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 $5.37 Median $5.37 Typical High $53.70 | Facility | None | $5.37 | $5.37 | $53.70 |
Aetna Setting Professional Modifier None Typical Low $5.25 Median $13.18 Typical High $58.88 | Professional | None | $5.25 | $13.18 | $58.88 |
Ambetter Setting Professional Modifier None Typical Low $5.37 Median $57.54 Typical High $109.65 | Professional | None | $5.37 | $57.54 | $109.65 |
BCBS North Carolina Setting Professional Modifier None Typical Low $9.55 Median $93.33 Typical High $158.49 | Professional | None | $9.55 | $93.33 | $158.49 |
Cigna Setting Professional Modifier None Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | None | $53.70 | $53.70 | $53.70 |
Medcost Setting Facility Modifier None Typical Low $5.37 Median $8.51 Typical High $87.10 | Facility | None | $5.37 | $8.51 | $87.10 |
Medcost Setting Professional Modifier None Typical Low $37.15 Median $54.95 Typical High $54.95 | Professional | None | $37.15 | $54.95 | $54.95 |
Oscar Health Setting Facility Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $3,715.35 | Facility | None | $1,096.48 | $1,096.48 | $3,715.35 |
Oscar Health Setting Professional Modifier None Typical Low $6.31 Median $15.49 Typical High $141.25 | Professional | None | $6.31 | $15.49 | $141.25 |
United Setting Professional Modifier None Typical Low $5.37 Median $38.02 Typical High $75.86 | Professional | None | $5.37 | $38.02 | $75.86 |
2 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 53 · Discontinued Typical Low $1.07 Median $6.46 Typical High $10.72 | Professional | 53 · Discontinued | $1.07 | $6.46 | $10.72 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $18.20 Median $27.54 Typical High $27.54 | Professional | 51 · Multiple procedures | $18.20 | $27.54 | $27.54 |
Where North Carolina sits
The same service costs 22.7 times more in Georgia than in Mississippi. 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.
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.