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 $33.11 Median $33.11 Typical High $57.54 | Facility | None | $33.11 | $33.11 | $57.54 |
Aetna Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $57.54 | Professional | None | $33.11 | $33.11 | $57.54 |
BCBS North Carolina Setting Facility Modifier None Typical Low $102.33 Median $102.33 Typical High $123.03 | Facility | None | $102.33 | $102.33 | $123.03 |
BCBS North Carolina Setting Professional Modifier None Typical Low $33.88 Median $39.81 Typical High $61.66 | Professional | None | $33.88 | $39.81 | $61.66 |
Cigna Setting Facility Modifier None Typical Low $45.71 Median $61.66 Typical High $87.10 | Facility | None | $45.71 | $61.66 | $87.10 |
Cigna Setting Professional Modifier None Typical Low $40.74 Median $40.74 Typical High $46.77 | Professional | None | $40.74 | $40.74 | $46.77 |
Medcost Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | None | $50.12 | $50.12 | $50.12 |
Medcost Setting Facility Modifier None Typical Low $33.11 Median $33.11 Typical High $48.98 | Facility | None | $33.11 | $33.11 | $48.98 |
Medcost Setting Professional Modifier None Typical Low $53.70 Median $61.66 Typical High $83.18 | Professional | None | $53.70 | $61.66 | $83.18 |
Oscar Health Setting Professional Modifier None Typical Low $43.65 Median $70.79 Typical High $85.11 | Professional | None | $43.65 | $70.79 | $85.11 |
United Setting Professional Modifier None Typical Low $39.81 Median $39.81 Typical High $52.48 | Professional | None | $39.81 | $39.81 | $52.48 |
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 $26.92 Median $30.90 Typical High $53.70 | Professional | 51 · Multiple procedures | $26.92 | $30.90 | $53.70 |
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· 50th of 51
$39.81
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.