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 $3.89 Median $3.89 Typical High $3.89 | Facility | None | $3.89 | $3.89 | $3.89 |
Aetna Setting Professional Modifier None Typical Low $2.82 Median $3.89 Typical High $3.89 | Professional | None | $2.82 | $3.89 | $3.89 |
BCBS North Carolina Setting Facility Modifier None Typical Low $3.63 Median $4.37 Typical High $4.68 | Facility | None | $3.63 | $4.37 | $4.68 |
BCBS North Carolina Setting Professional Modifier None Typical Low $3.02 Median $3.39 Typical High $3.63 | Professional | None | $3.02 | $3.39 | $3.63 |
Cigna Setting Professional Modifier None Typical Low $2.29 Median $2.29 Typical High $2.29 | Professional | None | $2.29 | $2.29 | $2.29 |
Medcost Setting Professional Modifier None Typical Low $3.16 Median $3.16 Typical High $3.16 | Professional | None | $3.16 | $3.16 | $3.16 |
Medcost Setting Facility Modifier None Typical Low $3.02 Median $3.02 Typical High $6.17 | Facility | None | $3.02 | $3.02 | $6.17 |
Medcost Setting Professional Modifier None Typical Low $3.31 Median $3.98 Typical High $6.92 | Professional | None | $3.31 | $3.98 | $6.92 |
United Setting Professional Modifier None Typical Low $1.58 Median $2.19 Typical High $2.51 | Professional | None | $1.58 | $2.19 | $2.51 |
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 $1.66 Median $2.00 Typical High $5.13 | Professional | 51 · Multiple procedures | $1.66 | $2.00 | $5.13 |
Where North Carolina sits
The same service costs 2.8 times more in Hawaii than in Utah. 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· 19th of 51
$3.39
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.