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 $9.12 Median $9.12 Typical High $10.00 | Facility | None | $9.12 | $9.12 | $10.00 |
Aetna Setting Professional Modifier None Typical Low $9.12 Median $9.77 Typical High $10.00 | Professional | None | $9.12 | $9.77 | $10.00 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $4.57 Median $4.90 Typical High $5.01 | Professional | 52 · Reduced service | $4.57 | $4.90 | $5.01 |
BCBS North Carolina Setting Professional Modifier None Typical Low $13.49 Median $16.98 Typical High $26.30 | Professional | None | $13.49 | $16.98 | $26.30 |
Cigna Setting Professional Modifier None Typical Low $11.75 Median $11.75 Typical High $17.78 | Professional | None | $11.75 | $11.75 | $17.78 |
Medcost Setting Facility Modifier None Typical Low $9.12 Median $10.00 Typical High $11.75 | Facility | None | $9.12 | $10.00 | $11.75 |
Medcost Setting Professional Modifier None Typical Low $8.51 Median $8.51 Typical High $12.02 | Professional | None | $8.51 | $8.51 | $12.02 |
United Setting Professional Modifier None Typical Low $10.96 Median $13.18 Typical High $29.51 | Professional | None | $10.96 | $13.18 | $29.51 |
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 $4.27 Median $4.27 Typical High $6.03 | Professional | 51 · Multiple procedures | $4.27 | $4.27 | $6.03 |
Where North Carolina sits
The same service costs 6.3 times more in Alaska than in Arizona. 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· 9th of 51
$16.22
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.