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 $21.38 Median $21.38 Typical High $52.48 | Facility | None | $21.38 | $21.38 | $52.48 |
Aetna Setting Professional Modifier None Typical Low $20.89 Median $21.38 Typical High $26.30 | Professional | None | $20.89 | $21.38 | $26.30 |
BCBS North Carolina Setting Facility Modifier None Typical Low $60.26 Median $87.10 Typical High $87.10 | Facility | None | $60.26 | $87.10 | $87.10 |
BCBS North Carolina Setting Professional Modifier None Typical Low $23.99 Median $25.12 Typical High $74.13 | Professional | None | $23.99 | $25.12 | $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 $21.38 Median $21.38 Typical High $32.36 | Facility | None | $21.38 | $21.38 | $32.36 |
Medcost Setting Professional Modifier None Typical Low $28.84 Median $37.15 Typical High $53.70 | Professional | None | $28.84 | $37.15 | $53.70 |
United Setting Professional Modifier None Typical Low $11.22 Median $16.22 Typical High $28.18 | Professional | None | $11.22 | $16.22 | $28.18 |
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 $10.47 Median $10.72 Typical High $12.88 | Professional | 52 · Reduced service | $10.47 | $10.72 | $12.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.17 Median $4.27 Typical High $5.13 | Professional | 53 · Discontinued | $4.17 | $4.27 | $5.13 |
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 5.1 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· 29th of 51
$25.12
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.