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 $158.49 Median $158.49 Typical High $158.49 | Facility | None | $158.49 | $158.49 | $158.49 |
Aetna Setting Professional Modifier None Typical Low $138.04 Median $158.49 Typical High $158.49 | Professional | None | $138.04 | $158.49 | $158.49 |
BCBS North Carolina Setting Professional Modifier None Typical Low $131.83 Median $199.53 Typical High $338.84 | Professional | None | $131.83 | $199.53 | $338.84 |
Medcost Setting Facility Modifier None Typical Low $158.49 Median $190.55 Typical High $251.19 | Facility | None | $158.49 | $190.55 | $251.19 |
Medcost Setting Professional Modifier None Typical Low $114.82 Median $117.49 Typical High $275.42 | Professional | None | $114.82 | $117.49 | $275.42 |
United Setting Professional Modifier None Typical Low $120.23 Median $144.54 Typical High $229.09 | Professional | None | $120.23 | $144.54 | $229.09 |
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 $57.54 Median $58.88 Typical High $199.53 | Professional | 51 · Multiple procedures | $57.54 | $58.88 | $199.53 |
Where North Carolina sits
The same service costs 10.7 times more in Texas than in Vermont. 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· 17th of 51
$182
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.