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 $26.92 Median $26.92 Typical High $58.88 | Facility | None | $26.92 | $26.92 | $58.88 |
Aetna Setting Professional Modifier None Typical Low $26.92 Median $26.92 Typical High $39.81 | Professional | None | $26.92 | $26.92 | $39.81 |
BCBS North Carolina Setting Facility Modifier None Typical Low $74.13 Median $107.15 Typical High $107.15 | Facility | None | $74.13 | $107.15 | $107.15 |
BCBS North Carolina Setting Professional Modifier None Typical Low $25.12 Median $42.66 Typical High $107.15 | Professional | None | $25.12 | $42.66 | $107.15 |
Cigna Setting Facility Modifier None Typical Low $26.30 Median $72.44 Typical High $151.36 | Facility | None | $26.30 | $72.44 | $151.36 |
Cigna Setting Professional Modifier None Typical Low $15.49 Median $33.11 Typical High $60.26 | Professional | None | $15.49 | $33.11 | $60.26 |
Medcost Setting Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | None | $34.67 | $34.67 | $34.67 |
Medcost Setting Facility Modifier None Typical Low $26.92 Median $26.92 Typical High $39.81 | Facility | None | $26.92 | $26.92 | $39.81 |
Medcost Setting Professional Modifier None Typical Low $36.31 Median $45.71 Typical High $69.18 | Professional | None | $36.31 | $45.71 | $69.18 |
United Setting Professional Modifier None Typical Low $19.95 Median $21.38 Typical High $57.54 | Professional | None | $19.95 | $21.38 | $57.54 |
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 $13.49 Median $13.49 Typical High $16.60 | Professional | 52 · Reduced service | $13.49 | $13.49 | $16.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.37 Median $5.37 Typical High $6.76 | Professional | 53 · Discontinued | $5.37 | $5.37 | $6.76 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $17.78 Median $22.91 Typical High $45.71 | Professional | 51 · Multiple procedures | $17.78 | $22.91 | $45.71 |
Where North Carolina sits
The same service costs 5.6 times more in Kansas 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· 28th of 51
$35.48
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.