How much rates vary
Facilitymedian $195 · 10th to 90th $110 to $871Professionalmedian $302 · 10th to 90th $214 to $490
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 $223.87 Median $1,000.00 Typical High $7,943.28 | Facility | None | $223.87 | $1,000.00 | $7,943.28 |
Aetna Setting Professional Modifier None (both parts) Typical Low $223.87 Median $223.87 Typical High $407.38 | Professional | None (both parts) | $223.87 | $223.87 | $407.38 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $74.13 Typical High $120.23 | Professional | 26 · Professional part | $74.13 | $74.13 | $120.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $151.36 Typical High $218.78 | Professional | TC · Technical part | $141.25 | $151.36 | $218.78 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $173.78 Median $316.23 Typical High $316.23 | Professional | None (both parts) | $173.78 | $316.23 | $316.23 |
BCBS Setting Facility Modifier None Typical Low $117.49 Median $173.78 Typical High $234.42 | Facility | None | $117.49 | $173.78 | $234.42 |
BCBS Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $154.88 Typical High $245.47 | Professional | 26 · Professional part | $97.72 | $154.88 | $245.47 |
BCBS Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $275.42 Typical High $436.52 | Professional | TC · Technical part | $186.21 | $275.42 | $436.52 |
Cigna Setting Facility Modifier None Typical Low $144.54 Median $229.09 Typical High $524.81 | Facility | None | $144.54 | $229.09 | $524.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $275.42 Median $309.03 Typical High $549.54 | Professional | None (both parts) | $275.42 | $309.03 | $549.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $109.65 Typical High $204.17 | Professional | 26 · Professional part | $91.20 | $109.65 | $204.17 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $213.80 Typical High $316.23 | Professional | TC · Technical part | $173.78 | $213.80 | $316.23 |
Medcost Setting Facility Modifier None Typical Low $125.89 Median $194.98 Typical High $316.23 | Facility | None | $125.89 | $194.98 | $316.23 |
Medcost Setting Professional Modifier None (both parts) Typical Low $213.80 Median $281.84 Typical High $489.78 | Professional | None (both parts) | $213.80 | $281.84 | $489.78 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $117.49 Typical High $123.03 | Professional | 26 · Professional part | $91.20 | $117.49 | $123.03 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $199.53 Typical High $269.15 | Professional | TC · Technical part | $144.54 | $199.53 | $269.15 |
United Setting Facility Modifier None Typical Low $77.62 Median $165.96 Typical High $1,096.48 | Facility | None | $77.62 | $165.96 | $1,096.48 |
United Setting Professional Modifier None (both parts) Typical Low $199.53 Median $295.12 Typical High $549.54 | Professional | None (both parts) | $199.53 | $295.12 | $549.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $97.72 Typical High $186.21 | Professional | 26 · Professional part | $74.13 | $97.72 | $186.21 |
United Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $199.53 Typical High $363.08 | Professional | TC · Technical part | $120.23 | $199.53 | $363.08 |
8 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 $112.20 Median $112.20 Typical High $128.82 | Professional | 52 · Reduced service | $112.20 | $112.20 | $128.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $44.67 Typical High $51.29 | Professional | 53 · Discontinued | $44.67 | $44.67 | $51.29 |
Medcost Setting Facility Modifier 51 · Multiple procedures Typical Low $63.10 Median $97.72 Typical High $158.49 | Facility | 51 · Multiple procedures | $63.10 | $97.72 | $158.49 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $107.15 Median $173.78 Typical High $295.12 | Professional | 51 · Multiple procedures | $107.15 | $173.78 | $295.12 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $42.66 Median $69.18 Typical High $117.49 | Professional | 80 · Assistant surgeon | $42.66 | $69.18 | $117.49 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $30.20 Median $47.86 Typical High $83.18 | Professional | 81 · Minimal assistant surgeon | $30.20 | $47.86 | $83.18 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $30.20 Median $47.86 Typical High $83.18 | Professional | 82 · Assistant surgeon, no resident | $30.20 | $47.86 | $83.18 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $30.20 Median $47.86 Typical High $83.18 | Professional | AS · PA/NP assist | $30.20 | $47.86 | $83.18 |
Where North Carolina sits
The same service costs 5.2 times more in Wisconsin than in Utah. 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· 26th of 51
$282
WI $708UT $135
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.