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 $21.38 Median $21.38 Typical High $50.12 | Facility | None | $21.38 | $21.38 | $50.12 |
Aetna Setting Professional Modifier None Typical Low $21.38 Median $21.38 Typical High $30.20 | Professional | None | $21.38 | $21.38 | $30.20 |
BCBS North Carolina Setting Facility Modifier None Typical Low $58.88 Median $81.28 Typical High $81.28 | Facility | None | $58.88 | $81.28 | $81.28 |
BCBS North Carolina Setting Professional Modifier None Typical Low $23.44 Median $23.44 Typical High $83.18 | Professional | None | $23.44 | $23.44 | $83.18 |
Cigna Setting Facility Modifier None Typical Low $20.42 Median $58.88 Typical High $123.03 | Facility | None | $20.42 | $58.88 | $123.03 |
Cigna Setting Professional Modifier None Typical Low $12.30 Median $25.70 Typical High $45.71 | Professional | None | $12.30 | $25.70 | $45.71 |
Medcost Setting Professional Modifier None Typical Low $26.30 Median $26.30 Typical High $26.30 | Professional | None | $26.30 | $26.30 | $26.30 |
Medcost Setting Facility Modifier None Typical Low $21.38 Median $21.38 Typical High $32.36 | Facility | None | $21.38 | $21.38 | $32.36 |
Medcost Setting Professional Modifier None Typical Low $26.92 Median $34.67 Typical High $54.95 | Professional | None | $26.92 | $34.67 | $54.95 |
United Setting Professional Modifier None Typical Low $15.85 Median $16.22 Typical High $45.71 | Professional | None | $15.85 | $16.22 | $45.71 |
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 $10.72 Median $10.72 Typical High $13.49 | Professional | 52 · Reduced service | $10.72 | $10.72 | $13.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.27 Median $4.27 Typical High $5.37 | Professional | 53 · Discontinued | $4.27 | $4.27 | $5.37 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $13.49 Median $17.38 Typical High $37.15 | Professional | 51 · Multiple procedures | $13.49 | $17.38 | $37.15 |
Where North Carolina sits
The same service costs 3.2 times more in Alaska 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· 35th of 51
$23.99
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.