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 $21.88 Median $21.88 Typical High $21.88 | Facility | None | $21.88 | $21.88 | $21.88 |
Aetna Setting Professional Modifier None Typical Low $19.95 Median $21.88 Typical High $22.39 | Professional | None | $19.95 | $21.88 | $22.39 |
BCBS North Carolina Setting Facility Modifier None Typical Low $57.54 Median $57.54 Typical High $57.54 | Facility | None | $57.54 | $57.54 | $57.54 |
BCBS North Carolina Setting Professional Modifier None Typical Low $13.80 Median $13.80 Typical High $19.50 | Professional | None | $13.80 | $13.80 | $19.50 |
Cigna Setting Facility Modifier None Typical Low $3.89 Median $15.85 Typical High $44.67 | Facility | None | $3.89 | $15.85 | $44.67 |
Cigna Setting Professional Modifier None Typical Low $9.77 Median $14.13 Typical High $30.90 | Professional | None | $9.77 | $14.13 | $30.90 |
Medcost Setting Facility Modifier None Typical Low $21.88 Median $26.30 Typical High $47.86 | Facility | None | $21.88 | $26.30 | $47.86 |
Medcost Setting Professional Modifier None Typical Low $5.50 Median $19.50 Typical High $29.51 | Professional | None | $5.50 | $19.50 | $29.51 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $2.75 Median $9.77 Typical High $14.45 | Professional | 51 · Multiple procedures | $2.75 | $9.77 | $14.45 |
United Setting Professional Modifier None Typical Low $10.47 Median $13.18 Typical High $19.05 | Professional | None | $10.47 | $13.18 | $19.05 |
2 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 $10.00 Median $10.96 Typical High $11.48 | Professional | 52 · Reduced service | $10.00 | $10.96 | $11.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.07 Median $4.37 Typical High $4.57 | Professional | 53 · Discontinued | $4.07 | $4.37 | $4.57 |
Where North Carolina sits
The same service costs 8.9 times more in Alaska than in Kentucky. 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· 41st of 51
$15.14
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.