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 $9.77 Median $9.77 Typical High $26.30 | Facility | None | $9.77 | $9.77 | $26.30 |
Aetna Setting Professional Modifier None Typical Low $9.77 Median $9.77 Typical High $12.88 | Professional | None | $9.77 | $9.77 | $12.88 |
BCBS North Carolina Setting Facility Modifier None Typical Low $26.92 Median $33.11 Typical High $38.02 | Facility | None | $26.92 | $33.11 | $38.02 |
BCBS North Carolina Setting Professional Modifier None Typical Low $7.41 Median $9.55 Typical High $15.85 | Professional | None | $7.41 | $9.55 | $15.85 |
Cigna Setting Facility Modifier None Typical Low $10.00 Median $26.30 Typical High $54.95 | Facility | None | $10.00 | $26.30 | $54.95 |
Cigna Setting Professional Modifier None Typical Low $5.62 Median $12.88 Typical High $24.55 | Professional | None | $5.62 | $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 $9.77 Median $9.77 Typical High $14.45 | Facility | None | $9.77 | $9.77 | $14.45 |
Medcost Setting Professional Modifier None Typical Low $11.75 Median $15.14 Typical High $23.99 | Professional | None | $11.75 | $15.14 | $23.99 |
United Setting Professional Modifier None Typical Low $6.76 Median $7.41 Typical High $19.95 | Professional | None | $6.76 | $7.41 | $19.95 |
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 $4.79 Median $4.79 Typical High $6.03 | Professional | 52 · Reduced service | $4.79 | $4.79 | $6.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.95 Median $1.95 Typical High $2.40 | Professional | 53 · Discontinued | $1.95 | $1.95 | $2.40 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $5.89 Median $7.59 Typical High $16.60 | Professional | 51 · Multiple procedures | $5.89 | $7.59 | $16.60 |
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
$10.23
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.