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 $234.42 Median $234.42 Typical High $234.42 | Facility | None | $234.42 | $234.42 | $234.42 |
Aetna Setting Professional Modifier None Typical Low $131.83 Median $234.42 Typical High $234.42 | Professional | None | $131.83 | $234.42 | $234.42 |
Ambetter Setting Professional Modifier None Typical Low $204.17 Median $204.17 Typical High $204.17 | Professional | None | $204.17 | $204.17 | $204.17 |
BCBS North Carolina Setting Facility Modifier None Typical Low $218.78 Median $275.42 Typical High $363.08 | Facility | None | $218.78 | $275.42 | $363.08 |
BCBS North Carolina Setting Professional Modifier None Typical Low $181.97 Median $204.17 Typical High $218.78 | Professional | None | $181.97 | $204.17 | $218.78 |
Cigna Setting Professional Modifier None Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | None | $134.90 | $134.90 | $134.90 |
Medcost Setting Professional Modifier None Typical Low $190.55 Median $190.55 Typical High $190.55 | Professional | None | $190.55 | $190.55 | $190.55 |
Medcost Setting Facility Modifier None Typical Low $234.42 Median $323.59 Typical High $371.54 | Facility | None | $234.42 | $323.59 | $371.54 |
Medcost Setting Professional Modifier None Typical Low $199.53 Median $199.53 Typical High $446.68 | Professional | None | $199.53 | $199.53 | $446.68 |
United Setting Professional Modifier None Typical Low $93.33 Median $131.83 Typical High $151.36 | Professional | None | $93.33 | $131.83 | $151.36 |
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 $100.00 Median $100.00 Typical High $302.00 | Professional | 51 · Multiple procedures | $100.00 | $100.00 | $302.00 |
Where North Carolina sits
The same service costs 2.6 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· 17th of 51
$204
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.