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 $630.96 Median $630.96 Typical High $1,318.26 | Facility | None | $630.96 | $630.96 | $1,318.26 |
Aetna Setting Professional Modifier None Typical Low $630.96 Median $630.96 Typical High $758.58 | Professional | None | $630.96 | $630.96 | $758.58 |
BCBS Setting Facility Modifier None Typical Low $1,995.26 Median $2,398.83 Typical High $2,454.71 | Facility | None | $1,995.26 | $2,398.83 | $2,454.71 |
BCBS Setting Professional Modifier None Typical Low $512.86 Median $758.58 Typical High $1,202.26 | Professional | None | $512.86 | $758.58 | $1,202.26 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $1,737.80 Typical High $3,630.78 | Facility | None | $660.69 | $1,737.80 | $3,630.78 |
Cigna Setting Professional Modifier None Typical Low $371.54 Median $562.34 Typical High $1,148.15 | Professional | None | $371.54 | $562.34 | $1,148.15 |
Medcost Setting Facility Modifier None Typical Low $478.63 Median $630.96 Typical High $794.33 | Facility | None | $478.63 | $630.96 | $794.33 |
Medcost Setting Professional Modifier None Typical Low $794.33 Median $794.33 Typical High $1,348.96 | Professional | None | $794.33 | $794.33 | $1,348.96 |
United Setting Professional Modifier None Typical Low $331.13 Median $398.11 Typical High $794.33 | Professional | None | $331.13 | $398.11 | $794.33 |
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 $316.23 Median $316.23 Typical High $380.19 | Professional | 52 · Reduced service | $316.23 | $316.23 | $380.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $125.89 Median $125.89 Typical High $151.36 | Professional | 53 · Discontinued | $125.89 | $125.89 | $151.36 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $398.11 Median $398.11 Typical High $1,096.48 | Professional | 51 · Multiple procedures | $398.11 | $398.11 | $1,096.48 |
Where North Carolina sits
The same service costs 3.7 times more in Alaska than in Kentucky. 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· 23rd of 51
$759
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.