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 $2,290.87 Median $2,290.87 Typical High $3,548.13 | Facility | None | $2,290.87 | $2,290.87 | $3,548.13 |
Aetna Setting Professional Modifier None Typical Low $2,238.72 Median $2,290.87 Typical High $3,311.31 | Professional | None | $2,238.72 | $2,290.87 | $3,311.31 |
BCBS North Carolina Setting Facility Modifier None Typical Low $5,754.40 Median $6,456.54 Typical High $9,120.11 | Facility | None | $5,754.40 | $6,456.54 | $9,120.11 |
BCBS North Carolina Setting Professional Modifier None Typical Low $75.86 Median $1,819.70 Typical High $4,073.80 | Professional | None | $75.86 | $1,819.70 | $4,073.80 |
Cigna Setting Facility Modifier None Typical Low $2,398.83 Median $7,585.78 Typical High $13,182.57 | Facility | None | $2,398.83 | $7,585.78 | $13,182.57 |
Cigna Setting Professional Modifier None Typical Low $1,318.26 Median $2,041.74 Typical High $3,890.45 | Professional | None | $1,318.26 | $2,041.74 | $3,890.45 |
Medcost Setting Facility Modifier None Typical Low $2,290.87 Median $2,290.87 Typical High $3,388.44 | Facility | None | $2,290.87 | $2,290.87 | $3,388.44 |
Medcost Setting Professional Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $4,897.79 | Professional | None | $2,137.96 | $2,137.96 | $4,897.79 |
United Setting Professional Modifier None Typical Low $1,071.52 Median $1,737.80 Typical High $2,884.03 | Professional | None | $1,071.52 | $1,737.80 | $2,884.03 |
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 $1,122.02 Median $1,148.15 Typical High $1,659.59 | Professional | 52 · Reduced service | $1,122.02 | $1,148.15 | $1,659.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $446.68 Median $457.09 Typical High $660.69 | Professional | 53 · Discontinued | $446.68 | $457.09 | $660.69 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $1,071.52 Median $1,071.52 Typical High $3,890.45 | Professional | 51 · Multiple procedures | $1,071.52 | $1,071.52 | $3,890.45 |
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· 42nd of 51
$1,820
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.