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 $10.47 Median $10.47 Typical High $26.30 | Facility | None | $10.47 | $10.47 | $26.30 |
Aetna Setting Professional Modifier None Typical Low $10.47 Median $10.47 Typical High $13.18 | Professional | None | $10.47 | $10.47 | $13.18 |
BCBS North Carolina Setting Facility Modifier None Typical Low $28.84 Median $34.67 Typical High $36.31 | Facility | None | $28.84 | $34.67 | $36.31 |
BCBS North Carolina Setting Professional Modifier None Typical Low $9.55 Median $11.22 Typical High $16.60 | Professional | None | $9.55 | $11.22 | $16.60 |
Cigna Setting Facility Modifier None Typical Low $10.72 Median $28.18 Typical High $58.88 | Facility | None | $10.72 | $28.18 | $58.88 |
Cigna Setting Professional Modifier None Typical Low $6.17 Median $12.88 Typical High $24.55 | Professional | None | $6.17 | $12.88 | $24.55 |
Medcost Setting Professional Modifier None Typical Low $14.13 Median $14.13 Typical High $14.13 | Professional | None | $14.13 | $14.13 | $14.13 |
Medcost Setting Facility Modifier None Typical Low $10.47 Median $10.47 Typical High $15.49 | Facility | None | $10.47 | $10.47 | $15.49 |
Medcost Setting Professional Modifier None Typical Low $11.75 Median $15.14 Typical High $26.30 | Professional | None | $11.75 | $15.14 | $26.30 |
United Setting Professional Modifier None Typical Low $6.76 Median $7.76 Typical High $20.42 | Professional | None | $6.76 | $7.76 | $20.42 |
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 $5.25 Median $5.25 Typical High $6.46 | Professional | 52 · Reduced service | $5.25 | $5.25 | $6.46 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.09 Median $2.09 Typical High $2.57 | Professional | 53 · Discontinued | $2.09 | $2.09 | $2.57 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $5.89 Median $7.59 Typical High $17.78 | Professional | 51 · Multiple procedures | $5.89 | $7.59 | $17.78 |
Where North Carolina sits
The same service costs 3.2 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· 43rd of 51
$11.22
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.