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 $4.07 Median $4.07 Typical High $4.07 | Facility | None | $4.07 | $4.07 | $4.07 |
Aetna Setting Professional Modifier None Typical Low $2.95 Median $4.07 Typical High $4.07 | Professional | None | $2.95 | $4.07 | $4.07 |
BCBS North Carolina Setting Facility Modifier None Typical Low $4.79 Median $6.31 Typical High $6.31 | Facility | None | $4.79 | $6.31 | $6.31 |
BCBS North Carolina Setting Professional Modifier None Typical Low $3.39 Median $3.55 Typical High $3.80 | Professional | None | $3.39 | $3.55 | $3.80 |
Cigna Setting Professional Modifier None Typical Low $1.91 Median $1.91 Typical High $1.91 | Professional | None | $1.91 | $1.91 | $1.91 |
Medcost Setting Professional Modifier None Typical Low $3.09 Median $3.09 Typical High $3.09 | Professional | None | $3.09 | $3.09 | $3.09 |
Medcost Setting Facility Modifier None Typical Low $4.07 Median $4.90 Typical High $6.46 | Facility | None | $4.07 | $4.90 | $6.46 |
Medcost Setting Professional Modifier None Typical Low $3.47 Median $3.47 Typical High $7.76 | Professional | None | $3.47 | $3.47 | $7.76 |
United Setting Professional Modifier None Typical Low $1.62 Median $2.29 Typical High $2.63 | Professional | None | $1.62 | $2.29 | $2.63 |
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 $1.74 Median $1.74 Typical High $5.50 | Professional | 51 · Multiple procedures | $1.74 | $1.74 | $5.50 |
Where North Carolina sits
The same service costs 2.8 times more in Hawaii than in New Mexico. 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
$3.55
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.