How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $2,238.72 Median $2,238.72 Typical High $3,162.28 | Facility | None | $2,238.72 | $2,238.72 | $3,162.28 |
Aetna Setting Professional Modifier None Typical Low $2,238.72 Median $2,238.72 Typical High $2,630.27 | Professional | None | $2,238.72 | $2,238.72 | $2,630.27 |
BCBS North Carolina Setting Facility Modifier None Typical Low $3,019.95 Median $3,801.89 Typical High $5,011.87 | Facility | None | $3,019.95 | $3,801.89 | $5,011.87 |
BCBS North Carolina Setting Professional Modifier None Typical Low $2,570.40 Median $2,570.40 Typical High $2,951.21 | Professional | None | $2,570.40 | $2,570.40 | $2,951.21 |
Cigna Setting Facility Modifier None Typical Low $2,884.03 Median $3,801.89 Typical High $5,754.40 | Facility | None | $2,884.03 | $3,801.89 | $5,754.40 |
Cigna Setting Professional Modifier None Typical Low $2,570.40 Median $2,570.40 Typical High $2,570.40 | Professional | None | $2,570.40 | $2,570.40 | $2,570.40 |
Medcost Setting Facility Modifier None Typical Low $2,238.72 Median $2,238.72 Typical High $3,019.95 | Facility | None | $2,238.72 | $2,238.72 | $3,019.95 |
Medcost Setting Professional Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $2,951.21 | Professional | None | $1,737.80 | $1,737.80 | $2,951.21 |
United Setting Professional Modifier None Typical Low $2,454.71 Median $2,570.40 Typical High $2,570.40 | Professional | None | $2,454.71 | $2,570.40 | $2,570.40 |
6 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 $1,122.02 Median $1,122.02 Typical High $1,318.26 | Professional | 52 · Reduced service | $1,122.02 | $1,122.02 | $1,318.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $446.68 Median $446.68 Typical High $524.81 | Professional | 53 · Discontinued | $446.68 | $446.68 | $524.81 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,659.59 Median $1,659.59 Typical High $1,949.84 | Professional | 54 · Surgery only | $1,659.59 | $1,659.59 | $1,949.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $338.84 Median $338.84 Typical High $389.05 | Professional | 55 · Aftercare only | $338.84 | $338.84 | $389.05 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $223.87 Median $223.87 Typical High $263.03 | Professional | 56 · Pre-op care only | $223.87 | $223.87 | $263.03 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $870.96 Median $870.96 Typical High $870.96 | Professional | 51 · Multiple procedures | $870.96 | $870.96 | $870.96 |
Where North Carolina sits
Rates are fairly even across states for this service. 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· 27th of 51
$2,570
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.