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 $21.38 Median $21.38 Typical High $69.18 | Facility | None | $21.38 | $21.38 | $69.18 |
Aetna Setting Professional Modifier None Typical Low $20.89 Median $21.38 Typical High $56.23 | Professional | None | $20.89 | $21.38 | $56.23 |
Ambetter Setting Professional Modifier None Typical Low $38.90 Median $41.69 Typical High $48.98 | Professional | None | $38.90 | $41.69 | $48.98 |
BCBS North Carolina Setting Facility Modifier None Typical Low $58.88 Median $60.26 Typical High $85.11 | Facility | None | $58.88 | $60.26 | $85.11 |
BCBS North Carolina Setting Professional Modifier None Typical Low $26.30 Median $34.67 Typical High $95.50 | Professional | None | $26.30 | $34.67 | $95.50 |
Cigna Setting Facility Modifier None Typical Low $21.88 Median $57.54 Typical High $120.23 | Facility | None | $21.88 | $57.54 | $120.23 |
Cigna Setting Professional Modifier None Typical Low $14.13 Median $14.13 Typical High $14.13 | Professional | None | $14.13 | $14.13 | $14.13 |
Medcost Setting Professional Modifier None Typical Low $31.62 Median $31.62 Typical High $37.15 | Professional | None | $31.62 | $31.62 | $37.15 |
Medcost Setting Facility Modifier None Typical Low $21.38 Median $21.38 Typical High $31.62 | Facility | None | $21.38 | $21.38 | $31.62 |
Medcost Setting Professional Modifier None Typical Low $35.48 Median $38.90 Typical High $51.29 | Professional | None | $35.48 | $38.90 | $51.29 |
Oscar Health Setting Facility Modifier None Typical Low $660.69 Median $660.69 Typical High $660.69 | Facility | None | $660.69 | $660.69 | $660.69 |
United Setting Professional Modifier None Typical Low $11.22 Median $15.85 Typical High $36.31 | Professional | None | $11.22 | $15.85 | $36.31 |
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 $10.23 Median $10.72 Typical High $12.59 | Professional | 52 · Reduced service | $10.23 | $10.72 | $12.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.17 Median $4.27 Typical High $5.13 | Professional | 53 · Discontinued | $4.17 | $4.27 | $5.13 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $18.62 Median $19.50 Typical High $26.92 | Professional | 51 · Multiple procedures | $18.62 | $19.50 | $26.92 |
Where North Carolina sits
The same service costs 5.6 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· 13th of 51
$34.67
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.