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 $16.60 Median $40.74 Typical High $40.74 | Facility | None | $16.60 | $40.74 | $40.74 |
Aetna Setting Professional Modifier None Typical Low $33.88 Median $40.74 Typical High $48.98 | Professional | None | $33.88 | $40.74 | $48.98 |
BCBS North Carolina Setting Facility Modifier None Typical Low $45.71 Median $45.71 Typical High $144.54 | Facility | None | $45.71 | $45.71 | $144.54 |
BCBS North Carolina Setting Professional Modifier None Typical Low $13.18 Median $45.71 Typical High $162.18 | Professional | None | $13.18 | $45.71 | $162.18 |
Cigna Setting Facility Modifier None Typical Low $38.02 Median $109.65 Typical High $229.09 | Facility | None | $38.02 | $109.65 | $229.09 |
Cigna Setting Professional Modifier None Typical Low $7.59 Median $22.91 Typical High $47.86 | Professional | None | $7.59 | $22.91 | $47.86 |
Medcost Setting Professional Modifier None Typical Low $14.79 Median $14.79 Typical High $15.85 | Professional | None | $14.79 | $14.79 | $15.85 |
Medcost Setting Facility Modifier None Typical Low $40.74 Median $40.74 Typical High $60.26 | Facility | None | $40.74 | $40.74 | $60.26 |
Medcost Setting Professional Modifier None Typical Low $15.14 Median $19.95 Typical High $60.26 | Professional | None | $15.14 | $19.95 | $60.26 |
United Setting Professional Modifier None Typical Low $9.12 Median $30.20 Typical High $85.11 | Professional | None | $9.12 | $30.20 | $85.11 |
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 $16.98 Median $20.42 Typical High $24.55 | Professional | 52 · Reduced service | $16.98 | $20.42 | $24.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.76 Median $8.13 Typical High $9.77 | Professional | 53 · Discontinued | $6.76 | $8.13 | $9.77 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $7.59 Median $10.00 Typical High $42.66 | Professional | 51 · Multiple procedures | $7.59 | $10.00 | $42.66 |
Where North Carolina sits
The same service costs 10.2 times more in Alaska than in Kentucky. 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· 35th of 51
$38.90
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.