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 $602.56 Median $602.56 Typical High $1,071.52 | Facility | None | $602.56 | $602.56 | $1,071.52 |
Aetna Setting Professional Modifier None Typical Low $575.44 Median $602.56 Typical High $724.44 | Professional | None | $575.44 | $602.56 | $724.44 |
BCBS North Carolina Setting Facility Modifier None Typical Low $1,698.24 Median $1,949.84 Typical High $1,995.26 | Facility | None | $1,698.24 | $1,949.84 | $1,995.26 |
BCBS North Carolina Setting Professional Modifier None Typical Low $295.12 Median $338.84 Typical High $1,148.15 | Professional | None | $295.12 | $338.84 | $1,148.15 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $1,659.59 Typical High $3,467.37 | Facility | None | $512.86 | $1,659.59 | $3,467.37 |
Cigna Setting Professional Modifier None Typical Low $354.81 Median $602.56 Typical High $1,023.29 | Professional | None | $354.81 | $602.56 | $1,023.29 |
Medcost Setting Professional Modifier None Typical Low $3,019.95 Median $3,019.95 Typical High $3,019.95 | Professional | None | $3,019.95 | $3,019.95 | $3,019.95 |
Medcost Setting Facility Modifier None Typical Low $457.09 Median $602.56 Typical High $758.58 | Facility | None | $457.09 | $602.56 | $758.58 |
Medcost Setting Professional Modifier None Typical Low $83.18 Median $83.18 Typical High $1,318.26 | Professional | None | $83.18 | $83.18 | $1,318.26 |
United Setting Professional Modifier None Typical Low $43.65 Median $316.23 Typical High $758.58 | Professional | None | $43.65 | $316.23 | $758.58 |
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 $302.00 Median $302.00 Typical High $363.08 | Professional | 52 · Reduced service | $302.00 | $302.00 | $363.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $120.23 Median $120.23 Typical High $144.54 | Professional | 53 · Discontinued | $120.23 | $120.23 | $144.54 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $41.69 Median $41.69 Typical High $1,047.13 | Professional | 51 · Multiple procedures | $41.69 | $41.69 | $1,047.13 |
Where North Carolina sits
The same service costs 4.5 times more in Alaska than in West Virginia. 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· 50th of 51
$380
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.