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 $8.13 Median $8.13 Typical High $19.50 | Facility | None | $8.13 | $8.13 | $19.50 |
Aetna Setting Professional Modifier None Typical Low $8.13 Median $16.98 Typical High $19.50 | Professional | None | $8.13 | $16.98 | $19.50 |
BCBS North Carolina Setting Professional Modifier None Typical Low $9.33 Median $19.50 Typical High $44.67 | Professional | None | $9.33 | $19.50 | $44.67 |
Cigna Setting Professional Modifier None Typical Low $9.12 Median $21.88 Typical High $31.62 | Professional | None | $9.12 | $21.88 | $31.62 |
Medcost Setting Professional Modifier None Typical Low $38.02 Median $38.02 Typical High $38.02 | Professional | None | $38.02 | $38.02 | $38.02 |
Medcost Setting Facility Modifier None Typical Low $8.13 Median $8.13 Typical High $24.55 | Facility | None | $8.13 | $8.13 | $24.55 |
Medcost Setting Professional Modifier None Typical Low $15.85 Median $22.39 Typical High $22.39 | Professional | None | $15.85 | $22.39 | $22.39 |
Oscar Health Setting Professional Modifier None Typical Low $7.41 Median $20.42 Typical High $47.86 | Professional | None | $7.41 | $20.42 | $47.86 |
United Setting Professional Modifier None Typical Low $8.32 Median $17.38 Typical High $27.54 | Professional | None | $8.32 | $17.38 | $27.54 |
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 $4.07 Median $8.13 Typical High $9.77 | Professional | 52 · Reduced service | $4.07 | $8.13 | $9.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.62 Median $3.39 Typical High $3.89 | Professional | 53 · Discontinued | $1.62 | $3.39 | $3.89 |
Ambetter Setting Professional Modifier GC · Resident with teaching physician Typical Low $12.59 Median $12.59 Typical High $12.59 | Professional | GC · Resident with teaching physician | $12.59 | $12.59 | $12.59 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $7.94 Median $11.22 Typical High $11.22 | Professional | 51 · Multiple procedures | $7.94 | $11.22 | $11.22 |
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· 21st of 51
$19.50
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.