How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $489.78 Median $489.78 Typical High $489.78 | Facility | None | $489.78 | $489.78 | $489.78 |
Aetna Setting Professional Modifier None Typical Low $489.78 Median $489.78 Typical High $524.81 | Professional | None | $489.78 | $489.78 | $524.81 |
BCBS North Carolina Setting Professional Modifier None Typical Low $1,230.27 Median $1,288.25 Typical High $1,380.38 | Professional | None | $1,230.27 | $1,288.25 | $1,380.38 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $707.95 Typical High $1,174.90 | Facility | None | $630.96 | $707.95 | $1,174.90 |
Cigna Setting Professional Modifier None Typical Low $562.34 Median $562.34 Typical High $562.34 | Professional | None | $562.34 | $562.34 | $562.34 |
Medcost Setting Facility Modifier None Typical Low $489.78 Median $489.78 Typical High $524.81 | Facility | None | $489.78 | $489.78 | $524.81 |
Medcost Setting Professional Modifier None Typical Low $416.87 Median $416.87 Typical High $870.96 | Professional | None | $416.87 | $416.87 | $870.96 |
United Setting Professional Modifier None Typical Low $549.54 Median $549.54 Typical High $707.95 | Professional | None | $549.54 | $549.54 | $707.95 |
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 $151.36 Median $208.93 Typical High $208.93 | Professional | 51 · Multiple procedures | $151.36 | $208.93 | $208.93 |
Where North Carolina sits
The same service costs 1.9 times more in Alaska than in Kentucky. 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· 8th of 51
$562
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.