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 $724.44 Median $724.44 Typical High $724.44 | Facility | None | $724.44 | $724.44 | $724.44 |
Aetna Setting Professional Modifier None Typical Low $724.44 Median $724.44 Typical High $741.31 | Professional | None | $724.44 | $724.44 | $741.31 |
BCBS North Carolina Setting Professional Modifier None Typical Low $562.34 Median $812.83 Typical High $933.25 | Professional | None | $562.34 | $812.83 | $933.25 |
Cigna Setting Facility Modifier None Typical Low $891.25 Median $1,000.00 Typical High $1,698.24 | Facility | None | $891.25 | $1,000.00 | $1,698.24 |
Cigna Setting Professional Modifier None Typical Low $794.33 Median $794.33 Typical High $794.33 | Professional | None | $794.33 | $794.33 | $794.33 |
Medcost Setting Facility Modifier None Typical Low $724.44 Median $724.44 Typical High $758.58 | Facility | None | $724.44 | $724.44 | $758.58 |
Medcost Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $1,230.27 | Professional | None | $660.69 | $660.69 | $1,230.27 |
United Setting Professional Modifier None Typical Low $776.25 Median $776.25 Typical High $1,000.00 | Professional | None | $776.25 | $776.25 | $1,000.00 |
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 $239.88 Median $323.59 Typical High $323.59 | Professional | 51 · Multiple procedures | $239.88 | $323.59 | $323.59 |
Where North Carolina sits
The same service costs 1.7 times more in Alaska than in Texas. 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· 10th of 51
$794
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.