.25 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $269.15 Median $446.68 Typical High $1,000.00 | Professional | None | $269.15 | $446.68 | $1,000.00 |
Medcost Setting Professional Modifier None Typical Low $3,467.37 Median $3,467.37 Typical High $3,467.37 | Professional | None | $3,467.37 | $3,467.37 | $3,467.37 |
Medcost Setting Facility Modifier None Typical Low $371.54 Median $467.74 Typical High $691.83 | Facility | None | $371.54 | $467.74 | $691.83 |
Medcost Setting Professional Modifier None Typical Low $630.96 Median $794.33 Typical High $1,230.27 | Professional | None | $630.96 | $794.33 | $1,230.27 |
United Setting Professional Modifier None Typical Low $245.47 Median $398.11 Typical High $794.33 | Professional | None | $245.47 | $398.11 | $794.33 |
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 $263.03 | Professional | 52 · Reduced service | $234.42 | $234.42 | $263.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $93.33 Median $93.33 Typical High $104.71 | Professional | 53 · Discontinued | $93.33 | $93.33 | $104.71 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $398.11 Median $398.11 Typical High $794.33 | Professional | 51 · Multiple procedures | $398.11 | $398.11 | $794.33 |
Where North Carolina sits
The same service costs 3.2 times more in Alaska than in Delaware. 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· 13th of 51
$676
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.