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 $15.14 Median $15.14 Typical High $15.14 | Facility | None | $15.14 | $15.14 | $15.14 |
Aetna Setting Professional Modifier None Typical Low $10.96 Median $15.14 Typical High $15.14 | Professional | None | $10.96 | $15.14 | $15.14 |
BCBS North Carolina Setting Facility Modifier None Typical Low $14.13 Median $18.20 Typical High $23.44 | Facility | None | $14.13 | $18.20 | $23.44 |
BCBS North Carolina Setting Professional Modifier None Typical Low $12.59 Median $13.18 Typical High $14.13 | Professional | None | $12.59 | $13.18 | $14.13 |
Cigna Setting Professional Modifier None Typical Low $8.71 Median $8.71 Typical High $8.71 | Professional | None | $8.71 | $8.71 | $8.71 |
Medcost Setting Professional Modifier None Typical Low $12.30 Median $12.30 Typical High $12.30 | Professional | None | $12.30 | $12.30 | $12.30 |
Medcost Setting Facility Modifier None Typical Low $15.14 Median $20.89 Typical High $23.99 | Facility | None | $15.14 | $20.89 | $23.99 |
Medcost Setting Professional Modifier None Typical Low $12.88 Median $12.88 Typical High $28.84 | Professional | None | $12.88 | $12.88 | $28.84 |
United Setting Professional Modifier None Typical Low $6.03 Median $8.51 Typical High $9.77 | Professional | None | $6.03 | $8.51 | $9.77 |
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 $6.46 Median $6.46 Typical High $19.50 | Professional | 51 · Multiple procedures | $6.46 | $6.46 | $19.50 |
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
$13.18
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.