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 $24.55 Median $24.55 Typical High $28.84 | Facility | None | $24.55 | $24.55 | $28.84 |
Aetna Setting Professional Modifier None Typical Low $17.78 Median $24.55 Typical High $24.55 | Professional | None | $17.78 | $24.55 | $24.55 |
Ambetter Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $19.95 | Professional | None | $19.95 | $19.95 | $19.95 |
BCBS North Carolina Setting Facility Modifier None Typical Low $28.84 Median $28.84 Typical High $28.84 | Facility | None | $28.84 | $28.84 | $28.84 |
BCBS North Carolina Setting Professional Modifier None Typical Low $18.20 Median $21.38 Typical High $22.91 | Professional | None | $18.20 | $21.38 | $22.91 |
Cigna Setting Professional Modifier None Typical Low $14.13 Median $14.13 Typical High $14.13 | Professional | None | $14.13 | $14.13 | $14.13 |
Medcost Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $19.95 | Professional | None | $19.95 | $19.95 | $19.95 |
Medcost Setting Facility Modifier None Typical Low $24.55 Median $33.88 Typical High $38.90 | Facility | None | $24.55 | $33.88 | $38.90 |
Medcost Setting Professional Modifier None Typical Low $20.89 Median $20.89 Typical High $46.77 | Professional | None | $20.89 | $20.89 | $46.77 |
United Setting Professional Modifier None Typical Low $9.77 Median $13.80 Typical High $15.85 | Professional | None | $9.77 | $13.80 | $15.85 |
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 $10.47 Median $10.47 Typical High $31.62 | Professional | 51 · Multiple procedures | $10.47 | $10.47 | $31.62 |
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
$21.38
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.