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 $21.88 Typical High $27.54 | Facility | None | $16.60 | $21.88 | $27.54 |
Aetna Setting Professional Modifier None Typical Low $18.20 Median $21.88 Typical High $26.30 | Professional | None | $18.20 | $21.88 | $26.30 |
BCBS North Carolina Setting Facility Modifier None Typical Low $33.11 Median $46.77 Typical High $87.10 | Facility | None | $33.11 | $46.77 | $87.10 |
BCBS North Carolina Setting Professional Modifier None Typical Low $9.55 Median $13.80 Typical High $44.67 | Professional | None | $9.55 | $13.80 | $44.67 |
Cigna Setting Facility Modifier None Typical Low $20.89 Median $60.26 Typical High $125.89 | Facility | None | $20.89 | $60.26 | $125.89 |
Cigna Setting Professional Modifier None Typical Low $7.24 Median $15.14 Typical High $37.15 | Professional | None | $7.24 | $15.14 | $37.15 |
Medcost Setting Professional Modifier None Typical Low $14.79 Median $14.79 Typical High $14.79 | Professional | None | $14.79 | $14.79 | $14.79 |
Medcost Setting Facility Modifier None Typical Low $21.88 Median $21.88 Typical High $33.11 | Facility | None | $21.88 | $21.88 | $33.11 |
Medcost Setting Professional Modifier None Typical Low $14.13 Median $19.05 Typical High $33.11 | Professional | None | $14.13 | $19.05 | $33.11 |
United Setting Professional Modifier None Typical Low $9.12 Median $16.60 Typical High $46.77 | Professional | None | $9.12 | $16.60 | $46.77 |
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 $9.12 Median $10.96 Typical High $13.18 | Professional | 52 · Reduced service | $9.12 | $10.96 | $13.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.72 Median $4.47 Typical High $5.37 | Professional | 53 · Discontinued | $3.72 | $4.47 | $5.37 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $7.59 Median $9.55 Typical High $23.44 | Professional | 51 · Multiple procedures | $7.59 | $9.55 | $23.44 |
Where North Carolina sits
The same service costs 9.5 times more in Texas 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· 47th of 51
$19.05
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.