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 $28.18 Median $28.84 Typical High $52.48 | Facility | None | $28.18 | $28.84 | $52.48 |
Aetna Setting Professional Modifier None Typical Low $28.18 Median $28.18 Typical High $52.48 | Professional | None | $28.18 | $28.18 | $52.48 |
Ambetter Setting Professional Modifier None Typical Low $16.60 Median $17.38 Typical High $67.61 | Professional | None | $16.60 | $17.38 | $67.61 |
BCBS North Carolina Setting Facility Modifier None Typical Low $93.33 Median $102.33 Typical High $104.71 | Facility | None | $93.33 | $102.33 | $104.71 |
BCBS North Carolina Setting Professional Modifier None Typical Low $26.30 Median $41.69 Typical High $138.04 | Professional | None | $26.30 | $41.69 | $138.04 |
Cigna Setting Facility Modifier None Typical Low $28.84 Median $75.86 Typical High $158.49 | Facility | None | $28.84 | $75.86 | $158.49 |
Cigna Setting Professional Modifier None Typical Low $16.22 Median $26.92 Typical High $67.61 | Professional | None | $16.22 | $26.92 | $67.61 |
Medcost Setting Facility Modifier None Typical Low $28.18 Median $28.18 Typical High $41.69 | Facility | None | $28.18 | $28.18 | $41.69 |
Medcost Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $61.66 | Professional | None | $33.11 | $33.11 | $61.66 |
United Setting Professional Modifier None Typical Low $14.79 Median $20.89 Typical High $47.86 | Professional | None | $14.79 | $20.89 | $47.86 |
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 $14.13 Median $14.13 Typical High $16.60 | Professional | 52 · Reduced service | $14.13 | $14.13 | $16.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.62 Median $5.62 Typical High $6.61 | Professional | 53 · Discontinued | $5.62 | $5.62 | $6.61 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $16.60 Median $16.60 Typical High $47.86 | Professional | 51 · Multiple procedures | $16.60 | $16.60 | $47.86 |
Where North Carolina sits
The same service costs 3.3 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· 40th of 51
$33.11
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.