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 $758.58 Typical High $758.58 | Facility | None | $331.13 | $758.58 | $758.58 |
Aetna Setting Professional Modifier None Typical Low $741.31 Median $758.58 Typical High $758.58 | Professional | None | $741.31 | $758.58 | $758.58 |
BCBS North Carolina Setting Facility Modifier None Typical Low $331.13 Median $338.84 Typical High $588.84 | Facility | None | $331.13 | $338.84 | $588.84 |
BCBS North Carolina Setting Professional Modifier None Typical Low $190.55 Median $851.14 Typical High $891.25 | Professional | None | $190.55 | $851.14 | $891.25 |
Cigna Setting Facility Modifier None Typical Low $870.96 Median $977.24 Typical High $1,621.81 | Facility | None | $870.96 | $977.24 | $1,621.81 |
Cigna Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $758.58 | Professional | None | $758.58 | $758.58 | $758.58 |
Medcost Setting Facility Modifier None Typical Low $758.58 Median $912.01 Typical High $1,230.27 | Facility | None | $758.58 | $912.01 | $1,230.27 |
Medcost Setting Professional Modifier None Typical Low $309.03 Median $346.74 Typical High $1,047.13 | Professional | None | $309.03 | $346.74 | $1,047.13 |
United Setting Professional Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $1,995.26 | Professional | None | $1,995.26 | $1,995.26 | $1,995.26 |
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 $316.23 | Professional | 51 · Multiple procedures | $154.88 | $173.78 | $316.23 |
Where North Carolina sits
The same service costs 4.2 times more in Oklahoma 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· 38th of 51
$759
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.