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 $33.88 Median $40.74 Typical High $83.18 | Facility | None | $33.88 | $40.74 | $83.18 |
Aetna Setting Professional Modifier None Typical Low $33.88 Median $33.88 Typical High $51.29 | Professional | None | $33.88 | $33.88 | $51.29 |
Ambetter Setting Professional Modifier None Typical Low $28.84 Median $28.84 Typical High $67.61 | Professional | None | $28.84 | $28.84 | $67.61 |
BCBS North Carolina Setting Facility Modifier None Typical Low $102.33 Median $141.25 Typical High $141.25 | Facility | None | $102.33 | $141.25 | $141.25 |
BCBS North Carolina Setting Professional Modifier None Typical Low $38.90 Median $81.28 Typical High $120.23 | Professional | None | $38.90 | $81.28 | $120.23 |
Cigna Setting Facility Modifier None Typical Low $35.48 Median $93.33 Typical High $194.98 | Facility | None | $35.48 | $93.33 | $194.98 |
Cigna Setting Professional Modifier None Typical Low $19.95 Median $39.81 Typical High $83.18 | Professional | None | $19.95 | $39.81 | $83.18 |
Medcost Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | None | $60.26 | $60.26 | $60.26 |
Medcost Setting Facility Modifier None Typical Low $33.88 Median $33.88 Typical High $51.29 | Facility | None | $33.88 | $33.88 | $51.29 |
Medcost Setting Professional Modifier None Typical Low $46.77 Median $60.26 Typical High $85.11 | Professional | None | $46.77 | $60.26 | $85.11 |
United Setting Professional Modifier None Typical Low $17.78 Median $25.70 Typical High $60.26 | Professional | None | $17.78 | $25.70 | $60.26 |
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 $16.98 Median $16.98 Typical High $20.42 | Professional | 52 · Reduced service | $16.98 | $16.98 | $20.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.92 Median $6.92 Typical High $8.32 | Professional | 53 · Discontinued | $6.92 | $6.92 | $8.32 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $23.44 Median $30.20 Typical High $54.95 | Professional | 51 · Multiple procedures | $23.44 | $30.20 | $54.95 |
Where North Carolina sits
The same service costs 4.5 times more in Kansas than in Maryland. 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· 12th of 51
$60.26
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.