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 $1,023.29 Median $1,023.29 Typical High $2,137.96 | Facility | None | $1,023.29 | $1,023.29 | $2,137.96 |
Aetna Setting Professional Modifier None Typical Low $1,000.00 Median $1,023.29 Typical High $1,230.27 | Professional | None | $1,000.00 | $1,023.29 | $1,230.27 |
BCBS North Carolina Setting Facility Modifier None Typical Low $2,884.03 Median $3,890.45 Typical High $3,890.45 | Facility | None | $2,884.03 | $3,890.45 | $3,890.45 |
BCBS North Carolina Setting Professional Modifier None Typical Low $575.44 Median $1,288.25 Typical High $2,041.74 | Professional | None | $575.44 | $1,288.25 | $2,041.74 |
Cigna Setting Facility Modifier None Typical Low $1,071.52 Median $3,388.44 Typical High $5,888.44 | Facility | None | $1,071.52 | $3,388.44 | $5,888.44 |
Cigna Setting Professional Modifier None Typical Low $602.56 Median $724.44 Typical High $1,862.09 | Professional | None | $602.56 | $724.44 | $1,862.09 |
Medcost Setting Professional Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,288.25 | Professional | None | $1,288.25 | $1,288.25 | $1,288.25 |
Medcost Setting Facility Modifier None Typical Low $776.25 Median $1,023.29 Typical High $1,348.96 | Facility | None | $776.25 | $1,023.29 | $1,348.96 |
Medcost Setting Professional Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $2,238.72 | Professional | None | $1,288.25 | $1,288.25 | $2,238.72 |
United Setting Professional Modifier None Typical Low $537.03 Median $645.65 Typical High $1,288.25 | Professional | None | $537.03 | $645.65 | $1,288.25 |
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 $512.86 Median $512.86 Typical High $645.65 | Professional | 52 · Reduced service | $512.86 | $512.86 | $645.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $204.17 Median $204.17 Typical High $257.04 | Professional | 53 · Discontinued | $204.17 | $204.17 | $257.04 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $645.65 Median $645.65 Typical High $1,778.28 | Professional | 51 · Multiple procedures | $645.65 | $645.65 | $1,778.28 |
Where North Carolina sits
The same service costs 4.9 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· 30th of 51
$1,096
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.