How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $114.82 Median $125.89 Typical High $295.12 | Facility | None | $114.82 | $125.89 | $295.12 |
Aetna Setting Professional Modifier None Typical Low $114.82 Median $114.82 Typical High $173.78 | Professional | None | $114.82 | $114.82 | $173.78 |
BCBS North Carolina Setting Facility Modifier None Typical Low $323.59 Median $537.03 Typical High $537.03 | Facility | None | $323.59 | $537.03 | $537.03 |
BCBS North Carolina Setting Professional Modifier None Typical Low $109.65 Median $213.80 Typical High $489.78 | Professional | None | $109.65 | $213.80 | $489.78 |
Cigna Setting Facility Modifier None Typical Low $120.23 Median $316.23 Typical High $660.69 | Facility | None | $120.23 | $316.23 | $660.69 |
Cigna Setting Professional Modifier None Typical Low $67.61 Median $158.49 Typical High $302.00 | Professional | None | $67.61 | $158.49 | $302.00 |
Medcost Setting Professional Modifier None Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | None | $173.78 | $173.78 | $173.78 |
Medcost Setting Facility Modifier None Typical Low $114.82 Median $114.82 Typical High $173.78 | Facility | None | $114.82 | $114.82 | $173.78 |
Medcost Setting Professional Modifier None Typical Low $177.83 Median $229.09 Typical High $288.40 | Professional | None | $177.83 | $229.09 | $288.40 |
United Setting Professional Modifier None Typical Low $87.10 Median $107.15 Typical High $281.84 | Professional | None | $87.10 | $107.15 | $281.84 |
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 $57.54 Median $57.54 Typical High $72.44 | Professional | 52 · Reduced service | $57.54 | $57.54 | $72.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $22.91 Typical High $28.84 | Professional | 53 · Discontinued | $22.91 | $22.91 | $28.84 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $89.13 Median $112.20 Typical High $199.53 | Professional | 51 · Multiple procedures | $89.13 | $112.20 | $199.53 |
Where North Carolina sits
The same service costs 5.0 times more in Kansas 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· 23rd of 51
$170
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.