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 $93.33 Median $93.33 Typical High $93.33 | Facility | None | $93.33 | $93.33 | $93.33 |
Aetna Setting Professional Modifier None Typical Low $93.33 Median $93.33 Typical High $95.50 | Professional | None | $93.33 | $93.33 | $95.50 |
BCBS North Carolina Setting Professional Modifier None Typical Low $85.11 Median $120.23 Typical High $338.84 | Professional | None | $85.11 | $120.23 | $338.84 |
Cigna Setting Professional Modifier None Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | None | $81.28 | $81.28 | $81.28 |
Medcost Setting Facility Modifier None Typical Low $93.33 Median $93.33 Typical High $102.33 | Facility | None | $93.33 | $93.33 | $102.33 |
Medcost Setting Professional Modifier None Typical Low $64.57 Median $100.00 Typical High $100.00 | Professional | None | $64.57 | $100.00 | $100.00 |
United Setting Professional Modifier None Typical Low $91.20 Median $131.83 Typical High $218.78 | Professional | None | $91.20 | $131.83 | $218.78 |
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 $46.77 Median $46.77 Typical High $47.86 | Professional | 52 · Reduced service | $46.77 | $46.77 | $47.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $18.62 Typical High $19.05 | Professional | 53 · Discontinued | $18.62 | $18.62 | $19.05 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $32.36 Median $50.12 Typical High $50.12 | Professional | 51 · Multiple procedures | $32.36 | $50.12 | $50.12 |
Where North Carolina sits
The same service costs 2.2 times more in Nebraska than in Texas. 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· 19th of 51
$120
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.