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 $138.04 Median $138.04 Typical High $436.52 | Facility | None | $138.04 | $138.04 | $436.52 |
Aetna Setting Professional Modifier None Typical Low $138.04 Median $138.04 Typical High $208.93 | Professional | None | $138.04 | $138.04 | $208.93 |
BCBS North Carolina Setting Facility Modifier None Typical Low $380.19 Median $389.05 Typical High $549.54 | Facility | None | $380.19 | $389.05 | $549.54 |
BCBS North Carolina Setting Professional Modifier None Typical Low $154.88 Median $208.93 Typical High $645.65 | Professional | None | $154.88 | $208.93 | $645.65 |
Cigna Setting Facility Modifier None Typical Low $144.54 Median $380.19 Typical High $794.33 | Facility | None | $144.54 | $380.19 | $794.33 |
Cigna Setting Professional Modifier None Typical Low $85.11 Median $204.17 Typical High $407.38 | Professional | None | $85.11 | $204.17 | $407.38 |
Medcost Setting Professional Modifier None Typical Low $234.42 Median $234.42 Typical High $234.42 | Professional | None | $234.42 | $234.42 | $234.42 |
Medcost Setting Facility Modifier None Typical Low $138.04 Median $138.04 Typical High $208.93 | Facility | None | $138.04 | $138.04 | $208.93 |
Medcost Setting Professional Modifier None Typical Low $239.88 Median $302.00 Typical High $416.87 | Professional | None | $239.88 | $302.00 | $416.87 |
United Setting Professional Modifier None Typical Low $104.71 Median $144.54 Typical High $371.54 | Professional | None | $104.71 | $144.54 | $371.54 |
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 $69.18 Median $69.18 Typical High $87.10 | Professional | 52 · Reduced service | $69.18 | $69.18 | $87.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $27.54 Typical High $34.67 | Professional | 53 · Discontinued | $27.54 | $27.54 | $34.67 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $120.23 Median $151.36 Typical High $229.09 | Professional | 51 · Multiple procedures | $120.23 | $151.36 | $229.09 |
Where North Carolina sits
The same service costs 3.7 times more in Kansas than in Illinois. 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· 28th of 51
$209
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.