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 $16.22 Median $16.22 Typical High $52.48 | Facility | None | $16.22 | $16.22 | $52.48 |
Aetna Setting Professional Modifier None Typical Low $16.22 Median $16.22 Typical High $19.05 | Professional | None | $16.22 | $16.22 | $19.05 |
BCBS North Carolina Setting Facility Modifier None Typical Low $42.66 Median $44.67 Typical High $89.13 | Facility | None | $42.66 | $44.67 | $89.13 |
BCBS North Carolina Setting Professional Modifier None Typical Low $18.20 Median $25.70 Typical High $79.43 | Professional | None | $18.20 | $25.70 | $79.43 |
Cigna Setting Facility Modifier None Typical Low $16.60 Median $43.65 Typical High $91.20 | Facility | None | $16.60 | $43.65 | $91.20 |
Cigna Setting Professional Modifier None Typical Low $9.33 Median $18.62 Typical High $40.74 | Professional | None | $9.33 | $18.62 | $40.74 |
Medcost Setting Professional Modifier None Typical Low $28.18 Median $28.18 Typical High $28.18 | Professional | None | $28.18 | $28.18 | $28.18 |
Medcost Setting Facility Modifier None Typical Low $16.22 Median $16.22 Typical High $23.99 | Facility | None | $16.22 | $16.22 | $23.99 |
Medcost Setting Professional Modifier None Typical Low $28.84 Median $37.15 Typical High $51.29 | Professional | None | $28.84 | $37.15 | $51.29 |
United Setting Professional Modifier None Typical Low $8.51 Median $13.80 Typical High $28.18 | Professional | None | $8.51 | $13.80 | $28.18 |
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 $7.94 Median $7.94 Typical High $9.55 | Professional | 52 · Reduced service | $7.94 | $7.94 | $9.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.24 Median $3.24 Typical High $3.89 | Professional | 53 · Discontinued | $3.24 | $3.24 | $3.89 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $14.45 Median $18.62 Typical High $27.54 | Professional | 51 · Multiple procedures | $14.45 | $18.62 | $27.54 |
Where North Carolina sits
The same service costs 5.5 times more in Texas 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· 15th of 51
$25.70
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.