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 $12.88 Median $12.88 Typical High $29.51 | Facility | None | $12.88 | $12.88 | $29.51 |
Aetna Setting Professional Modifier None Typical Low $10.47 Median $12.88 Typical High $14.45 | Professional | None | $10.47 | $12.88 | $14.45 |
BCBS North Carolina Setting Facility Modifier None Typical Low $39.81 Median $45.71 Typical High $45.71 | Facility | None | $39.81 | $45.71 | $45.71 |
BCBS North Carolina Setting Professional Modifier None Typical Low $9.55 Median $13.80 Typical High $38.90 | Professional | None | $9.55 | $13.80 | $38.90 |
Cigna Setting Facility Modifier None Typical Low $13.80 Median $39.81 Typical High $83.18 | Facility | None | $13.80 | $39.81 | $83.18 |
Cigna Setting Professional Modifier None Typical Low $8.13 Median $8.13 Typical High $8.13 | Professional | None | $8.13 | $8.13 | $8.13 |
Medcost Setting Professional Modifier None Typical Low $14.79 Median $14.79 Typical High $15.85 | Professional | None | $14.79 | $14.79 | $15.85 |
Medcost Setting Facility Modifier None Typical Low $12.88 Median $12.88 Typical High $21.88 | Facility | None | $12.88 | $12.88 | $21.88 |
Medcost Setting Professional Modifier None Typical Low $15.14 Median $15.85 Typical High $21.38 | Professional | None | $15.14 | $15.85 | $21.38 |
United Setting Professional Modifier None Typical Low $7.24 Median $9.12 Typical High $17.78 | Professional | None | $7.24 | $9.12 | $17.78 |
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 $5.25 Median $6.31 Typical High $7.24 | Professional | 52 · Reduced service | $5.25 | $6.31 | $7.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.09 Median $2.51 Typical High $2.88 | Professional | 53 · Discontinued | $2.09 | $2.51 | $2.88 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $7.59 Median $7.94 Typical High $16.98 | Professional | 51 · Multiple procedures | $7.59 | $7.94 | $16.98 |
Where North Carolina sits
The same service costs 6.6 times more in Texas 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· 41st of 51
$13.80
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.