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 $1,000.00 Median $1,698.24 Typical High $1,698.24 | Facility | None | $1,000.00 | $1,698.24 | $1,698.24 |
Aetna Setting Professional Modifier None Typical Low $1,412.54 Median $1,698.24 Typical High $1,862.09 | Professional | None | $1,412.54 | $1,698.24 | $1,862.09 |
Ambetter Setting Professional Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $1,348.96 | Professional | None | $1,348.96 | $1,348.96 | $1,348.96 |
BCBS North Carolina Setting Facility Modifier None Typical Low $1,584.89 Median $1,819.70 Typical High $4,786.30 | Facility | None | $1,584.89 | $1,819.70 | $4,786.30 |
BCBS North Carolina Setting Professional Modifier None Typical Low $75.86 Median $602.56 Typical High $3,467.37 | Professional | None | $75.86 | $602.56 | $3,467.37 |
Cigna Setting Facility Modifier None Typical Low $1,778.28 Median $5,623.41 Typical High $9,772.37 | Facility | None | $1,778.28 | $5,623.41 | $9,772.37 |
Cigna Setting Professional Modifier None Typical Low $588.84 Median $1,000.00 Typical High $2,884.03 | Professional | None | $588.84 | $1,000.00 | $2,884.03 |
Medcost Setting Facility Modifier None Typical Low $1,288.25 Median $1,698.24 Typical High $2,137.96 | Facility | None | $1,288.25 | $1,698.24 | $2,137.96 |
Medcost Setting Professional Modifier None Typical Low $602.56 Median $602.56 Typical High $3,715.35 | Professional | None | $602.56 | $602.56 | $3,715.35 |
United Setting Professional Modifier None Typical Low $302.00 Median $891.25 Typical High $1,698.24 | Professional | None | $302.00 | $891.25 | $1,698.24 |
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 $812.83 Median $851.14 Typical High $933.25 | Professional | 52 · Reduced service | $812.83 | $851.14 | $933.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $323.59 Median $346.74 Typical High $371.54 | Professional | 53 · Discontinued | $323.59 | $346.74 | $371.54 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $302.00 Median $302.00 Typical High $2,951.21 | Professional | 51 · Multiple procedures | $302.00 | $302.00 | $2,951.21 |
Where North Carolina sits
The same service costs 6.0 times more in Alaska than in Kentucky. 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· 48th of 51
$1,000
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.