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 $17.38 Median $17.38 Typical High $17.38 | Facility | None | $17.38 | $17.38 | $17.38 |
Aetna Setting Professional Modifier None Typical Low $12.59 Median $17.38 Typical High $17.38 | Professional | None | $12.59 | $17.38 | $17.38 |
BCBS North Carolina Setting Facility Modifier None Typical Low $16.60 Median $19.95 Typical High $20.89 | Facility | None | $16.60 | $19.95 | $20.89 |
BCBS North Carolina Setting Professional Modifier None Typical Low $14.79 Median $15.49 Typical High $16.22 | Professional | None | $14.79 | $15.49 | $16.22 |
Cigna Setting Professional Modifier None Typical Low $10.23 Median $10.23 Typical High $10.23 | Professional | None | $10.23 | $10.23 | $10.23 |
Medcost Setting Professional Modifier None Typical Low $13.80 Median $13.80 Typical High $13.80 | Professional | None | $13.80 | $13.80 | $13.80 |
Medcost Setting Facility Modifier None Typical Low $17.38 Median $24.55 Typical High $28.18 | Facility | None | $17.38 | $24.55 | $28.18 |
Medcost Setting Professional Modifier None Typical Low $15.14 Median $15.85 Typical High $20.89 | Professional | None | $15.14 | $15.85 | $20.89 |
United Setting Professional Modifier None Typical Low $7.08 Median $10.00 Typical High $11.48 | Professional | None | $7.08 | $10.00 | $11.48 |
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 $7.59 Median $7.94 Typical High $22.91 | Professional | 51 · Multiple procedures | $7.59 | $7.94 | $22.91 |
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
$15.49
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.