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 $47.86 Median $47.86 Typical High $47.86 | Facility | None | $47.86 | $47.86 | $47.86 |
Aetna Setting Professional Modifier None Typical Low $34.67 Median $47.86 Typical High $47.86 | Professional | None | $34.67 | $47.86 | $47.86 |
BCBS North Carolina Setting Facility Modifier None Typical Low $57.54 Median $74.13 Typical High $74.13 | Facility | None | $57.54 | $74.13 | $74.13 |
BCBS North Carolina Setting Professional Modifier None Typical Low $36.31 Median $41.69 Typical High $44.67 | Professional | None | $36.31 | $41.69 | $44.67 |
Cigna Setting Professional Modifier None Typical Low $28.18 Median $28.18 Typical High $28.18 | Professional | None | $28.18 | $28.18 | $28.18 |
Medcost Setting Professional Modifier None Typical Low $38.90 Median $38.90 Typical High $38.90 | Professional | None | $38.90 | $38.90 | $38.90 |
Medcost Setting Facility Modifier None Typical Low $47.86 Median $66.07 Typical High $77.62 | Facility | None | $47.86 | $66.07 | $77.62 |
Medcost Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $91.20 | Professional | None | $41.69 | $41.69 | $91.20 |
United Setting Professional Modifier None Typical Low $19.50 Median $26.92 Typical High $31.62 | Professional | None | $19.50 | $26.92 | $31.62 |
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 $20.42 Median $20.89 Typical High $63.10 | Professional | 51 · Multiple procedures | $20.42 | $20.89 | $63.10 |
Where North Carolina sits
The same service costs 2.8 times more in Hawaii than in Colorado. 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
$41.69
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.