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 $22.91 | Professional | None | $19.95 | $21.88 | $22.91 |
BCBS North Carolina Setting Facility Modifier None Typical Low $72.44 Median $72.44 Typical High $72.44 | Facility | None | $72.44 | $72.44 | $72.44 |
BCBS North Carolina Setting Professional Modifier None Typical Low $11.75 Median $15.14 Typical High $34.67 | Professional | None | $11.75 | $15.14 | $34.67 |
Cigna Setting Facility Modifier None Typical Low $3.89 Median $11.22 Typical High $44.67 | Facility | None | $3.89 | $11.22 | $44.67 |
Cigna Setting Professional Modifier None Typical Low $7.94 Median $13.80 Typical High $29.51 | Professional | None | $7.94 | $13.80 | $29.51 |
Medcost Setting Facility Modifier None Typical Low $21.88 Median $25.70 Typical High $34.67 | Facility | None | $21.88 | $25.70 | $34.67 |
Medcost Setting Professional Modifier None Typical Low $14.13 Median $20.42 Typical High $26.92 | Professional | None | $14.13 | $20.42 | $26.92 |
United Setting Professional Modifier None Typical Low $7.59 Median $11.75 Typical High $18.62 | Professional | None | $7.59 | $11.75 | $18.62 |
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 $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 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $7.08 Median $10.23 Typical High $10.23 | Professional | 51 · Multiple procedures | $7.08 | $10.23 | $10.23 |
Where North Carolina sits
The same service costs 9.3 times more in Alaska than in New Jersey. 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· 37th 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.