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 $2,511.89 Median $2,511.89 Typical High $5,248.07 | Facility | None | $2,511.89 | $2,511.89 | $5,248.07 |
Aetna Setting Professional Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $3,715.35 | Professional | None | $2,511.89 | $2,511.89 | $3,715.35 |
BCBS North Carolina Setting Facility Modifier None Typical Low $6,918.31 Median $9,549.93 Typical High $9,772.37 | Facility | None | $6,918.31 | $9,549.93 | $9,772.37 |
BCBS North Carolina Setting Professional Modifier None Typical Low $75.86 Median $2,630.27 Typical High $4,786.30 | Professional | None | $75.86 | $2,630.27 | $4,786.30 |
Cigna Setting Facility Modifier None Typical Low $2,570.40 Median $8,128.31 Typical High $14,125.38 | Facility | None | $2,570.40 | $8,128.31 | $14,125.38 |
Cigna Setting Professional Modifier None Typical Low $1,445.44 Median $2,884.03 Typical High $4,168.69 | Professional | None | $1,445.44 | $2,884.03 | $4,168.69 |
Medcost Setting Facility Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $3,715.35 | Facility | None | $2,511.89 | $2,511.89 | $3,715.35 |
Medcost Setting Professional Modifier None Typical Low $3,090.30 Median $3,090.30 Typical High $5,370.32 | Professional | None | $3,090.30 | $3,090.30 | $5,370.32 |
United Setting Professional Modifier None Typical Low $1,318.26 Median $1,862.09 Typical High $3,235.94 | Professional | None | $1,318.26 | $1,862.09 | $3,235.94 |
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 $1,202.26 Median $1,258.93 Typical High $1,862.09 | Professional | 52 · Reduced service | $1,202.26 | $1,258.93 | $1,862.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $489.78 Median $501.19 Typical High $741.31 | Professional | 53 · Discontinued | $489.78 | $501.19 | $741.31 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $1,548.82 Median $1,548.82 Typical High $4,265.80 | Professional | 51 · Multiple procedures | $1,548.82 | $1,548.82 | $4,265.80 |
Where North Carolina sits
The same service costs 6.0 times more in Texas 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· 30th of 51
$2,630
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.