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 $40.74 Median $40.74 Typical High $40.74 | Facility | None | $40.74 | $40.74 | $40.74 |
Aetna Setting Professional Modifier None Typical Low $40.74 Median $40.74 Typical High $48.98 | Professional | None | $40.74 | $40.74 | $48.98 |
Ambetter Setting Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | None | $34.67 | $34.67 | $34.67 |
BCBS North Carolina Setting Facility Modifier None Typical Low $107.15 Median $123.03 Typical High $125.89 | Facility | None | $107.15 | $123.03 | $125.89 |
BCBS North Carolina Setting Professional Modifier None Typical Low $26.30 Median $38.90 Typical High $107.15 | Professional | None | $26.30 | $38.90 | $107.15 |
Cigna Setting Facility Modifier None Typical Low $42.66 Median $112.20 Typical High $234.42 | Facility | None | $42.66 | $112.20 | $234.42 |
Cigna Setting Professional Modifier None Typical Low $23.99 Median $42.66 Typical High $104.71 | Professional | None | $23.99 | $42.66 | $104.71 |
Medcost Setting Professional Modifier None Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | None | $72.44 | $72.44 | $72.44 |
Medcost Setting Facility Modifier None Typical Low $40.74 Median $40.74 Typical High $61.66 | Facility | None | $40.74 | $40.74 | $61.66 |
Medcost Setting Professional Modifier None Typical Low $40.74 Median $40.74 Typical High $89.13 | Professional | None | $40.74 | $40.74 | $89.13 |
United Setting Professional Modifier None Typical Low $19.95 Median $30.90 Typical High $60.26 | Professional | None | $19.95 | $30.90 | $60.26 |
1 more rate 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 |
|---|---|---|---|---|---|
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $19.95 Median $19.95 Typical High $70.79 | Professional | 51 · Multiple procedures | $19.95 | $19.95 | $70.79 |
Where North Carolina sits
The same service costs 4.4 times more in Kansas than in Delaware. 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· 42nd of 51
$40.74
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.