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 $741.31 Median $741.31 Typical High $1,548.82 | Facility | None | $741.31 | $741.31 | $1,548.82 |
Aetna Setting Professional Modifier None Typical Low $724.44 Median $741.31 Typical High $891.25 | Professional | None | $724.44 | $741.31 | $891.25 |
BCBS North Carolina Setting Facility Modifier None Typical Low $2,089.30 Median $2,818.38 Typical High $2,818.38 | Facility | None | $2,089.30 | $2,818.38 | $2,818.38 |
BCBS North Carolina Setting Professional Modifier None Typical Low $416.87 Median $933.25 Typical High $1,513.56 | Professional | None | $416.87 | $933.25 | $1,513.56 |
Cigna Setting Facility Modifier None Typical Low $776.25 Median $2,454.71 Typical High $4,265.80 | Facility | None | $776.25 | $2,454.71 | $4,265.80 |
Cigna Setting Professional Modifier None Typical Low $436.52 Median $524.81 Typical High $1,348.96 | Professional | None | $436.52 | $524.81 | $1,348.96 |
Medcost Setting Professional Modifier None Typical Low $933.25 Median $933.25 Typical High $933.25 | Professional | None | $933.25 | $933.25 | $933.25 |
Medcost Setting Facility Modifier None Typical Low $562.34 Median $741.31 Typical High $977.24 | Facility | None | $562.34 | $741.31 | $977.24 |
Medcost Setting Professional Modifier None Typical Low $933.25 Median $933.25 Typical High $1,621.81 | Professional | None | $933.25 | $933.25 | $1,621.81 |
United Setting Professional Modifier None Typical Low $389.05 Median $467.74 Typical High $933.25 | Professional | None | $389.05 | $467.74 | $933.25 |
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 $371.54 Median $371.54 Typical High $467.74 | Professional | 52 · Reduced service | $371.54 | $371.54 | $467.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $151.36 Median $151.36 Typical High $186.21 | Professional | 53 · Discontinued | $151.36 | $151.36 | $186.21 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $467.74 Median $467.74 Typical High $1,288.25 | Professional | 51 · Multiple procedures | $467.74 | $467.74 | $1,288.25 |
Where North Carolina sits
The same service costs 3.7 times more in Alaska than in Georgia. 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· 31st of 51
$794
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.