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 $27.54 Median $27.54 Typical High $83.18 | Facility | None | $27.54 | $27.54 | $83.18 |
Aetna Setting Professional Modifier None Typical Low $27.54 Median $27.54 Typical High $41.69 | Professional | None | $27.54 | $27.54 | $41.69 |
BCBS North Carolina Setting Facility Modifier None Typical Low $77.62 Median $138.04 Typical High $138.04 | Facility | None | $77.62 | $138.04 | $138.04 |
BCBS North Carolina Setting Professional Modifier None Typical Low $31.62 Median $77.62 Typical High $120.23 | Professional | None | $31.62 | $77.62 | $120.23 |
Cigna Setting Facility Modifier None Typical Low $28.84 Median $75.86 Typical High $158.49 | Facility | None | $28.84 | $75.86 | $158.49 |
Cigna Setting Professional Modifier None Typical Low $16.60 Median $37.15 Typical High $77.62 | Professional | None | $16.60 | $37.15 | $77.62 |
Medcost Setting Professional Modifier None Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | None | $44.67 | $44.67 | $44.67 |
Medcost Setting Facility Modifier None Typical Low $27.54 Median $27.54 Typical High $41.69 | Facility | None | $27.54 | $27.54 | $41.69 |
Medcost Setting Professional Modifier None Typical Low $45.71 Median $58.88 Typical High $77.62 | Professional | None | $45.71 | $58.88 | $77.62 |
United Setting Professional Modifier None Typical Low $20.89 Median $27.54 Typical High $72.44 | Professional | None | $20.89 | $27.54 | $72.44 |
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 $13.80 Median $13.80 Typical High $17.38 | Professional | 52 · Reduced service | $13.80 | $13.80 | $17.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.62 Median $5.62 Typical High $6.92 | Professional | 53 · Discontinued | $5.62 | $5.62 | $6.92 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $22.91 Median $29.51 Typical High $44.67 | Professional | 51 · Multiple procedures | $22.91 | $29.51 | $44.67 |
Where North Carolina sits
The same service costs 4.6 times more in Kentucky 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· 11th of 51
$54.95
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.