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 $141.25 Median $141.25 Typical High $141.25 | Facility | None | $141.25 | $141.25 | $141.25 |
Aetna Setting Professional Modifier None Typical Low $109.65 Median $141.25 Typical High $141.25 | Professional | None | $109.65 | $141.25 | $141.25 |
BCBS North Carolina Setting Facility Modifier None Typical Low $891.25 Median $1,318.26 Typical High $1,862.09 | Facility | None | $891.25 | $1,318.26 | $1,862.09 |
BCBS North Carolina Setting Professional Modifier None Typical Low $91.20 Median $144.54 Typical High $245.47 | Professional | None | $91.20 | $144.54 | $245.47 |
Medcost Setting Facility Modifier None Typical Low $141.25 Median $1,737.80 Typical High $2,454.71 | Facility | None | $141.25 | $1,737.80 | $2,454.71 |
Medcost Setting Professional Modifier None Typical Low $79.43 Median $81.28 Typical High $199.53 | Professional | None | $79.43 | $81.28 | $199.53 |
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 $39.81 Median $40.74 Typical High $154.88 | Professional | 51 · Multiple procedures | $39.81 | $40.74 | $154.88 |
Where North Carolina sits
The same service costs 14.1 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· 29th of 51
$141
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.