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 $16.22 Median $16.22 Typical High $52.48 | Facility | None | $16.22 | $16.22 | $52.48 |
Aetna Setting Professional Modifier None Typical Low $15.49 Median $16.22 Typical High $28.18 | Professional | None | $15.49 | $16.22 | $28.18 |
BCBS North Carolina Setting Facility Modifier None Typical Low $57.54 Median $87.10 Typical High $87.10 | Facility | None | $57.54 | $87.10 | $87.10 |
BCBS North Carolina Setting Professional Modifier None Typical Low $19.95 Median $24.55 Typical High $75.86 | Professional | None | $19.95 | $24.55 | $75.86 |
Cigna Setting Facility Modifier None Typical Low $16.60 Median $44.67 Typical High $91.20 | Facility | None | $16.60 | $44.67 | $91.20 |
Cigna Setting Professional Modifier None Typical Low $10.72 Median $10.72 Typical High $10.72 | Professional | None | $10.72 | $10.72 | $10.72 |
Medcost Setting Professional Modifier None Typical Low $27.54 Median $27.54 Typical High $57.54 | Professional | None | $27.54 | $27.54 | $57.54 |
Medcost Setting Facility Modifier None Typical Low $16.22 Median $16.22 Typical High $23.99 | Facility | None | $16.22 | $16.22 | $23.99 |
Medcost Setting Professional Modifier None Typical Low $25.12 Median $30.20 Typical High $40.74 | Professional | None | $25.12 | $30.20 | $40.74 |
Oscar Health Setting Facility Modifier None Typical Low $158.49 Median $158.49 Typical High $158.49 | Facility | None | $158.49 | $158.49 | $158.49 |
United Setting Professional Modifier None Typical Low $8.51 Median $12.02 Typical High $28.18 | Professional | None | $8.51 | $12.02 | $28.18 |
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 52 · Reduced service Typical Low $7.94 Median $8.13 Typical High $9.77 | Professional | 52 · Reduced service | $7.94 | $8.13 | $9.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.16 Median $3.24 Typical High $3.89 | Professional | 53 · Discontinued | $3.16 | $3.24 | $3.89 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $14.45 Median $15.14 Typical High $20.89 | Professional | 51 · Multiple procedures | $14.45 | $15.14 | $20.89 |
Where North Carolina sits
The same service costs 4.7 times more in Alaska than in Delaware. 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· 32nd of 51
$21.38
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.