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 $380.19 Median $380.19 Typical High $380.19 | Facility | None | $380.19 | $380.19 | $380.19 |
Aetna Setting Professional Modifier None Typical Low $323.59 Median $380.19 Typical High $380.19 | Professional | None | $323.59 | $380.19 | $380.19 |
BCBS North Carolina Setting Facility Modifier None Typical Low $3,715.35 Median $5,495.41 Typical High $7,585.78 | Facility | None | $3,715.35 | $5,495.41 | $7,585.78 |
BCBS North Carolina Setting Professional Modifier None Typical Low $489.78 Median $660.69 Typical High $1,122.02 | Professional | None | $489.78 | $660.69 | $1,122.02 |
Medcost Setting Facility Modifier None Typical Low $380.19 Median $912.01 Typical High $10,964.78 | Facility | None | $380.19 | $912.01 | $10,964.78 |
Medcost Setting Professional Modifier None Typical Low $436.52 Median $446.68 Typical High $575.44 | Professional | None | $436.52 | $446.68 | $575.44 |
United Setting Professional Modifier None Typical Low $630.96 Median $741.31 Typical High $812.83 | Professional | None | $630.96 | $741.31 | $812.83 |
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 $218.78 Median $223.87 Typical High $524.81 | Professional | 51 · Multiple procedures | $218.78 | $223.87 | $524.81 |
Where North Carolina sits
The same service costs 9.5 times more in Texas than in West Virginia. 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· 27th of 51
$617
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.