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 $34.67 Median $34.67 Typical High $104.71 | Facility | None | $34.67 | $34.67 | $104.71 |
Aetna Setting Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $52.48 | Professional | None | $34.67 | $34.67 | $52.48 |
BCBS North Carolina Setting Facility Modifier None Typical Low $97.72 Median $173.78 Typical High $173.78 | Facility | None | $97.72 | $173.78 | $173.78 |
BCBS North Carolina Setting Professional Modifier None Typical Low $25.12 Median $61.66 Typical High $158.49 | Professional | None | $25.12 | $61.66 | $158.49 |
Cigna Setting Facility Modifier None Typical Low $36.31 Median $95.50 Typical High $199.53 | Facility | None | $36.31 | $95.50 | $199.53 |
Cigna Setting Professional Modifier None Typical Low $20.42 Median $34.67 Typical High $77.62 | Professional | None | $20.42 | $34.67 | $77.62 |
Medcost Setting Professional Modifier None Typical Low $56.23 Median $56.23 Typical High $56.23 | Professional | None | $56.23 | $56.23 | $56.23 |
Medcost Setting Facility Modifier None Typical Low $34.67 Median $34.67 Typical High $52.48 | Facility | None | $34.67 | $34.67 | $52.48 |
Medcost Setting Professional Modifier None Typical Low $52.48 Median $72.44 Typical High $85.11 | Professional | None | $52.48 | $72.44 | $85.11 |
United Setting Professional Modifier None Typical Low $18.20 Median $27.54 Typical High $56.23 | Professional | None | $18.20 | $27.54 | $56.23 |
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 $17.38 Median $17.38 Typical High $20.89 | Professional | 52 · Reduced service | $17.38 | $17.38 | $20.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.92 Median $6.92 Typical High $8.32 | Professional | 53 · Discontinued | $6.92 | $6.92 | $8.32 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $28.84 Median $36.31 Typical High $60.26 | Professional | 51 · Multiple procedures | $28.84 | $36.31 | $60.26 |
Where North Carolina sits
The same service costs 3.5 times more in Alaska than in Florida. 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
$43.65
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.