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 $3.24 Median $3.24 Typical High $3.24 | Facility | None | $3.24 | $3.24 | $3.24 |
Aetna Setting Professional Modifier None Typical Low $2.57 Median $3.24 Typical High $3.24 | Professional | None | $2.57 | $3.24 | $3.24 |
BCBS North Carolina Setting Professional Modifier None Typical Low $2.24 Median $2.34 Typical High $2.57 | Professional | None | $2.24 | $2.34 | $2.57 |
Cigna Setting Professional Modifier None Typical Low $2.14 Median $2.14 Typical High $2.14 | Professional | None | $2.14 | $2.14 | $2.14 |
Medcost Setting Facility Modifier None Typical Low $3.24 Median $3.89 Typical High $10.23 | Facility | None | $3.24 | $3.89 | $10.23 |
Medcost Setting Professional Modifier None Typical Low $3.31 Median $3.98 Typical High $12.88 | Professional | None | $3.31 | $3.98 | $12.88 |
United Setting Professional Modifier None Typical Low $1.35 Median $2.04 Typical High $2.75 | Professional | None | $1.35 | $2.04 | $2.75 |
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 $6.46 | Professional | 51 · Multiple procedures | $1.66 | $2.00 | $6.46 |
Where North Carolina sits
The same service costs 25.1 times more in Wyoming than in West Virginia. 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· 35th of 51
$2.34
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.