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 $19.05 Median $19.05 Typical High $19.05 | Facility | None | $19.05 | $19.05 | $19.05 |
Aetna Setting Professional Modifier None Typical Low $17.78 Median $19.05 Typical High $20.42 | Professional | None | $17.78 | $19.05 | $20.42 |
BCBS North Carolina Setting Facility Modifier None Typical Low $51.29 Median $51.29 Typical High $51.29 | Facility | None | $51.29 | $51.29 | $51.29 |
BCBS North Carolina Setting Professional Modifier None Typical Low $12.02 Median $14.13 Typical High $14.13 | Professional | None | $12.02 | $14.13 | $14.13 |
Cigna Setting Facility Modifier None Typical Low $3.39 Median $11.22 Typical High $39.81 | Facility | None | $3.39 | $11.22 | $39.81 |
Cigna Setting Professional Modifier None Typical Low $7.59 Median $12.30 Typical High $27.54 | Professional | None | $7.59 | $12.30 | $27.54 |
Medcost Setting Facility Modifier None Typical Low $19.05 Median $22.91 Typical High $33.88 | Facility | None | $19.05 | $22.91 | $33.88 |
Medcost Setting Professional Modifier None Typical Low $4.79 Median $14.13 Typical High $23.99 | Professional | None | $4.79 | $14.13 | $23.99 |
United Setting Professional Modifier None Typical Low $7.59 Median $10.47 Typical High $16.60 | Professional | None | $7.59 | $10.47 | $16.60 |
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 $8.91 Median $9.55 Typical High $10.23 | Professional | 52 · Reduced service | $8.91 | $9.55 | $10.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.55 Median $3.89 Typical High $4.07 | Professional | 53 · Discontinued | $3.55 | $3.89 | $4.07 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $2.40 Median $7.08 Typical High $10.23 | Professional | 51 · Multiple procedures | $2.40 | $7.08 | $10.23 |
Where North Carolina sits
The same service costs 14.8 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· 35th of 51
$14.13
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.