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 $371.54 Median $371.54 Typical High $371.54 | Facility | None | $371.54 | $371.54 | $371.54 |
Aetna Setting Professional Modifier None Typical Low $323.59 Median $371.54 Typical High $371.54 | Professional | None | $323.59 | $371.54 | $371.54 |
BCBS North Carolina Setting Facility Modifier None Typical Low $891.25 Median $1,318.26 Typical High $1,862.09 | Facility | None | $891.25 | $1,318.26 | $1,862.09 |
BCBS North Carolina Setting Professional Modifier None Typical Low $457.09 Median $851.14 Typical High $1,000.00 | Professional | None | $457.09 | $851.14 | $1,000.00 |
Medcost Setting Facility Modifier None Typical Low $371.54 Median $741.31 Typical High $2,454.71 | Facility | None | $371.54 | $741.31 | $2,454.71 |
Medcost Setting Professional Modifier None Typical Low $380.19 Median $398.11 Typical High $602.56 | Professional | None | $380.19 | $398.11 | $602.56 |
United Setting Professional Modifier None Typical Low $524.81 Median $691.83 Typical High $758.58 | Professional | None | $524.81 | $691.83 | $758.58 |
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 $190.55 Median $199.53 Typical High $549.54 | Professional | 51 · Multiple procedures | $190.55 | $199.53 | $549.54 |
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· 10th of 51
$776
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.