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 $23.44 Median $38.90 Typical High $50.12 | Facility | None | $23.44 | $38.90 | $50.12 |
Aetna Setting Professional Modifier None Typical Low $23.44 Median $42.66 Typical High $50.12 | Professional | None | $23.44 | $42.66 | $50.12 |
BCBS North Carolina Setting Professional Modifier None Typical Low $26.92 Median $54.95 Typical High $114.82 | Professional | None | $26.92 | $54.95 | $114.82 |
Cigna Setting Professional Modifier None Typical Low $26.30 Median $56.23 Typical High $83.18 | Professional | None | $26.30 | $56.23 | $83.18 |
Medcost Setting Professional Modifier None Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | None | $95.50 | $95.50 | $95.50 |
Medcost Setting Facility Modifier None Typical Low $23.44 Median $23.44 Typical High $61.66 | Facility | None | $23.44 | $23.44 | $61.66 |
Medcost Setting Professional Modifier None Typical Low $39.81 Median $57.54 Typical High $57.54 | Professional | None | $39.81 | $57.54 | $57.54 |
Oscar Health Setting Professional Modifier None Typical Low $21.88 Median $50.12 Typical High $120.23 | Professional | None | $21.88 | $50.12 | $120.23 |
United Setting Professional Modifier None Typical Low $22.91 Median $46.77 Typical High $70.79 | Professional | None | $22.91 | $46.77 | $70.79 |
4 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 $11.75 Median $21.38 Typical High $25.12 | Professional | 52 · Reduced service | $11.75 | $21.38 | $25.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.68 Median $8.51 Typical High $10.00 | Professional | 53 · Discontinued | $4.68 | $8.51 | $10.00 |
Ambetter Setting Professional Modifier GC · Resident with teaching physician Typical Low $37.15 Median $37.15 Typical High $37.15 | Professional | GC · Resident with teaching physician | $37.15 | $37.15 | $37.15 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $19.95 Median $28.84 Typical High $28.84 | Professional | 51 · Multiple procedures | $19.95 | $28.84 | $28.84 |
Where North Carolina sits
The same service costs 3.7 times more in Alaska than in Washington, DC. 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· 13th of 51
$53.70
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.