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 $12.88 Median $12.88 Typical High $27.54 | Facility | None | $12.88 | $12.88 | $27.54 |
Aetna Setting Professional Modifier None Typical Low $12.02 Median $12.88 Typical High $17.38 | Professional | None | $12.02 | $12.88 | $17.38 |
BCBS North Carolina Setting Facility Modifier None Typical Low $33.11 Median $39.81 Typical High $56.23 | Facility | None | $33.11 | $39.81 | $56.23 |
BCBS North Carolina Setting Professional Modifier None Typical Low $9.55 Median $14.79 Typical High $38.90 | Professional | None | $9.55 | $14.79 | $38.90 |
Cigna Setting Facility Modifier None Typical Low $13.80 Median $39.81 Typical High $83.18 | Facility | None | $13.80 | $39.81 | $83.18 |
Cigna Setting Professional Modifier None Typical Low $6.92 Median $14.13 Typical High $25.70 | Professional | None | $6.92 | $14.13 | $25.70 |
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 $12.88 Median $12.88 Typical High $21.88 | Facility | None | $12.88 | $12.88 | $21.88 |
Medcost Setting Professional Modifier None Typical Low $15.14 Median $19.95 Typical High $20.89 | Professional | None | $15.14 | $19.95 | $20.89 |
United Setting Professional Modifier None Typical Low $8.91 Median $13.49 Typical High $25.70 | Professional | None | $8.91 | $13.49 | $25.70 |
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 $6.03 Median $6.31 Typical High $8.32 | Professional | 52 · Reduced service | $6.03 | $6.31 | $8.32 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.40 Median $2.51 Typical High $3.31 | Professional | 53 · Discontinued | $2.40 | $2.51 | $3.31 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $7.59 Median $10.00 Typical High $14.79 | Professional | 51 · Multiple procedures | $7.59 | $10.00 | $14.79 |
Where North Carolina sits
The same service costs 5.0 times more in Alaska than in New Jersey. 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· 40th of 51
$15.14
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.