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 $331.13 Median $912.01 Typical High $912.01 | Facility | None | $331.13 | $912.01 | $912.01 |
Aetna Setting Professional Modifier None Typical Low $912.01 Median $912.01 Typical High $912.01 | Professional | None | $912.01 | $912.01 | $912.01 |
BCBS North Carolina Setting Facility Modifier None Typical Low $331.13 Median $338.84 Typical High $575.44 | Facility | None | $331.13 | $338.84 | $575.44 |
BCBS North Carolina Setting Professional Modifier None Typical Low $45.71 Median $53.70 Typical High $60.26 | Professional | None | $45.71 | $53.70 | $60.26 |
Cigna Setting Facility Modifier None Typical Low $977.24 Median $1,096.48 Typical High $1,862.09 | Facility | None | $977.24 | $1,096.48 | $1,862.09 |
Cigna Setting Professional Modifier None Typical Low $870.96 Median $870.96 Typical High $870.96 | Professional | None | $870.96 | $870.96 | $870.96 |
Medcost Setting Facility Modifier None Typical Low $912.01 Median $977.24 Typical High $1,479.11 | Facility | None | $912.01 | $977.24 | $1,479.11 |
Medcost Setting Professional Modifier None Typical Low $309.03 Median $346.74 Typical High $346.74 | Professional | None | $309.03 | $346.74 | $346.74 |
United Setting Professional Modifier None Typical Low $870.96 Median $870.96 Typical High $870.96 | Professional | None | $870.96 | $870.96 | $870.96 |
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 $154.88 Median $173.78 Typical High $173.78 | Professional | 51 · Multiple procedures | $154.88 | $173.78 | $173.78 |
Where North Carolina sits
The same service costs 2.3 times more in New Jersey than in Missouri. 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· 25th of 51
$871
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.