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 $117.49 Median $131.83 Typical High $131.83 | Facility | None | $117.49 | $131.83 | $131.83 |
Aetna Setting Professional Modifier None Typical Low $123.03 Median $131.83 Typical High $134.90 | Professional | None | $123.03 | $131.83 | $134.90 |
BCBS North Carolina Setting Facility Modifier None Typical Low $616.60 Median $891.25 Typical High $1,258.93 | Facility | None | $616.60 | $891.25 | $1,258.93 |
BCBS North Carolina Setting Professional Modifier None Typical Low $131.83 Median $239.88 Typical High $323.59 | Professional | None | $131.83 | $239.88 | $323.59 |
Medcost Setting Facility Modifier None Typical Low $131.83 Median $229.09 Typical High $3,388.44 | Facility | None | $131.83 | $229.09 | $3,388.44 |
Medcost Setting Professional Modifier None Typical Low $109.65 Median $112.20 Typical High $229.09 | Professional | None | $109.65 | $112.20 | $229.09 |
United Setting Professional Modifier None Typical Low $158.49 Median $190.55 Typical High $302.00 | Professional | None | $158.49 | $190.55 | $302.00 |
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 $54.95 Median $56.23 Typical High $181.97 | Professional | 51 · Multiple procedures | $54.95 | $56.23 | $181.97 |
Where North Carolina sits
The same service costs 7.6 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· 15th of 51
$240
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.