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 $1,949.84 Median $1,949.84 Typical High $4,073.80 | Facility | None | $1,949.84 | $1,949.84 | $4,073.80 |
Aetna Setting Professional Modifier None Typical Low $1,949.84 Median $1,949.84 Typical High $2,951.21 | Professional | None | $1,949.84 | $1,949.84 | $2,951.21 |
BCBS North Carolina Setting Facility Modifier None Typical Low $4,786.30 Median $5,495.41 Typical High $7,762.47 | Facility | None | $4,786.30 | $5,495.41 | $7,762.47 |
BCBS North Carolina Setting Professional Modifier None Typical Low $1,096.48 Median $2,454.71 Typical High $3,890.45 | Professional | None | $1,096.48 | $2,454.71 | $3,890.45 |
Cigna Setting Facility Modifier None Typical Low $2,041.74 Median $6,456.54 Typical High $11,220.18 | Facility | None | $2,041.74 | $6,456.54 | $11,220.18 |
Cigna Setting Professional Modifier None Typical Low $1,122.02 Median $1,819.70 Typical High $3,801.89 | Professional | None | $1,122.02 | $1,819.70 | $3,801.89 |
Medcost Setting Facility Modifier None Typical Low $1,949.84 Median $1,949.84 Typical High $2,884.03 | Facility | None | $1,949.84 | $1,949.84 | $2,884.03 |
Medcost Setting Professional Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $4,168.69 | Professional | None | $2,454.71 | $2,454.71 | $4,168.69 |
United Setting Professional Modifier None Typical Low $1,023.29 Median $1,479.11 Typical High $2,511.89 | Professional | None | $1,023.29 | $1,479.11 | $2,511.89 |
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 $954.99 Median $977.24 Typical High $1,479.11 | Professional | 52 · Reduced service | $954.99 | $977.24 | $1,479.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $380.19 Median $389.05 Typical High $588.84 | Professional | 53 · Discontinued | $380.19 | $389.05 | $588.84 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $1,230.27 Median $1,230.27 Typical High $3,388.44 | Professional | 51 · Multiple procedures | $1,230.27 | $1,230.27 | $3,388.44 |
Where North Carolina sits
The same service costs 5.4 times more in Alaska 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· 26th of 51
$2,291
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.