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 $12.59 Median $12.59 Typical High $12.59 | Facility | None | $12.59 | $12.59 | $12.59 |
Aetna Setting Professional Modifier None Typical Low $9.12 Median $12.59 Typical High $12.59 | Professional | None | $9.12 | $12.59 | $12.59 |
BCBS North Carolina Setting Facility Modifier None Typical Low $11.75 Median $15.14 Typical High $19.50 | Facility | None | $11.75 | $15.14 | $19.50 |
BCBS North Carolina Setting Professional Modifier None Typical Low $10.47 Median $10.96 Typical High $11.75 | Professional | None | $10.47 | $10.96 | $11.75 |
Cigna Setting Professional Modifier None Typical Low $7.41 Median $7.41 Typical High $7.41 | Professional | None | $7.41 | $7.41 | $7.41 |
Medcost 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 Facility Modifier None Typical Low $12.59 Median $17.38 Typical High $19.95 | Facility | None | $12.59 | $17.38 | $19.95 |
Medcost Setting Professional Modifier None Typical Low $10.72 Median $10.96 Typical High $23.99 | Professional | None | $10.72 | $10.96 | $23.99 |
United Setting Professional Modifier None Typical Low $5.13 Median $7.08 Typical High $8.32 | Professional | None | $5.13 | $7.08 | $8.32 |
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 $5.37 Median $5.50 Typical High $16.60 | Professional | 51 · Multiple procedures | $5.37 | $5.50 | $16.60 |
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
$10.96
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.