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 $30.20 Median $30.20 Typical High $30.20 | Facility | None | $30.20 | $30.20 | $30.20 |
Aetna Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None | $30.20 | $30.20 | $30.20 |
Ambetter Setting Professional Modifier None Typical Low $23.44 Median $27.54 Typical High $27.54 | Professional | None | $23.44 | $27.54 | $27.54 |
BCBS North Carolina Setting Professional Modifier None Typical Low $28.84 Median $29.51 Typical High $37.15 | Professional | None | $28.84 | $29.51 | $37.15 |
Cigna Setting Professional Modifier None Typical Low $14.79 Median $14.79 Typical High $14.79 | Professional | None | $14.79 | $14.79 | $14.79 |
Medcost Setting Facility Modifier None Typical Low $30.20 Median $36.31 Typical High $47.86 | Facility | None | $30.20 | $36.31 | $47.86 |
Medcost Setting Professional Modifier None Typical Low $37.15 Median $37.15 Typical High $63.10 | Professional | None | $37.15 | $37.15 | $63.10 |
United Setting Professional Modifier None Typical Low $14.79 Median $22.39 Typical High $26.30 | Professional | None | $14.79 | $22.39 | $26.30 |
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 $18.62 Median $18.62 Typical High $48.98 | Professional | 51 · Multiple procedures | $18.62 | $18.62 | $48.98 |
Where North Carolina sits
The same service costs 3.2 times more in Illinois than in Oklahoma. 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· 36th of 51
$29.51
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.