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 $407.38 Median $407.38 Typical High $645.65 | Facility | None | $407.38 | $407.38 | $645.65 |
Aetna Setting Professional Modifier None Typical Low $389.05 Median $407.38 Typical High $436.52 | Professional | None | $389.05 | $407.38 | $436.52 |
Ambetter Setting Professional Modifier None Typical Low $380.19 Median $724.44 Typical High $724.44 | Professional | None | $380.19 | $724.44 | $724.44 |
BCBS North Carolina Setting Professional Modifier None Typical Low $295.12 Median $707.95 Typical High $1,000.00 | Professional | None | $295.12 | $707.95 | $1,000.00 |
Cigna Setting Professional Modifier None Typical Low $416.87 Median $537.03 Typical High $741.31 | Professional | None | $416.87 | $537.03 | $741.31 |
Medcost Setting Facility Modifier None Typical Low $645.65 Median $645.65 Typical High $645.65 | Facility | None | $645.65 | $645.65 | $645.65 |
Medcost Setting Professional Modifier None Typical Low $323.59 Median $371.54 Typical High $524.81 | Professional | None | $323.59 | $371.54 | $524.81 |
Oscar Health Setting Professional Modifier None Typical Low $407.38 Median $407.38 Typical High $436.52 | Professional | None | $407.38 | $407.38 | $436.52 |
United Setting Professional Modifier None Typical Low $338.84 Median $407.38 Typical High $676.08 | Professional | None | $338.84 | $407.38 | $676.08 |
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 $194.98 Median $204.17 Typical High $208.93 | Professional | 52 · Reduced service | $194.98 | $204.17 | $208.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $77.62 Median $81.28 Typical High $85.11 | Professional | 53 · Discontinued | $77.62 | $81.28 | $85.11 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $162.18 Median $186.21 Typical High $295.12 | Professional | 51 · Multiple procedures | $162.18 | $186.21 | $295.12 |
Where North Carolina sits
The same service costs 2.8 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· 8th of 51
$661
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.