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 $57.54 Median $57.54 Typical High $57.54 | Facility | None | $57.54 | $57.54 | $57.54 |
Aetna Setting Professional Modifier None Typical Low $50.12 Median $57.54 Typical High $57.54 | Professional | None | $50.12 | $57.54 | $57.54 |
BCBS North Carolina Setting Professional Modifier None Typical Low $69.18 Median $128.82 Typical High $165.96 | Professional | None | $69.18 | $128.82 | $165.96 |
Medcost Setting Facility Modifier None Typical Low $41.69 Median $57.54 Typical High $74.13 | Facility | None | $41.69 | $57.54 | $74.13 |
Medcost Setting Professional Modifier None Typical Low $38.90 Median $60.26 Typical High $61.66 | Professional | None | $38.90 | $60.26 | $61.66 |
United Setting Professional Modifier None Typical Low $72.44 Median $81.28 Typical High $144.54 | Professional | None | $72.44 | $81.28 | $144.54 |
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 $19.50 Median $29.51 Typical High $30.20 | Professional | 51 · Multiple procedures | $19.50 | $29.51 | $30.20 |
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· 7th of 51
$123
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.