How much rates vary
Facilitymedian $107 · 10th to 90th $62 to $794Professionalmedian $110 · 10th to 90th $79 to $186
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 $79.43 Median $79.43 Typical High $79.43 | Facility | None | $79.43 | $79.43 | $79.43 |
Aetna Setting Professional Modifier None (both parts) Typical Low $79.43 Median $79.43 Typical High $144.54 | Professional | None (both parts) | $79.43 | $79.43 | $144.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $44.67 Typical High $74.13 | Professional | 26 · Professional part | $44.67 | $44.67 | $74.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $34.67 Typical High $69.18 | Professional | TC · Technical part | $34.67 | $34.67 | $69.18 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $134.90 Median $134.90 Typical High $151.36 | Professional | None (both parts) | $134.90 | $134.90 | $151.36 |
BCBS Setting Facility Modifier None Typical Low $42.66 Median $67.61 Typical High $169.82 | Facility | None | $42.66 | $67.61 | $169.82 |
BCBS Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $95.50 Typical High $123.03 | Professional | 26 · Professional part | $58.88 | $95.50 | $123.03 |
BCBS Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $87.10 Typical High $114.82 | Professional | TC · Technical part | $57.54 | $87.10 | $114.82 |
Cigna Setting Facility Modifier None Typical Low $64.57 Median $102.33 Typical High $524.81 | Facility | None | $64.57 | $102.33 | $524.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $112.20 Typical High $213.80 | Professional | None (both parts) | $100.00 | $112.20 | $213.80 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $61.66 Typical High $120.23 | Professional | 26 · Professional part | $52.48 | $61.66 | $120.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $52.48 Typical High $100.00 | Professional | TC · Technical part | $45.71 | $52.48 | $100.00 |
Medcost Setting Facility Modifier None Typical Low $46.77 Median $72.44 Typical High $114.82 | Facility | None | $46.77 | $72.44 | $114.82 |
Medcost Setting Professional Modifier None (both parts) Typical Low $93.33 Median $120.23 Typical High $138.04 | Professional | None (both parts) | $93.33 | $120.23 | $138.04 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $57.54 Typical High $72.44 | Professional | 26 · Professional part | $53.70 | $57.54 | $72.44 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $64.57 Typical High $69.18 | Professional | TC · Technical part | $42.66 | $64.57 | $69.18 |
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 $77.62 Median $117.49 Typical High $204.17 | Professional | None (both parts) | $77.62 | $117.49 | $204.17 |
United Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $63.10 Typical High $107.15 | Professional | 26 · Professional part | $43.65 | $63.10 | $107.15 |
United Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $54.95 Typical High $97.72 | Professional | TC · Technical part | $33.11 | $54.95 | $97.72 |
10 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 $39.81 Median $39.81 Typical High $45.71 | Professional | 52 · Reduced service | $39.81 | $39.81 | $45.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $15.85 Typical High $18.20 | Professional | 53 · Discontinued | $15.85 | $15.85 | $18.20 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.75 Median $11.75 Typical High $13.80 | Professional | 55 · Aftercare only | $11.75 | $11.75 | $13.80 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.94 Median $7.94 Typical High $9.12 | Professional | 56 · Pre-op care only | $7.94 | $7.94 | $9.12 |
Medcost Setting Facility Modifier 51 · Multiple procedures Typical Low $22.91 Median $36.31 Typical High $46.77 | Facility | 51 · Multiple procedures | $22.91 | $36.31 | $46.77 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $51.29 Median $61.66 Typical High $112.20 | Professional | 51 · Multiple procedures | $51.29 | $61.66 | $112.20 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $20.42 Median $24.55 Typical High $44.67 | Professional | 80 · Assistant surgeon | $20.42 | $24.55 | $44.67 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $14.13 Median $16.98 Typical High $30.90 | Professional | 81 · Minimal assistant surgeon | $14.13 | $16.98 | $30.90 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $14.13 Median $16.98 Typical High $30.90 | Professional | 82 · Assistant surgeon, no resident | $14.13 | $16.98 | $30.90 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $14.13 Median $16.98 Typical High $30.90 | Professional | AS · PA/NP assist | $14.13 | $16.98 | $30.90 |
Where North Carolina sits
The same service costs 5.9 times more in Alaska than in Alabama. 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· 35th of 51
$110
AK $331AL $56.23
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.