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 $33.11 Median $33.11 Typical High $109.65 | Facility | None | $33.11 | $33.11 | $109.65 |
Aetna Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $39.81 | Professional | None | $33.11 | $33.11 | $39.81 |
BCBS North Carolina Setting Facility Modifier None Typical Low $93.33 Median $109.65 Typical High $144.54 | Facility | None | $93.33 | $109.65 | $144.54 |
BCBS North Carolina Setting Professional Modifier None Typical Low $37.15 Median $42.66 Typical High $120.23 | Professional | None | $37.15 | $42.66 | $120.23 |
Cigna Setting Facility Modifier None Typical Low $34.67 Median $91.20 Typical High $190.55 | Facility | None | $34.67 | $91.20 | $190.55 |
Cigna Setting Professional Modifier None Typical Low $19.50 Median $38.90 Typical High $81.28 | Professional | None | $19.50 | $38.90 | $81.28 |
Medcost Setting Professional Modifier None Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | None | $58.88 | $58.88 | $58.88 |
Medcost Setting Facility Modifier None Typical Low $33.11 Median $33.11 Typical High $50.12 | Facility | None | $33.11 | $33.11 | $50.12 |
Medcost Setting Professional Modifier None Typical Low $46.77 Median $60.26 Typical High $83.18 | Professional | None | $46.77 | $60.26 | $83.18 |
United Setting Professional Modifier None Typical Low $17.38 Median $25.12 Typical High $58.88 | Professional | None | $17.38 | $25.12 | $58.88 |
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 $16.60 Median $16.60 Typical High $19.95 | Professional | 52 · Reduced service | $16.60 | $16.60 | $19.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.61 Median $6.61 Typical High $7.94 | Professional | 53 · Discontinued | $6.61 | $6.61 | $7.94 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $23.44 Median $30.20 Typical High $53.70 | Professional | 51 · Multiple procedures | $23.44 | $30.20 | $53.70 |
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· 27th of 51
$42.66
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.