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 $8.71 Median $8.71 Typical High $22.39 | Facility | None | $8.71 | $8.71 | $22.39 |
Aetna Setting Professional Modifier None Typical Low $8.71 Median $12.02 Typical High $22.39 | Professional | None | $8.71 | $12.02 | $22.39 |
BCBS North Carolina Setting Professional Modifier None Typical Low $11.22 Median $22.39 Typical High $48.98 | Professional | None | $11.22 | $22.39 | $48.98 |
Cigna Setting Professional Modifier None Typical Low $22.39 Median $22.39 Typical High $22.39 | Professional | None | $22.39 | $22.39 | $22.39 |
Medcost Setting Professional Modifier None Typical Low $29.51 Median $33.11 Typical High $33.11 | Professional | None | $29.51 | $33.11 | $33.11 |
Medcost Setting Facility Modifier None Typical Low $8.71 Median $22.39 Typical High $28.84 | Facility | None | $8.71 | $22.39 | $28.84 |
Medcost Setting Professional Modifier None Typical Low $15.49 Median $17.38 Typical High $22.91 | Professional | None | $15.49 | $17.38 | $22.91 |
United Setting Professional Modifier None Typical Low $7.76 Median $17.38 Typical High $26.92 | Professional | None | $7.76 | $17.38 | $26.92 |
3 more rates 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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.32 Median $1.78 Typical High $3.31 | Professional | 55 · Aftercare only | $1.32 | $1.78 | $3.31 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.87 Median $1.20 Typical High $2.24 | Professional | 56 · Pre-op care only | $0.87 | $1.20 | $2.24 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $7.76 Median $8.71 Typical High $11.48 | Professional | 51 · Multiple procedures | $7.76 | $8.71 | $11.48 |
Where North Carolina sits
The same service costs 3.8 times more in Alaska than in Washington, DC. 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· 20th of 51
$22.39
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.