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 $57.54 Median $64.57 Typical High $77.62 | Facility | None | $57.54 | $64.57 | $77.62 |
Aetna Setting Professional Modifier None Typical Low $57.54 Median $66.07 Typical High $77.62 | Professional | None | $57.54 | $66.07 | $77.62 |
Ambetter Setting Professional Modifier None Typical Low $93.33 Median $93.33 Typical High $102.33 | Professional | None | $93.33 | $93.33 | $102.33 |
BCBS North Carolina Setting Professional Modifier None Typical Low $43.65 Median $67.61 Typical High $125.89 | Professional | None | $43.65 | $67.61 | $125.89 |
Cigna Setting Professional Modifier None Typical Low $56.23 Median $66.07 Typical High $134.90 | Professional | None | $56.23 | $66.07 | $134.90 |
Medcost Setting Professional Modifier None Typical Low $56.23 Median $75.86 Typical High $89.13 | Professional | None | $56.23 | $75.86 | $89.13 |
Medcost Setting Facility Modifier None Typical Low $64.57 Median $64.57 Typical High $77.62 | Facility | None | $64.57 | $64.57 | $77.62 |
Medcost Setting Professional Modifier None Typical Low $50.12 Median $51.29 Typical High $74.13 | Professional | None | $50.12 | $51.29 | $74.13 |
Oscar Health Setting Professional Modifier None Typical Low $47.86 Median $47.86 Typical High $63.10 | Professional | None | $47.86 | $47.86 | $63.10 |
United Setting Professional Modifier None Typical Low $47.86 Median $47.86 Typical High $66.07 | Professional | None | $47.86 | $47.86 | $66.07 |
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 Facility Modifier AF · Specialist physician Typical Low $77.62 Median $77.62 Typical High $81.28 | Facility | AF · Specialist physician | $77.62 | $77.62 | $81.28 |
Aetna Setting Facility Modifier HO · Master's level Typical Low $57.54 Median $57.54 Typical High $60.26 | Facility | HO · Master's level | $57.54 | $57.54 | $60.26 |
Aetna Setting Facility Modifier TD · Registered nurse Typical Low $66.07 Median $66.07 Typical High $69.18 | Facility | TD · Registered nurse | $66.07 | $66.07 | $69.18 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $25.12 Median $25.70 Typical High $37.15 | Professional | 51 · Multiple procedures | $25.12 | $25.70 | $37.15 |
Where North Carolina sits
The same service costs 2.3 times more in Alaska than in Arizona. 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· 18th of 51
$64.57
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.