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 $114.82 Median $114.82 Typical High $114.82 | Facility | None | $114.82 | $114.82 | $114.82 |
Aetna Setting Professional Modifier None Typical Low $100.00 Median $114.82 Typical High $114.82 | Professional | None | $100.00 | $114.82 | $114.82 |
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 $109.65 Median $208.93 Typical High $281.84 | Professional | None | $109.65 | $208.93 | $281.84 |
Medcost Setting Facility Modifier None Typical Low $114.82 Median $190.55 Typical High $3,388.44 | Facility | None | $114.82 | $190.55 | $3,388.44 |
Medcost Setting Professional Modifier None Typical Low $93.33 Median $95.50 Typical High $194.98 | Professional | None | $93.33 | $95.50 | $194.98 |
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 $46.77 Median $47.86 Typical High $154.88 | Professional | 51 · Multiple procedures | $46.77 | $47.86 | $154.88 |
Where North Carolina sits
The same service costs 61.7 times more in Oklahoma 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· 18th of 51
$200
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.