How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $331.13 Median $331.13 Typical High $588.84 | Facility | None | $331.13 | $331.13 | $588.84 |
Aetna Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $501.19 | Professional | None | $331.13 | $331.13 | $501.19 |
Ambetter Setting Professional Modifier None Typical Low $588.84 Median $588.84 Typical High $588.84 | Professional | None | $588.84 | $588.84 | $588.84 |
BCBS North Carolina Setting Facility Modifier None Typical Low $891.25 Median $1,148.15 Typical High $1,148.15 | Facility | None | $891.25 | $1,148.15 | $1,148.15 |
BCBS North Carolina Setting Professional Modifier None Typical Low $257.04 Median $416.87 Typical High $1,621.81 | Professional | None | $257.04 | $416.87 | $1,621.81 |
Cigna Setting Facility Modifier None Typical Low $346.74 Median $912.01 Typical High $1,905.46 | Facility | None | $346.74 | $912.01 | $1,905.46 |
Cigna Setting Professional Modifier None Typical Low $194.98 Median $323.59 Typical High $851.14 | Professional | None | $194.98 | $323.59 | $851.14 |
Medcost Setting Facility Modifier None Typical Low $331.13 Median $331.13 Typical High $501.19 | Facility | None | $331.13 | $331.13 | $501.19 |
Medcost Setting Professional Modifier None Typical Low $275.42 Median $275.42 Typical High $724.44 | Professional | None | $275.42 | $275.42 | $724.44 |
United Setting Professional Modifier None Typical Low $138.04 Median $251.19 Typical High $426.58 | Professional | None | $138.04 | $251.19 | $426.58 |
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 $165.96 Median $165.96 Typical High $199.53 | Professional | 52 · Reduced service | $165.96 | $165.96 | $199.53 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $66.07 Typical High $79.43 | Professional | 53 · Discontinued | $66.07 | $66.07 | $79.43 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $138.04 Median $138.04 Typical High $575.44 | Professional | 51 · Multiple procedures | $138.04 | $138.04 | $575.44 |
Where North Carolina sits
The same service costs 5.4 times more in Alaska 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· 35th of 51
$372
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.