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 $102.33 Median $102.33 Typical High $144.54 | Facility | None | $102.33 | $102.33 | $144.54 |
Aetna Setting Professional Modifier None Typical Low $100.00 Median $102.33 Typical High $123.03 | Professional | None | $100.00 | $102.33 | $123.03 |
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 $288.40 Median $407.38 Typical High $407.38 | Facility | None | $288.40 | $407.38 | $407.38 |
BCBS North Carolina Setting Professional Modifier None Typical Low $83.18 Median $95.50 Typical High $295.12 | Professional | None | $83.18 | $95.50 | $295.12 |
Cigna Setting Facility Modifier None Typical Low $107.15 Median $281.84 Typical High $588.84 | Facility | None | $107.15 | $281.84 | $588.84 |
Cigna Setting Professional Modifier None Typical Low $60.26 Median $100.00 Typical High $257.04 | Professional | None | $60.26 | $100.00 | $257.04 |
Medcost Setting Facility Modifier None Typical Low $102.33 Median $102.33 Typical High $151.36 | Facility | None | $102.33 | $102.33 | $151.36 |
Medcost Setting Professional Modifier None Typical Low $97.72 Median $97.72 Typical High $218.78 | Professional | None | $97.72 | $97.72 | $218.78 |
United Setting Professional Modifier None Typical Low $48.98 Median $77.62 Typical High $144.54 | Professional | None | $48.98 | $77.62 | $144.54 |
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 $51.29 Median $51.29 Typical High $60.26 | Professional | 52 · Reduced service | $51.29 | $51.29 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $20.42 Typical High $24.55 | Professional | 53 · Discontinued | $20.42 | $20.42 | $24.55 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $48.98 Median $48.98 Typical High $177.83 | Professional | 51 · Multiple procedures | $48.98 | $48.98 | $177.83 |
Where North Carolina sits
The same service costs 3.3 times more in Alaska 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· 46th of 51
$97.72
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.