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 $208.93 Median $208.93 Typical High $208.93 | Facility | None | $208.93 | $208.93 | $208.93 |
Aetna Setting Professional Modifier None Typical Low $208.93 Median $208.93 Typical High $218.78 | Professional | None | $208.93 | $208.93 | $218.78 |
BCBS North Carolina Setting Professional Modifier None Typical Low $302.00 Median $524.81 Typical High $741.31 | Professional | None | $302.00 | $524.81 | $741.31 |
Cigna Setting Facility Modifier None Typical Low $19,054.61 Median $26,302.68 Typical High $35,481.34 | Facility | None | $19,054.61 | $26,302.68 | $35,481.34 |
Cigna Setting Professional Modifier None Typical Low $234.42 Median $316.23 Typical High $478.63 | Professional | None | $234.42 | $316.23 | $478.63 |
Medcost Setting Facility Modifier None Typical Low $208.93 Median $251.19 Typical High $537.03 | Facility | None | $208.93 | $251.19 | $537.03 |
Medcost Setting Professional Modifier None Typical Low $15.49 Median $251.19 Typical High $354.81 | Professional | None | $15.49 | $251.19 | $354.81 |
United Setting Professional Modifier None Typical Low $208.93 Median $295.12 Typical High $575.44 | Professional | None | $208.93 | $295.12 | $575.44 |
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 $104.71 Median $104.71 Typical High $109.65 | Professional | 52 · Reduced service | $104.71 | $104.71 | $109.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $41.69 Typical High $43.65 | Professional | 53 · Discontinued | $41.69 | $41.69 | $43.65 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $7.76 Median $134.90 Typical High $295.12 | Professional | 51 · Multiple procedures | $7.76 | $134.90 | $295.12 |
Where North Carolina sits
The same service costs 67.6 times more in Alaska than in Kentucky. 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· 10th of 51
$372
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.