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 $2,884.03 Median $2,884.03 Typical High $2,884.03 | Facility | None | $2,884.03 | $2,884.03 | $2,884.03 |
Aetna Setting Professional Modifier None Typical Low $2,884.03 Median $2,884.03 Typical High $3,548.13 | Professional | None | $2,884.03 | $2,884.03 | $3,548.13 |
BCBS North Carolina Setting Professional Modifier None Typical Low $5,128.61 Median $5,370.32 Typical High $5,754.40 | Professional | None | $5,128.61 | $5,370.32 | $5,754.40 |
Cigna Setting Facility Modifier None Typical Low $4,073.80 Median $4,570.88 Typical High $7,585.78 | Facility | None | $4,073.80 | $4,570.88 | $7,585.78 |
Cigna Setting Professional Modifier None Typical Low $3,548.13 Median $3,548.13 Typical High $3,548.13 | Professional | None | $3,548.13 | $3,548.13 | $3,548.13 |
Medcost Setting Facility Modifier None Typical Low $2,570.40 Median $2,884.03 Typical High $3,019.95 | Facility | None | $2,570.40 | $2,884.03 | $3,019.95 |
Medcost Setting Professional Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $5,011.87 | Professional | None | $1,071.52 | $1,071.52 | $5,011.87 |
Oscar Health Setting Professional Modifier None Typical Low $5,370.32 Median $6,165.95 Typical High $7,244.36 | Professional | None | $5,370.32 | $6,165.95 | $7,244.36 |
United Setting Professional Modifier None Typical Low $3,467.37 Median $3,467.37 Typical High $4,570.88 | Professional | None | $3,467.37 | $3,467.37 | $4,570.88 |
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 $1,412.54 Median $1,412.54 Typical High $1,737.80 | Professional | 52 · Reduced service | $1,412.54 | $1,412.54 | $1,737.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $575.44 Median $575.44 Typical High $691.83 | Professional | 53 · Discontinued | $575.44 | $575.44 | $691.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $426.58 Median $426.58 Typical High $524.81 | Professional | 55 · Aftercare only | $426.58 | $426.58 | $524.81 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $288.40 Median $288.40 Typical High $346.74 | Professional | 56 · Pre-op care only | $288.40 | $288.40 | $346.74 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $537.03 Median $537.03 Typical High $537.03 | Professional | 51 · Multiple procedures | $537.03 | $537.03 | $537.03 |
Where North Carolina sits
The same service costs 1.6 times more in North Carolina than in Nebraska. 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· 1st of 51
$5,370
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.