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 $9.77 Median $9.77 Typical High $31.62 | Facility | None | $9.77 | $9.77 | $31.62 |
Aetna Setting Professional Modifier None Typical Low $9.33 Median $9.77 Typical High $10.23 | Professional | None | $9.33 | $9.77 | $10.23 |
BCBS North Carolina Setting Facility Modifier None Typical Low $33.11 Median $52.48 Typical High $52.48 | Facility | None | $33.11 | $52.48 | $52.48 |
BCBS North Carolina Setting Professional Modifier None Typical Low $7.24 Median $10.96 Typical High $18.62 | Professional | None | $7.24 | $10.96 | $18.62 |
Cigna Setting Facility Modifier None Typical Low $10.00 Median $26.30 Typical High $54.95 | Facility | None | $10.00 | $26.30 | $54.95 |
Cigna Setting Professional Modifier None Typical Low $5.62 Median $8.13 Typical High $17.38 | Professional | None | $5.62 | $8.13 | $17.38 |
Medcost Setting Professional Modifier None Typical Low $16.98 Median $16.98 Typical High $16.98 | Professional | None | $16.98 | $16.98 | $16.98 |
Medcost Setting Facility Modifier None Typical Low $11.75 Median $25.70 Typical High $25.70 | Facility | None | $11.75 | $25.70 | $25.70 |
Medcost Setting Professional Modifier None Typical Low $6.76 Median $17.38 Typical High $22.91 | Professional | None | $6.76 | $17.38 | $22.91 |
United Setting Professional Modifier None Typical Low $5.13 Median $8.32 Typical High $11.48 | Professional | None | $5.13 | $8.32 | $11.48 |
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 $4.68 Median $4.79 Typical High $5.13 | Professional | 52 · Reduced service | $4.68 | $4.79 | $5.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.91 Median $1.95 Typical High $2.04 | Professional | 53 · Discontinued | $1.91 | $1.95 | $2.04 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $3.39 Median $10.96 Typical High $13.80 | Professional | 51 · Multiple procedures | $3.39 | $10.96 | $13.80 |
Where North Carolina sits
The same service costs 4.0 times more in Alaska than in Texas. 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· 21st of 51
$10.96
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.