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 $63.10 Median $123.03 Typical High $123.03 | Facility | None | $63.10 | $123.03 | $123.03 |
Aetna Setting Professional Modifier None Typical Low $123.03 Median $123.03 Typical High $141.25 | Professional | None | $123.03 | $123.03 | $141.25 |
BCBS North Carolina Setting Facility Modifier None Typical Low $151.36 Median $218.78 Typical High $302.00 | Facility | None | $151.36 | $218.78 | $302.00 |
BCBS North Carolina Setting Professional Modifier None Typical Low $77.62 Median $151.36 Typical High $165.96 | Professional | None | $77.62 | $151.36 | $165.96 |
Cigna Setting Facility Modifier None Typical Low $194.98 Median $223.87 Typical High $316.23 | Facility | None | $194.98 | $223.87 | $316.23 |
Cigna Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | None | $141.25 | $141.25 | $141.25 |
Medcost Setting Facility Modifier None Typical Low $123.03 Median $123.03 Typical High $165.96 | Facility | None | $123.03 | $123.03 | $165.96 |
Medcost Setting Professional Modifier None Typical Low $63.10 Median $63.10 Typical High $162.18 | Professional | None | $63.10 | $63.10 | $162.18 |
United Setting Professional Modifier None Typical Low $141.25 Median $147.91 Typical High $147.91 | Professional | None | $141.25 | $147.91 | $147.91 |
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 $31.62 Median $31.62 Typical High $33.11 | Professional | 51 · Multiple procedures | $31.62 | $31.62 | $33.11 |
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· 5th of 51
$151
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.