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 $40.74 Median $40.74 Typical High $93.33 | Facility | None | $40.74 | $40.74 | $93.33 |
Aetna Setting Professional Modifier None Typical Low $40.74 Median $40.74 Typical High $61.66 | Professional | None | $40.74 | $40.74 | $61.66 |
BCBS North Carolina Setting Facility Modifier None Typical Low $114.82 Median $141.25 Typical High $177.83 | Facility | None | $114.82 | $141.25 | $177.83 |
BCBS North Carolina Setting Professional Modifier None Typical Low $35.48 Median $69.18 Typical High $162.18 | Professional | None | $35.48 | $69.18 | $162.18 |
Cigna Setting Facility Modifier None Typical Low $42.66 Median $112.20 Typical High $234.42 | Facility | None | $42.66 | $112.20 | $234.42 |
Cigna Setting Professional Modifier None Typical Low $23.99 Median $51.29 Typical High $97.72 | Professional | None | $23.99 | $51.29 | $97.72 |
Medcost Setting Professional Modifier None Typical Low $56.23 Median $56.23 Typical High $56.23 | Professional | None | $56.23 | $56.23 | $56.23 |
Medcost Setting Facility Modifier None Typical Low $40.74 Median $40.74 Typical High $60.26 | Facility | None | $40.74 | $40.74 | $60.26 |
Medcost Setting Professional Modifier None Typical Low $57.54 Median $72.44 Typical High $114.82 | Professional | None | $57.54 | $72.44 | $114.82 |
United Setting Professional Modifier None Typical Low $30.90 Median $34.67 Typical High $89.13 | Professional | None | $30.90 | $34.67 | $89.13 |
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 $19.95 Median $20.42 Typical High $24.55 | Professional | 52 · Reduced service | $19.95 | $20.42 | $24.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.94 Median $8.13 Typical High $9.77 | Professional | 53 · Discontinued | $7.94 | $8.13 | $9.77 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $28.84 Median $36.31 Typical High $66.07 | Professional | 51 · Multiple procedures | $28.84 | $36.31 | $66.07 |
Where North Carolina sits
The same service costs 4.6 times more in South Carolina than in Connecticut. 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· 30th 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.