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 $54.95 Median $54.95 Typical High $54.95 | Facility | None | $54.95 | $54.95 | $54.95 |
Aetna Setting Professional Modifier None Typical Low $41.69 Median $48.98 Typical High $72.44 | Professional | None | $41.69 | $48.98 | $72.44 |
BCBS North Carolina Setting Professional Modifier None Typical Low $33.88 Median $48.98 Typical High $91.20 | Professional | None | $33.88 | $48.98 | $91.20 |
Cigna Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | None | $52.48 | $52.48 | $52.48 |
Medcost Setting Facility Modifier None Typical Low $46.77 Median $56.23 Typical High $181.97 | Facility | None | $46.77 | $56.23 | $181.97 |
Medcost Setting Professional Modifier None Typical Low $39.81 Median $54.95 Typical High $61.66 | Professional | None | $39.81 | $54.95 | $61.66 |
United Setting Professional Modifier None Typical Low $37.15 Median $60.26 Typical High $117.49 | Professional | None | $37.15 | $60.26 | $117.49 |
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 $19.95 Median $27.54 Typical High $39.81 | Professional | 51 · Multiple procedures | $19.95 | $27.54 | $39.81 |
Where North Carolina sits
The same service costs 6.6 times more in Alaska than in New York. 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· 50th of 51
$48.98
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.