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 $7.59 Median $7.59 Typical High $7.59 | Facility | None | $7.59 | $7.59 | $7.59 |
Aetna Setting Professional Modifier None Typical Low $5.50 Median $7.59 Typical High $7.59 | Professional | None | $5.50 | $7.59 | $7.59 |
BCBS North Carolina Setting Facility Modifier None Typical Low $9.12 Median $11.75 Typical High $11.75 | Facility | None | $9.12 | $11.75 | $11.75 |
BCBS North Carolina Setting Professional Modifier None Typical Low $5.89 Median $6.61 Typical High $7.08 | Professional | None | $5.89 | $6.61 | $7.08 |
Cigna Setting Professional Modifier None Typical Low $3.63 Median $3.89 Typical High $3.89 | Professional | None | $3.63 | $3.89 | $3.89 |
Medcost Setting Professional Modifier None Typical Low $6.17 Median $6.17 Typical High $6.17 | Professional | None | $6.17 | $6.17 | $6.17 |
Medcost Setting Facility Modifier None Typical Low $7.59 Median $10.47 Typical High $12.02 | Facility | None | $7.59 | $10.47 | $12.02 |
Medcost Setting Professional Modifier None Typical Low $6.46 Median $7.08 Typical High $14.45 | Professional | None | $6.46 | $7.08 | $14.45 |
United Setting Professional Modifier None Typical Low $3.09 Median $4.27 Typical High $4.90 | Professional | None | $3.09 | $4.27 | $4.90 |
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 $3.24 Median $3.47 Typical High $9.77 | Professional | 51 · Multiple procedures | $3.24 | $3.47 | $9.77 |
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
$6.61
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.