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 $67.61 Median $72.44 Typical High $134.90 | Facility | None | $67.61 | $72.44 | $134.90 |
Aetna Setting Professional Modifier None Typical Low $67.61 Median $67.61 Typical High $117.49 | Professional | None | $67.61 | $67.61 | $117.49 |
Ambetter Setting Professional Modifier None Typical Low $57.54 Median $57.54 Typical High $120.23 | Professional | None | $57.54 | $57.54 | $120.23 |
BCBS North Carolina Setting Facility Modifier None Typical Low $181.97 Median $190.55 Typical High $269.15 | Facility | None | $181.97 | $190.55 | $269.15 |
BCBS North Carolina Setting Professional Modifier None Typical Low $63.10 Median $64.57 Typical High $199.53 | Professional | None | $63.10 | $64.57 | $199.53 |
Cigna Setting Facility Modifier None Typical Low $70.79 Median $186.21 Typical High $389.05 | Facility | None | $70.79 | $186.21 | $389.05 |
Cigna Setting Professional Modifier None Typical Low $39.81 Median $79.43 Typical High $165.96 | Professional | None | $39.81 | $79.43 | $165.96 |
Medcost Setting Professional Modifier None Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | None | $120.23 | $120.23 | $120.23 |
Medcost Setting Facility Modifier None Typical Low $67.61 Median $67.61 Typical High $102.33 | Facility | None | $67.61 | $67.61 | $102.33 |
Medcost Setting Professional Modifier None Typical Low $75.86 Median $97.72 Typical High $169.82 | Professional | None | $75.86 | $97.72 | $169.82 |
United Setting Professional Modifier None Typical Low $35.48 Median $51.29 Typical High $112.20 | Professional | None | $35.48 | $51.29 | $112.20 |
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 $33.88 Median $33.88 Typical High $40.74 | Professional | 52 · Reduced service | $33.88 | $33.88 | $40.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $13.49 Typical High $16.22 | Professional | 53 · Discontinued | $13.49 | $13.49 | $16.22 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $38.02 Median $48.98 Typical High $109.65 | Professional | 51 · Multiple procedures | $38.02 | $48.98 | $109.65 |
Where North Carolina sits
The same service costs 3.0 times more in Alaska than in New Jersey. 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· 47th of 51
$67.61
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.