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 $933.25 Median $1,445.44 Typical High $1,445.44 | Facility | None | $933.25 | $1,445.44 | $1,445.44 |
Aetna Setting Professional Modifier None Typical Low $1,258.93 Median $1,445.44 Typical High $1,445.44 | Professional | None | $1,258.93 | $1,445.44 | $1,445.44 |
BCBS North Carolina Setting Facility Modifier None Typical Low $1,318.26 Median $1,905.46 Typical High $2,630.27 | Facility | None | $1,318.26 | $1,905.46 | $2,630.27 |
BCBS North Carolina Setting Professional Modifier None Typical Low $1,288.25 Median $1,318.26 Typical High $1,584.89 | Professional | None | $1,288.25 | $1,318.26 | $1,584.89 |
Cigna Setting Facility Modifier None Typical Low $1,778.28 Median $1,995.26 Typical High $2,630.27 | Facility | None | $1,778.28 | $1,995.26 | $2,630.27 |
Cigna Setting Professional Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,258.93 | Professional | None | $1,258.93 | $1,258.93 | $1,258.93 |
Medcost Setting Facility Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $1,479.11 | Facility | None | $1,445.44 | $1,445.44 | $1,479.11 |
Medcost Setting Professional Modifier None Typical Low $575.44 Median $977.24 Typical High $1,698.24 | Professional | None | $575.44 | $977.24 | $1,698.24 |
United Setting Professional Modifier None Typical Low $1,258.93 Median $1,348.96 Typical High $1,412.54 | Professional | None | $1,258.93 | $1,348.96 | $1,412.54 |
5 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 $616.60 Median $724.44 Typical High $724.44 | Professional | 52 · Reduced service | $616.60 | $724.44 | $724.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $251.19 Median $288.40 Typical High $288.40 | Professional | 53 · Discontinued | $251.19 | $288.40 | $288.40 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $186.21 Median $218.78 Typical High $218.78 | Professional | 55 · Aftercare only | $186.21 | $218.78 | $218.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $125.89 Median $144.54 Typical High $144.54 | Professional | 56 · Pre-op care only | $125.89 | $144.54 | $144.54 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $288.40 Median $309.03 Typical High $489.78 | Professional | 51 · Multiple procedures | $288.40 | $309.03 | $489.78 |
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· 17th of 51
$1,318
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.