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 $724.44 Median $724.44 Typical High $1,513.56 | Facility | None | $724.44 | $724.44 | $1,513.56 |
Aetna Setting Professional Modifier None Typical Low $724.44 Median $724.44 Typical High $870.96 | Professional | None | $724.44 | $724.44 | $870.96 |
BCBS North Carolina Setting Facility Modifier None Typical Low $2,041.74 Median $2,570.40 Typical High $2,884.03 | Facility | None | $2,041.74 | $2,570.40 | $2,884.03 |
BCBS North Carolina Setting Professional Modifier None Typical Low $407.38 Median $1,000.00 Typical High $1,380.38 | Professional | None | $407.38 | $1,000.00 | $1,380.38 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $2,398.83 Typical High $4,168.69 | Facility | None | $758.58 | $2,398.83 | $4,168.69 |
Cigna Setting Professional Modifier None Typical Low $426.58 Median $630.96 Typical High $1,380.38 | Professional | None | $426.58 | $630.96 | $1,380.38 |
Medcost Setting Facility Modifier None Typical Low $549.54 Median $724.44 Typical High $912.01 | Facility | None | $549.54 | $724.44 | $912.01 |
Medcost Setting Professional Modifier None Typical Low $891.25 Median $912.01 Typical High $1,584.89 | Professional | None | $891.25 | $912.01 | $1,584.89 |
United Setting Professional Modifier None Typical Low $380.19 Median $457.09 Typical High $912.01 | Professional | None | $380.19 | $457.09 | $912.01 |
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 $363.08 Median $363.08 Typical High $436.52 | Professional | 52 · Reduced service | $363.08 | $363.08 | $436.52 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $147.91 Median $147.91 Typical High $173.78 | Professional | 53 · Discontinued | $147.91 | $147.91 | $173.78 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $457.09 Median $457.09 Typical High $1,258.93 | Professional | 51 · Multiple procedures | $457.09 | $457.09 | $1,258.93 |
Where North Carolina sits
The same service costs 3.7 times more in Alaska than in Maine. 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· 24th of 51
$871
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.