How much rates vary
Facilitymedian $35 · 10th to 90th $30 to $141Professionalmedian $36 · 10th to 90th $28 to $72
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 $29.51 Median $30.20 Typical High $51.29 | Facility | None | $29.51 | $30.20 | $51.29 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $9.33 Median $9.77 Typical High $15.85 | Facility | 26 · Professional part | $9.33 | $9.77 | $15.85 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $19.95 Median $19.95 Typical High $33.11 | Facility | TC · Technical part | $19.95 | $19.95 | $33.11 |
Aetna Setting Professional Modifier None (both parts) Typical Low $27.54 Median $29.51 Typical High $57.54 | Professional | None (both parts) | $27.54 | $29.51 | $57.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $9.33 Typical High $16.98 | Professional | 26 · Professional part | $9.33 | $9.33 | $16.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $19.95 Typical High $39.81 | Professional | TC · Technical part | $18.20 | $19.95 | $39.81 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $21.38 Median $27.54 Typical High $61.66 | Professional | None (both parts) | $21.38 | $27.54 | $61.66 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $6.61 Median $13.18 Typical High $19.50 | Professional | 26 · Professional part | $6.61 | $13.18 | $19.50 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $14.45 Median $27.54 Typical High $36.31 | Professional | TC · Technical part | $14.45 | $27.54 | $36.31 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $25.12 Typical High $32.36 | Professional | 26 · Professional part | $17.78 | $25.12 | $32.36 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $42.66 Typical High $58.88 | Professional | TC · Technical part | $30.90 | $42.66 | $58.88 |
Cigna Setting Facility Modifier None Typical Low $35.48 Median $100.00 Typical High $141.25 | Facility | None | $35.48 | $100.00 | $141.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $30.20 Median $39.81 Typical High $85.11 | Professional | None (both parts) | $30.20 | $39.81 | $85.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $13.49 Typical High $28.84 | Professional | 26 · Professional part | $11.22 | $13.49 | $28.84 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $25.12 Typical High $57.54 | Professional | TC · Technical part | $19.05 | $25.12 | $57.54 |
Medcost Setting Facility Modifier None Typical Low $29.51 Median $29.51 Typical High $37.15 | Facility | None | $29.51 | $29.51 | $37.15 |
Medcost Setting Professional Modifier None (both parts) Typical Low $34.67 Median $43.65 Typical High $79.43 | Professional | None (both parts) | $34.67 | $43.65 | $79.43 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $15.85 Typical High $23.44 | Professional | 26 · Professional part | $13.18 | $15.85 | $23.44 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $27.54 Typical High $41.69 | Professional | TC · Technical part | $26.30 | $27.54 | $41.69 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $10.72 Median $30.20 Typical High $60.26 | Professional | None (both parts) | $10.72 | $30.20 | $60.26 |
United Setting Professional Modifier None (both parts) Typical Low $28.84 Median $38.02 Typical High $69.18 | Professional | None (both parts) | $28.84 | $38.02 | $69.18 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $14.13 Typical High $22.91 | Professional | 26 · Professional part | $10.23 | $14.13 | $22.91 |
United Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $25.12 Typical High $46.77 | Professional | TC · Technical part | $18.62 | $25.12 | $46.77 |
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 |
|---|---|---|---|---|---|
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $21.88 Median $21.88 Typical High $44.67 | Professional | 51 · Multiple procedures | $21.88 | $21.88 | $44.67 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $8.71 Median $8.71 Typical High $17.78 | Professional | 80 · Assistant surgeon | $8.71 | $8.71 | $17.78 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $6.03 Median $6.03 Typical High $12.59 | Professional | 81 · Minimal assistant surgeon | $6.03 | $6.03 | $12.59 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $6.03 Median $6.03 Typical High $12.59 | Professional | 82 · Assistant surgeon, no resident | $6.03 | $6.03 | $12.59 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $6.03 Median $6.03 Typical High $12.59 | Professional | AS · PA/NP assist | $6.03 | $6.03 | $12.59 |
Where North Carolina sits
The same service costs 17.0 times more in Vermont than in Florida. 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· 32nd of 51
$36.31
VT $447FL $26.30
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.