How much rates vary
Facilitymedian $537 · 10th to 90th $324 to $2,754Professionalmedian $646 · 10th to 90th $324 to $1,514
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 26 · Professional part Typical Low $109.65 Median $123.03 Typical High $181.97 | Facility | 26 · Professional part | $109.65 | $123.03 | $181.97 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $218.78 Median $257.04 Typical High $831.76 | Facility | TC · Technical part | $218.78 | $257.04 | $831.76 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $117.49 Typical High $223.87 | Professional | 26 · Professional part | $109.65 | $117.49 | $223.87 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $257.04 Typical High $549.54 | Professional | TC · Technical part | $218.78 | $257.04 | $549.54 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $169.82 Typical High $263.03 | Professional | 26 · Professional part | $102.33 | $169.82 | $263.03 |
BCBS Setting Professional Modifier 26 · Professional part Typical Low $190.55 Median $281.84 Typical High $354.81 | Professional | 26 · Professional part | $190.55 | $281.84 | $354.81 |
BCBS Setting Professional Modifier TC · Technical part Typical Low $602.56 Median $1,122.02 Typical High $1,479.11 | Professional | TC · Technical part | $602.56 | $1,122.02 | $1,479.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $151.36 Typical High $316.23 | Professional | 26 · Professional part | $109.65 | $151.36 | $316.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $870.96 Typical High $1,258.93 | Professional | TC · Technical part | $295.12 | $870.96 | $1,258.93 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $169.82 Median $251.19 Typical High $363.08 | Professional | 26 · Professional part | $169.82 | $251.19 | $363.08 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $741.31 Typical High $977.24 | Professional | TC · Technical part | $281.84 | $741.31 | $977.24 |
United Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $138.04 Typical High $281.84 | Professional | 26 · Professional part | $109.65 | $138.04 | $281.84 |
United Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $426.58 Typical High $1,023.29 | Professional | TC · Technical part | $234.42 | $426.58 | $1,023.29 |
21 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 Facility Modifier None Typical Low $323.59 Median $407.38 Typical High $1,513.56 | Facility | None | $323.59 | $407.38 | $1,513.56 |
Aetna Setting Professional Modifier None (both parts) Typical Low $323.59 Median $389.05 Typical High $870.96 | Professional | None (both parts) | $323.59 | $389.05 | $870.96 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $162.18 Median $162.18 Typical High $213.80 | Professional | 52 · Reduced service | $162.18 | $162.18 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $64.57 Median $64.57 Typical High $85.11 | Professional | 53 · Discontinued | $64.57 | $64.57 | $85.11 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $263.03 Median $263.03 Typical High $323.59 | Professional | FX · Film X-ray | $263.03 | $263.03 | $323.59 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $323.59 Median $524.81 Typical High $602.56 | Professional | None (both parts) | $323.59 | $524.81 | $602.56 |
BCBS Setting Facility Modifier None Typical Low $2,041.74 Median $2,754.23 Typical High $2,754.23 | Facility | None | $2,041.74 | $2,754.23 | $2,754.23 |
BCBS Setting Professional Modifier None (both parts) Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | None (both parts) | $295.12 | $295.12 | $295.12 |
Cigna Setting Facility Modifier None Typical Low $831.76 Median $1,318.26 Typical High $4,073.80 | Facility | None | $831.76 | $1,318.26 | $4,073.80 |
Cigna Setting Professional Modifier None (both parts) Typical Low $426.58 Median $1,000.00 Typical High $1,479.11 | Professional | None (both parts) | $426.58 | $1,000.00 | $1,479.11 |
Medcost Setting Professional Modifier None Typical Low $1,698.24 Median $1,698.24 Typical High $1,698.24 | Professional | None | $1,698.24 | $1,698.24 | $1,698.24 |
Medcost Setting Facility Modifier None Typical Low $295.12 Median $323.59 Typical High $354.81 | Facility | None | $295.12 | $323.59 | $354.81 |
Medcost Setting Professional Modifier None (both parts) Typical Low $416.87 Median $912.01 Typical High $1,513.56 | Professional | None (both parts) | $416.87 | $912.01 | $1,513.56 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $281.84 Median $501.19 Typical High $758.58 | Professional | 51 · Multiple procedures | $281.84 | $501.19 | $758.58 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $123.03 Median $199.53 Typical High $309.03 | Professional | 80 · Assistant surgeon | $123.03 | $199.53 | $309.03 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $85.11 Median $141.25 Typical High $213.80 | Professional | 81 · Minimal assistant surgeon | $85.11 | $141.25 | $213.80 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $85.11 Median $141.25 Typical High $213.80 | Professional | 82 · Assistant surgeon, no resident | $85.11 | $141.25 | $213.80 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $85.11 Median $141.25 Typical High $213.80 | Professional | AS · PA/NP assist | $85.11 | $141.25 | $213.80 |
Oscar Health Setting Facility Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $1,202.26 | Facility | None | $1,202.26 | $1,202.26 | $1,202.26 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $114.82 Median $295.12 Typical High $588.84 | Professional | None (both parts) | $114.82 | $295.12 | $588.84 |
United Setting Professional Modifier None (both parts) Typical Low $346.74 Median $616.60 Typical High $1,148.15 | Professional | None (both parts) | $346.74 | $616.60 | $1,148.15 |
Where North Carolina sits
The same service costs 6.6 times more in Vermont 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· 13th of 51
$646
VT $1,349UT $204
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.