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 $112.20 Median $112.20 Typical High $331.13 | Facility | None | $112.20 | $112.20 | $331.13 |
Aetna Setting Professional Modifier None Typical Low $109.65 Median $112.20 Typical High $208.93 | Professional | None | $109.65 | $112.20 | $208.93 |
BCBS North Carolina Setting Facility Modifier None Typical Low $389.05 Median $602.56 Typical High $602.56 | Facility | None | $389.05 | $602.56 | $602.56 |
BCBS North Carolina Setting Professional Modifier None Typical Low $104.71 Median $213.80 Typical High $549.54 | Professional | None | $104.71 | $213.80 | $549.54 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $309.03 Typical High $645.65 | Facility | None | $117.49 | $309.03 | $645.65 |
Cigna Setting Professional Modifier None Typical Low $66.07 Median $190.55 Typical High $338.84 | Professional | None | $66.07 | $190.55 | $338.84 |
Medcost Setting Professional Modifier None Typical Low $194.98 Median $194.98 Typical High $194.98 | Professional | None | $194.98 | $194.98 | $194.98 |
Medcost Setting Facility Modifier None Typical Low $112.20 Median $112.20 Typical High $165.96 | Facility | None | $112.20 | $112.20 | $165.96 |
Medcost Setting Professional Modifier None Typical Low $190.55 Median $257.04 Typical High $354.81 | Professional | None | $190.55 | $257.04 | $354.81 |
United Setting Professional Modifier None Typical Low $85.11 Median $131.83 Typical High $295.12 | Professional | None | $85.11 | $131.83 | $295.12 |
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 $54.95 Median $56.23 Typical High $85.11 | Professional | 52 · Reduced service | $54.95 | $56.23 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $22.39 Typical High $33.88 | Professional | 53 · Discontinued | $21.88 | $22.39 | $33.88 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $100.00 Median $128.82 Typical High $194.98 | Professional | 51 · Multiple procedures | $100.00 | $128.82 | $194.98 |
Where North Carolina sits
The same service costs 6.0 times more in Alaska than in Alabama. 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· 22nd of 51
$200
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.