How much rates vary
Facilitymedian $47 · 10th to 90th $23 to $427Professionalmedian $58 · 10th to 90th $47 to $98
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 $46.77 Median $47.86 Typical High $70.79 | Facility | None | $46.77 | $47.86 | $70.79 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $28.18 Median $29.51 Typical High $44.67 | Facility | 26 · Professional part | $28.18 | $29.51 | $44.67 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $18.62 Median $18.62 Typical High $26.30 | Facility | TC · Technical part | $18.62 | $18.62 | $26.30 |
Aetna Setting Professional Modifier None (both parts) Typical Low $46.77 Median $47.86 Typical High $85.11 | Professional | None (both parts) | $46.77 | $47.86 | $85.11 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $28.84 Typical High $54.95 | Professional | 26 · Professional part | $28.18 | $28.84 | $54.95 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $18.62 Typical High $37.15 | Professional | TC · Technical part | $18.62 | $18.62 | $37.15 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $47.86 Median $69.18 Typical High $81.28 | Professional | None (both parts) | $47.86 | $69.18 | $81.28 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $43.65 Typical High $51.29 | Professional | 26 · Professional part | $30.90 | $43.65 | $51.29 |
BCBS North Carolina Setting Facility Modifier None Typical Low $17.38 Median $25.70 Typical High $34.67 | Facility | None | $17.38 | $25.70 | $34.67 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $58.88 Typical High $93.33 | Professional | 26 · Professional part | $38.90 | $58.88 | $93.33 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $30.90 Typical High $51.29 | Professional | TC · Technical part | $20.89 | $30.90 | $51.29 |
Cigna Setting Facility Modifier None Typical Low $23.99 Median $35.48 Typical High $53.70 | Facility | None | $23.99 | $35.48 | $53.70 |
Cigna Setting Professional Modifier None (both parts) Typical Low $46.77 Median $61.66 Typical High $97.72 | Professional | None (both parts) | $46.77 | $61.66 | $97.72 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $40.74 Typical High $61.66 | Professional | 26 · Professional part | $35.48 | $40.74 | $61.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $10.23 Median $21.38 Typical High $38.02 | Professional | TC · Technical part | $10.23 | $21.38 | $38.02 |
Medcost Setting Facility Modifier None Typical Low $20.89 Median $32.36 Typical High $56.23 | Facility | None | $20.89 | $32.36 | $56.23 |
Medcost Setting Professional Modifier None (both parts) Typical Low $45.71 Median $63.10 Typical High $79.43 | Professional | None (both parts) | $45.71 | $63.10 | $79.43 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $38.02 Typical High $46.77 | Professional | 26 · Professional part | $33.11 | $38.02 | $46.77 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $13.80 Median $19.95 Typical High $32.36 | Professional | TC · Technical part | $13.80 | $19.95 | $32.36 |
Oscar Health Setting Facility Modifier None Typical Low $426.58 Median $426.58 Typical High $426.58 | Facility | None | $426.58 | $426.58 | $426.58 |
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 $44.67 Median $61.66 Typical High $117.49 | Professional | None (both parts) | $44.67 | $61.66 | $117.49 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $40.74 Typical High $69.18 | Professional | 26 · Professional part | $28.18 | $40.74 | $69.18 |
United Setting Professional Modifier TC · Technical part Typical Low $15.14 Median $20.89 Typical High $47.86 | Professional | TC · Technical part | $15.14 | $20.89 | $47.86 |
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 $23.44 Median $23.44 Typical High $27.54 | Professional | 52 · Reduced service | $23.44 | $23.44 | $27.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.33 Median $9.33 Typical High $10.96 | Professional | 53 · Discontinued | $9.33 | $9.33 | $10.96 |
Medcost Setting Facility Modifier 51 · Multiple procedures Typical Low $10.47 Median $16.22 Typical High $24.55 | Facility | 51 · Multiple procedures | $10.47 | $16.22 | $24.55 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $28.84 Median $31.62 Typical High $66.07 | Professional | 51 · Multiple procedures | $28.84 | $31.62 | $66.07 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $11.48 Median $12.59 Typical High $26.92 | Professional | 80 · Assistant surgeon | $11.48 | $12.59 | $26.92 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $8.13 Median $8.91 Typical High $18.62 | Professional | 81 · Minimal assistant surgeon | $8.13 | $8.91 | $18.62 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $8.13 Median $8.91 Typical High $18.62 | Professional | 82 · Assistant surgeon, no resident | $8.13 | $8.91 | $18.62 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $8.13 Median $8.91 Typical High $18.62 | Professional | AS · PA/NP assist | $8.13 | $8.91 | $18.62 |
Where North Carolina sits
The same service costs 6.5 times more in Minnesota than in Kentucky. 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· 34th of 51
$57.54
MN $295KY $45.71
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.