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 $123.03 Median $204.17 Typical High $676.08 | Facility | None | $123.03 | $204.17 | $676.08 |
Aetna Setting Professional Modifier None Typical Low $199.53 Median $204.17 Typical High $245.47 | Professional | None | $199.53 | $204.17 | $245.47 |
BCBS North Carolina Setting Facility Modifier None Typical Low $575.44 Median $676.08 Typical High $812.83 | Facility | None | $575.44 | $676.08 | $812.83 |
BCBS North Carolina Setting Professional Modifier None Typical Low $87.10 Median $147.91 Typical High $588.84 | Professional | None | $87.10 | $147.91 | $588.84 |
Cigna Setting Facility Modifier None Typical Low $213.80 Median $562.34 Typical High $1,174.90 | Facility | None | $213.80 | $562.34 | $1,174.90 |
Cigna Setting Professional Modifier None Typical Low $120.23 Median $234.42 Typical High $501.19 | Professional | None | $120.23 | $234.42 | $501.19 |
Medcost Setting Professional Modifier None Typical Low $363.08 Median $363.08 Typical High $363.08 | Professional | None | $363.08 | $363.08 | $363.08 |
Medcost Setting Facility Modifier None Typical Low $204.17 Median $204.17 Typical High $309.03 | Facility | None | $204.17 | $204.17 | $309.03 |
Medcost Setting Professional Modifier None Typical Low $112.20 Median $141.25 Typical High $467.74 | Professional | None | $112.20 | $141.25 | $467.74 |
United Setting Professional Modifier None Typical Low $54.95 Median $144.54 Typical High $257.04 | Professional | None | $54.95 | $144.54 | $257.04 |
4 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 $102.33 Median $102.33 Typical High $123.03 | Professional | 52 · Reduced service | $102.33 | $102.33 | $123.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $40.74 Typical High $48.98 | Professional | 53 · Discontinued | $40.74 | $40.74 | $48.98 |
Ambetter Setting Professional Modifier 90 · Outside lab Typical Low $323.59 Median $323.59 Typical High $323.59 | Professional | 90 · Outside lab | $323.59 | $323.59 | $323.59 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $56.23 Median $70.79 Typical High $354.81 | Professional | 51 · Multiple procedures | $56.23 | $70.79 | $354.81 |
Where North Carolina sits
The same service costs 3.7 times more in Alaska than in Georgia. 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· 48th of 51
$166
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.