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 $16.22 Median $19.50 Typical High $52.48 | Facility | None | $16.22 | $19.50 | $52.48 |
Aetna Setting Professional Modifier None Typical Low $15.85 Median $18.20 Typical High $32.36 | Professional | None | $15.85 | $18.20 | $32.36 |
Ambetter Setting Professional Modifier None Typical Low $10.23 Median $10.23 Typical High $28.84 | Professional | None | $10.23 | $10.23 | $28.84 |
BCBS North Carolina Setting Facility Modifier None Typical Low $44.67 Median $87.10 Typical High $87.10 | Facility | None | $44.67 | $87.10 | $87.10 |
BCBS North Carolina Setting Professional Modifier None Typical Low $18.20 Median $30.90 Typical High $79.43 | Professional | None | $18.20 | $30.90 | $79.43 |
Cigna Setting Facility Modifier None Typical Low $16.60 Median $44.67 Typical High $91.20 | Facility | None | $16.60 | $44.67 | $91.20 |
Cigna Setting Professional Modifier None Typical Low $9.55 Median $27.54 Typical High $48.98 | Professional | None | $9.55 | $27.54 | $48.98 |
Medcost Setting Professional Modifier None Typical Low $27.54 Median $27.54 Typical High $28.18 | Professional | None | $27.54 | $27.54 | $28.18 |
Medcost Setting Facility Modifier None Typical Low $16.22 Median $16.22 Typical High $23.99 | Facility | None | $16.22 | $16.22 | $23.99 |
Medcost Setting Professional Modifier None Typical Low $28.84 Median $39.81 Typical High $48.98 | Professional | None | $28.84 | $39.81 | $48.98 |
United Setting Professional Modifier None Typical Low $12.02 Median $20.42 Typical High $45.71 | Professional | None | $12.02 | $20.42 | $45.71 |
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 $7.94 Median $8.13 Typical High $12.30 | Professional | 52 · Reduced service | $7.94 | $8.13 | $12.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.16 Median $3.24 Typical High $4.90 | Professional | 53 · Discontinued | $3.16 | $3.24 | $4.90 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $14.45 Median $19.95 Typical High $28.18 | Professional | 51 · Multiple procedures | $14.45 | $19.95 | $28.18 |
Where North Carolina sits
The same service costs 4.6 times more in Vermont than in Illinois. 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· 23rd of 51
$28.84
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.