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 $190.55 Median $190.55 Typical High $190.55 | Facility | None | $190.55 | $190.55 | $190.55 |
Aetna Setting Professional Modifier None Typical Low $87.10 Median $190.55 Typical High $190.55 | Professional | None | $87.10 | $190.55 | $190.55 |
BCBS North Carolina Setting Professional Modifier None Typical Low $81.28 Median $169.82 Typical High $407.38 | Professional | None | $81.28 | $169.82 | $407.38 |
Medcost Setting Facility Modifier None Typical Low $190.55 Median $204.17 Typical High $302.00 | Facility | None | $190.55 | $204.17 | $302.00 |
Medcost Setting Professional Modifier None Typical Low $51.29 Median $69.18 Typical High $257.04 | Professional | None | $51.29 | $69.18 | $257.04 |
United Setting Professional Modifier None Typical Low $52.48 Median $79.43 Typical High $125.89 | Professional | None | $52.48 | $79.43 | $125.89 |
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 $25.70 Median $34.67 Typical High $165.96 | Professional | 51 · Multiple procedures | $25.70 | $34.67 | $165.96 |
Where North Carolina sits
The same service costs 23.4 times more in Texas than in Pennsylvania. 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· 27th of 51
$170
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.