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 $2,344.23 Median $2,344.23 Typical High $4,897.79 | Facility | None | $2,344.23 | $2,344.23 | $4,897.79 |
Aetna Setting Professional Modifier None Typical Low $1,949.84 Median $2,344.23 Typical High $3,162.28 | Professional | None | $1,949.84 | $2,344.23 | $3,162.28 |
BCBS North Carolina Setting Facility Modifier None Typical Low $6,456.54 Median $7,762.47 Typical High $9,332.54 | Facility | None | $6,456.54 | $7,762.47 | $9,332.54 |
BCBS North Carolina Setting Professional Modifier None Typical Low $1,318.26 Median $2,951.21 Typical High $4,677.35 | Professional | None | $1,318.26 | $2,951.21 | $4,677.35 |
Cigna Setting Facility Modifier None Typical Low $1,995.26 Median $6,309.57 Typical High $13,182.57 | Facility | None | $1,995.26 | $6,309.57 | $13,182.57 |
Cigna Setting Professional Modifier None Typical Low $1,348.96 Median $1,949.84 Typical High $4,365.16 | Professional | None | $1,348.96 | $1,949.84 | $4,365.16 |
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 $1,862.09 Median $2,344.23 Typical High $2,951.21 | Facility | None | $1,862.09 | $2,344.23 | $2,951.21 |
Medcost Setting Professional Modifier None Typical Low $2,398.83 Median $2,951.21 Typical High $5,011.87 | Professional | None | $2,398.83 | $2,951.21 | $5,011.87 |
United Setting Professional Modifier None Typical Low $1,230.27 Median $1,445.44 Typical High $2,951.21 | Professional | None | $1,230.27 | $1,445.44 | $2,951.21 |
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 $1,174.90 Median $1,174.90 Typical High $1,412.54 | Professional | 52 · Reduced service | $1,174.90 | $1,174.90 | $1,412.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $467.74 Median $467.74 Typical High $562.34 | Professional | 53 · Discontinued | $467.74 | $467.74 | $562.34 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $1,445.44 Median $1,445.44 Typical High $3,981.07 | Professional | 51 · Multiple procedures | $1,445.44 | $1,445.44 | $3,981.07 |
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· 28th of 51
$2,455
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.