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 $245.47 Median $245.47 Typical High $245.47 | Facility | None | $245.47 | $245.47 | $245.47 |
Aetna Setting Professional Modifier None Typical Low $199.53 Median $245.47 Typical High $245.47 | Professional | None | $199.53 | $245.47 | $245.47 |
BCBS North Carolina Setting Professional Modifier None Typical Low $204.17 Median $208.93 Typical High $263.03 | Professional | None | $204.17 | $208.93 | $263.03 |
Cigna Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | None | $162.18 | $162.18 | $162.18 |
Medcost Setting Facility Modifier None Typical Low $288.40 Median $426.58 Typical High $426.58 | Facility | None | $288.40 | $426.58 | $426.58 |
Medcost Setting Professional Modifier None Typical Low $251.19 Median $251.19 Typical High $426.58 | Professional | None | $251.19 | $251.19 | $426.58 |
United Setting Professional Modifier None Typical Low $107.15 Median $144.54 Typical High $173.78 | Professional | None | $107.15 | $144.54 | $173.78 |
1 more rate 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 |
|---|---|---|---|---|---|
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $125.89 Median $125.89 Typical High $245.47 | Professional | 51 · Multiple procedures | $125.89 | $125.89 | $245.47 |
Where North Carolina sits
The same service costs 2.1 times more in Montana than in Hawaii. 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· 24th of 51
$209
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.