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 $33.11 Median $33.11 Typical High $33.11 | Facility | None | $33.11 | $33.11 | $33.11 |
Aetna Setting Professional Modifier None Typical Low $23.99 Median $33.11 Typical High $33.11 | Professional | None | $23.99 | $33.11 | $33.11 |
BCBS North Carolina Setting Facility Modifier None Typical Low $31.62 Median $38.02 Typical High $39.81 | Facility | None | $31.62 | $38.02 | $39.81 |
BCBS North Carolina Setting Professional Modifier None Typical Low $25.12 Median $28.84 Typical High $30.90 | Professional | None | $25.12 | $28.84 | $30.90 |
Cigna Setting Professional Modifier None Typical Low $19.50 Median $19.50 Typical High $19.50 | Professional | None | $19.50 | $19.50 | $19.50 |
Medcost Setting Professional Modifier None Typical Low $27.54 Median $27.54 Typical High $27.54 | Professional | None | $27.54 | $27.54 | $27.54 |
Medcost Setting Facility Modifier None Typical Low $33.11 Median $45.71 Typical High $53.70 | Facility | None | $33.11 | $45.71 | $53.70 |
Medcost Setting Professional Modifier None Typical Low $28.84 Median $28.84 Typical High $64.57 | Professional | None | $28.84 | $28.84 | $64.57 |
United Setting Professional Modifier None Typical Low $13.49 Median $18.62 Typical High $21.88 | Professional | None | $13.49 | $18.62 | $21.88 |
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 $14.45 Median $14.45 Typical High $43.65 | Professional | 51 · Multiple procedures | $14.45 | $14.45 | $43.65 |
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
$28.84
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.