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 $2,570.40 Median $2,570.40 Typical High $4,677.35 | Facility | None | $2,570.40 | $2,570.40 | $4,677.35 |
Aetna Setting Professional Modifier None Typical Low $2,511.89 Median $2,570.40 Typical High $3,467.37 | Professional | None | $2,511.89 | $2,570.40 | $3,467.37 |
BCBS North Carolina Setting Facility Modifier None Typical Low $8,128.31 Median $8,511.38 Typical High $8,912.51 | Facility | None | $8,128.31 | $8,511.38 | $8,912.51 |
BCBS North Carolina Setting Professional Modifier None Typical Low $75.86 Median $2,570.40 Typical High $7,413.10 | Professional | None | $75.86 | $2,570.40 | $7,413.10 |
Cigna Setting Facility Modifier None Typical Low $2,691.53 Median $8,511.38 Typical High $14,791.08 | Facility | None | $2,691.53 | $8,511.38 | $14,791.08 |
Cigna Setting Professional Modifier None Typical Low $1,513.56 Median $2,630.27 Typical High $4,365.16 | Professional | None | $1,513.56 | $2,630.27 | $4,365.16 |
Medcost Setting Facility Modifier None Typical Low $2,570.40 Median $2,570.40 Typical High $3,890.45 | Facility | None | $2,570.40 | $2,570.40 | $3,890.45 |
Medcost Setting Professional Modifier None Typical Low $2,818.38 Median $2,818.38 Typical High $5,623.41 | Professional | None | $2,818.38 | $2,818.38 | $5,623.41 |
United Setting Professional Modifier None Typical Low $1,348.96 Median $1,949.84 Typical High $3,235.94 | Professional | None | $1,348.96 | $1,949.84 | $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 $1,258.93 Median $1,288.25 Typical High $1,737.80 | Professional | 52 · Reduced service | $1,258.93 | $1,288.25 | $1,737.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $501.19 Median $512.86 Typical High $691.83 | Professional | 53 · Discontinued | $501.19 | $512.86 | $691.83 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $1,412.54 Median $1,412.54 Typical High $4,466.84 | Professional | 51 · Multiple procedures | $1,412.54 | $1,412.54 | $4,466.84 |
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· 31st 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.