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 $3,090.30 Median $3,090.30 Typical High $5,623.41 | Facility | None | $3,090.30 | $3,090.30 | $5,623.41 |
Aetna Setting Professional Modifier None Typical Low $3,019.95 Median $3,090.30 Typical High $4,365.16 | Professional | None | $3,019.95 | $3,090.30 | $4,365.16 |
BCBS North Carolina Setting Facility Modifier None Typical Low $7,585.78 Median $8,709.64 Typical High $12,302.69 | Facility | None | $7,585.78 | $8,709.64 | $12,302.69 |
BCBS North Carolina Setting Professional Modifier None Typical Low $1,548.82 Median $2,884.03 Typical High $5,888.44 | Professional | None | $1,548.82 | $2,884.03 | $5,888.44 |
Cigna Setting Facility Modifier None Typical Low $3,235.94 Median $10,232.93 Typical High $17,782.79 | Facility | None | $3,235.94 | $10,232.93 | $17,782.79 |
Cigna Setting Professional Modifier None Typical Low $1,778.28 Median $3,235.94 Typical High $5,248.07 | Professional | None | $1,778.28 | $3,235.94 | $5,248.07 |
Medcost Setting Facility Modifier None Typical Low $3,090.30 Median $3,090.30 Typical High $4,570.88 | Facility | None | $3,090.30 | $3,090.30 | $4,570.88 |
Medcost Setting Professional Modifier None Typical Low $3,162.28 Median $3,162.28 Typical High $6,606.93 | Professional | None | $3,162.28 | $3,162.28 | $6,606.93 |
United Setting Professional Modifier None Typical Low $1,621.81 Median $2,344.23 Typical High $3,890.45 | Professional | None | $1,621.81 | $2,344.23 | $3,890.45 |
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 $1,513.56 Median $1,548.82 Typical High $2,137.96 | Professional | 52 · Reduced service | $1,513.56 | $1,548.82 | $2,137.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $602.56 Median $616.60 Typical High $870.96 | Professional | 53 · Discontinued | $602.56 | $616.60 | $870.96 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $1,584.89 Median $1,584.89 Typical High $5,248.07 | Professional | 51 · Multiple procedures | $1,584.89 | $1,584.89 | $5,248.07 |
Where North Carolina sits
The same service costs 5.4 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· 37th of 51
$2,884
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.