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 $61.66 Median $61.66 Typical High $61.66 | Facility | None | $61.66 | $61.66 | $61.66 |
Aetna Setting Professional Modifier None Typical Low $57.54 Median $61.66 Typical High $77.62 | Professional | None | $57.54 | $61.66 | $77.62 |
Ambetter Setting Professional Modifier None Typical Low $81.28 Median $87.10 Typical High $91.20 | Professional | None | $81.28 | $87.10 | $91.20 |
BCBS North Carolina Setting Professional Modifier None Typical Low $75.86 Median $104.71 Typical High $138.04 | Professional | None | $75.86 | $104.71 | $138.04 |
Cigna Setting Professional Modifier None Typical Low $63.10 Median $74.13 Typical High $120.23 | Professional | None | $63.10 | $74.13 | $120.23 |
Medcost Setting Facility Modifier None Typical Low $61.66 Median $61.66 Typical High $61.66 | Facility | None | $61.66 | $61.66 | $61.66 |
Medcost Setting Professional Modifier None Typical Low $67.61 Median $67.61 Typical High $91.20 | Professional | None | $67.61 | $67.61 | $91.20 |
Oscar Health Setting Professional Modifier None Typical Low $69.18 Median $69.18 Typical High $79.43 | Professional | None | $69.18 | $69.18 | $79.43 |
United Setting Professional Modifier None Typical Low $56.23 Median $69.18 Typical High $144.54 | Professional | None | $56.23 | $69.18 | $144.54 |
2 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 53 · Discontinued Typical Low $11.75 Median $12.30 Typical High $12.88 | Professional | 53 · Discontinued | $11.75 | $12.30 | $12.88 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $33.88 Median $33.88 Typical High $67.61 | Professional | 51 · Multiple procedures | $33.88 | $33.88 | $67.61 |
Where North Carolina sits
The same service costs 3.1 times more in Alaska than in New York. 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· 9th of 51
$105
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.