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 $21.88 Median $21.88 Typical High $52.48 | Facility | None | $21.88 | $21.88 | $52.48 |
Aetna Setting Professional Modifier None Typical Low $21.38 Median $21.88 Typical High $26.30 | Professional | None | $21.38 | $21.88 | $26.30 |
BCBS North Carolina Setting Facility Modifier None Typical Low $57.54 Median $60.26 Typical High $89.13 | Facility | None | $57.54 | $60.26 | $89.13 |
BCBS North Carolina Setting Professional Modifier None Typical Low $23.44 Median $24.55 Typical High $74.13 | Professional | None | $23.44 | $24.55 | $74.13 |
Cigna Setting Facility Modifier None Typical Low $21.38 Median $58.88 Typical High $123.03 | Facility | None | $21.38 | $58.88 | $123.03 |
Cigna Setting Professional Modifier None Typical Low $12.59 Median $25.12 Typical High $41.69 | Professional | None | $12.59 | $25.12 | $41.69 |
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 $21.88 Median $21.88 Typical High $32.36 | Facility | None | $21.88 | $21.88 | $32.36 |
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 $11.48 Median $16.22 Typical High $28.84 | Professional | None | $11.48 | $16.22 | $28.84 |
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 $10.72 Median $10.96 Typical High $13.18 | Professional | 52 · Reduced service | $10.72 | $10.96 | $13.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.27 Median $4.37 Typical High $5.25 | Professional | 53 · Discontinued | $4.27 | $4.37 | $5.25 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $14.45 Median $18.62 Typical High $34.67 | Professional | 51 · Multiple procedures | $14.45 | $18.62 | $34.67 |
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· 31st of 51
$24.55
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.