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 $18.20 Median $20.89 Typical High $58.88 | Facility | None | $18.20 | $20.89 | $58.88 |
Aetna Setting Professional Modifier None Typical Low $20.42 Median $20.89 Typical High $30.90 | Professional | None | $20.42 | $20.89 | $30.90 |
BCBS North Carolina Setting Facility Modifier None Typical Low $52.48 Median $58.88 Typical High $83.18 | Facility | None | $52.48 | $58.88 | $83.18 |
BCBS North Carolina Setting Professional Modifier None Typical Low $14.79 Median $26.30 Typical High $89.13 | Professional | None | $14.79 | $26.30 | $89.13 |
Cigna Setting Facility Modifier None Typical Low $21.88 Median $57.54 Typical High $120.23 | Facility | None | $21.88 | $57.54 | $120.23 |
Cigna Setting Professional Modifier None Typical Low $21.38 Median $25.12 Typical High $89.13 | Professional | None | $21.38 | $25.12 | $89.13 |
Medcost Setting Professional Modifier None Typical Low $31.62 Median $31.62 Typical High $38.02 | Professional | None | $31.62 | $31.62 | $38.02 |
Medcost Setting Facility Modifier None Typical Low $20.89 Median $20.89 Typical High $30.90 | Facility | None | $20.89 | $20.89 | $30.90 |
Medcost Setting Professional Modifier None Typical Low $22.91 Median $23.44 Typical High $41.69 | Professional | None | $22.91 | $23.44 | $41.69 |
United Setting Professional Modifier None Typical Low $15.85 Median $18.20 Typical High $46.77 | Professional | None | $15.85 | $18.20 | $46.77 |
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 $10.00 Median $10.47 Typical High $12.59 | Professional | 52 · Reduced service | $10.00 | $10.47 | $12.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.07 Median $4.17 Typical High $5.01 | Professional | 53 · Discontinued | $4.07 | $4.17 | $5.01 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $11.48 Median $11.48 Typical High $24.55 | Professional | 51 · Multiple procedures | $11.48 | $11.48 | $24.55 |
Where North Carolina sits
The same service costs 3.8 times more in Alaska than in Florida. 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· 38th of 51
$26.30
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.