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 $213.80 Median $213.80 Typical High $457.09 | Facility | None | $213.80 | $213.80 | $457.09 |
Aetna Setting Professional Modifier None Typical Low $213.80 Median $213.80 Typical High $288.40 | Professional | None | $213.80 | $213.80 | $288.40 |
BCBS North Carolina Setting Facility Modifier None Typical Low $549.54 Median $588.84 Typical High $831.76 | Facility | None | $549.54 | $588.84 | $831.76 |
BCBS North Carolina Setting Professional Modifier None Typical Low $151.36 Median $208.93 Typical High $660.69 | Professional | None | $151.36 | $208.93 | $660.69 |
Cigna Setting Facility Modifier None Typical Low $199.53 Median $575.44 Typical High $1,202.26 | Facility | None | $199.53 | $575.44 | $1,202.26 |
Cigna Setting Professional Modifier None Typical Low $120.23 Median $223.87 Typical High $426.58 | Professional | None | $120.23 | $223.87 | $426.58 |
Medcost Setting Professional Modifier None Typical Low $245.47 Median $245.47 Typical High $245.47 | Professional | None | $245.47 | $245.47 | $245.47 |
Medcost Setting Facility Modifier None Typical Low $213.80 Median $213.80 Typical High $316.23 | Facility | None | $213.80 | $213.80 | $316.23 |
Medcost Setting Professional Modifier None Typical Low $251.19 Median $323.59 Typical High $489.78 | Professional | None | $251.19 | $323.59 | $489.78 |
United Setting Professional Modifier None Typical Low $147.91 Median $158.49 Typical High $426.58 | Professional | None | $147.91 | $158.49 | $426.58 |
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 $104.71 Median $104.71 Typical High $131.83 | Professional | 52 · Reduced service | $104.71 | $104.71 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $42.66 Typical High $52.48 | Professional | 53 · Discontinued | $42.66 | $42.66 | $52.48 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $125.89 Median $162.18 Typical High $338.84 | Professional | 51 · Multiple procedures | $125.89 | $162.18 | $338.84 |
Where North Carolina sits
The same service costs 3.4 times more in Alaska than in Florida. 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· 41st of 51
$219
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.