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 $28.84 Median $28.84 Typical High $28.84 | Facility | None | $28.84 | $28.84 | $28.84 |
Aetna Setting Professional Modifier None Typical Low $20.89 Median $28.84 Typical High $28.84 | Professional | None | $20.89 | $28.84 | $28.84 |
BCBS North Carolina Setting Facility Modifier None Typical Low $34.67 Median $34.67 Typical High $34.67 | Facility | None | $34.67 | $34.67 | $34.67 |
BCBS North Carolina Setting Professional Modifier None Typical Low $24.55 Median $25.70 Typical High $26.92 | Professional | None | $24.55 | $25.70 | $26.92 |
Cigna Setting Professional Modifier None Typical Low $13.80 Median $18.20 Typical High $18.20 | Professional | None | $13.80 | $18.20 | $18.20 |
Medcost Setting Professional Modifier None Typical Low $23.99 Median $23.99 Typical High $23.99 | Professional | None | $23.99 | $23.99 | $23.99 |
Medcost Setting Facility Modifier None Typical Low $28.84 Median $40.74 Typical High $46.77 | Facility | None | $28.84 | $40.74 | $46.77 |
Medcost Setting Professional Modifier None Typical Low $25.12 Median $25.12 Typical High $56.23 | Professional | None | $25.12 | $25.12 | $56.23 |
United Setting Professional Modifier None Typical Low $11.75 Median $16.60 Typical High $19.05 | Professional | None | $11.75 | $16.60 | $19.05 |
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 $12.59 Median $12.59 Typical High $38.02 | Professional | 51 · Multiple procedures | $12.59 | $12.59 | $38.02 |
Where North Carolina sits
The same service costs 2.8 times more in Hawaii than in Ohio. 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· 17th of 51
$25.70
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.