How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $416.87 Median $416.87 Typical High $870.96 | Facility | None | $416.87 | $416.87 | $870.96 |
Aetna Setting Professional Modifier None Typical Low $416.87 Median $416.87 Typical High $630.96 | Professional | None | $416.87 | $416.87 | $630.96 |
BCBS North Carolina Setting Facility Modifier None Typical Low $1,047.13 Median $1,148.15 Typical High $1,659.59 | Facility | None | $1,047.13 | $1,148.15 | $1,659.59 |
BCBS North Carolina Setting Professional Modifier None Typical Low $100.00 Median $416.87 Typical High $794.33 | Professional | None | $100.00 | $416.87 | $794.33 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $1,380.38 Typical High $2,344.23 | Facility | None | $758.58 | $1,380.38 | $2,344.23 |
Cigna Setting Professional Modifier None Typical Low $239.88 Median $363.08 Typical High $794.33 | Professional | None | $239.88 | $363.08 | $794.33 |
Medcost Setting Facility Modifier None Typical Low $416.87 Median $416.87 Typical High $616.60 | Facility | None | $416.87 | $416.87 | $616.60 |
Medcost Setting Professional Modifier None Typical Low $524.81 Median $524.81 Typical High $891.25 | Professional | None | $524.81 | $524.81 | $891.25 |
United Setting Professional Modifier None Typical Low $218.78 Median $309.03 Typical High $537.03 | Professional | None | $218.78 | $309.03 | $537.03 |
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 $204.17 Median $208.93 Typical High $309.03 | Professional | 52 · Reduced service | $204.17 | $208.93 | $309.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $81.28 Median $83.18 Typical High $125.89 | Professional | 53 · Discontinued | $81.28 | $83.18 | $125.89 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $257.04 Median $257.04 Typical High $707.95 | Professional | 51 · Multiple procedures | $257.04 | $257.04 | $707.95 |
Where North Carolina sits
The same service costs 8.1 times more in Texas 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· 33rd of 51
$417
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.