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 $25.12 Median $25.12 Typical High $52.48 | Facility | None | $25.12 | $25.12 | $52.48 |
Aetna Setting Professional Modifier None Typical Low $24.55 Median $25.12 Typical High $30.20 | Professional | None | $24.55 | $25.12 | $30.20 |
BCBS North Carolina Setting Facility Modifier None Typical Low $66.07 Median $87.10 Typical High $87.10 | Facility | None | $66.07 | $87.10 | $87.10 |
BCBS North Carolina Setting Professional Modifier None Typical Low $23.44 Median $25.70 Typical High $100.00 | Professional | None | $23.44 | $25.70 | $100.00 |
Cigna Setting Facility Modifier None Typical Low $23.99 Median $69.18 Typical High $141.25 | Facility | None | $23.99 | $69.18 | $141.25 |
Cigna Setting Professional Modifier None Typical Low $13.49 Median $25.12 Typical High $47.86 | Professional | None | $13.49 | $25.12 | $47.86 |
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 $25.12 Median $25.12 Typical High $37.15 | Facility | None | $25.12 | $25.12 | $37.15 |
Medcost Setting Professional Modifier None Typical Low $28.84 Median $37.15 Typical High $54.95 | Professional | None | $28.84 | $37.15 | $54.95 |
United Setting Professional Modifier None Typical Low $13.18 Median $18.62 Typical High $31.62 | Professional | None | $13.18 | $18.62 | $31.62 |
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 $12.30 Median $12.59 Typical High $15.14 | Professional | 52 · Reduced service | $12.30 | $12.59 | $15.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.90 Median $5.01 Typical High $6.03 | Professional | 53 · Discontinued | $4.90 | $5.01 | $6.03 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $14.45 Median $18.62 Typical High $39.81 | Professional | 51 · Multiple procedures | $14.45 | $18.62 | $39.81 |
Where North Carolina sits
The same service costs 3.8 times more in Alaska than in Florida. 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
$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.