How much rates vary
Facilitymedian $1,148 · 10th to 90th $275 to $2,754Professionalmedian $603 · 10th to 90th $275 to $955
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 Professional Modifier 26 · Professional part Typical Low $83.18 Median $83.18 Typical High $162.18 | Professional | 26 · Professional part | $83.18 | $83.18 | $162.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $194.98 Typical High $436.52 | Professional | TC · Technical part | $194.98 | $194.98 | $436.52 |
BCBS Setting Professional Modifier 26 · Professional part Typical Low $138.04 Median $190.55 Typical High $263.03 | Professional | 26 · Professional part | $138.04 | $190.55 | $263.03 |
BCBS Setting Professional Modifier TC · Technical part Typical Low $512.86 Median $758.58 Typical High $1,071.52 | Professional | TC · Technical part | $512.86 | $758.58 | $1,071.52 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $112.20 Typical High $239.88 | Professional | 26 · Professional part | $81.28 | $112.20 | $239.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $537.03 Typical High $870.96 | Professional | TC · Technical part | $281.84 | $537.03 | $870.96 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $141.25 Typical High $234.42 | Professional | 26 · Professional part | $104.71 | $141.25 | $234.42 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $588.84 Typical High $776.25 | Professional | TC · Technical part | $251.19 | $588.84 | $776.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $102.33 Typical High $213.80 | Professional | 26 · Professional part | $81.28 | $102.33 | $213.80 |
United Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $407.38 Typical High $741.31 | Professional | TC · Technical part | $208.93 | $407.38 | $741.31 |
19 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 $275.42 Median $275.42 Typical High $1,698.24 | Facility | None | $275.42 | $275.42 | $1,698.24 |
Aetna Setting Professional Modifier None (both parts) Typical Low $275.42 Median $275.42 Typical High $691.83 | Professional | None (both parts) | $275.42 | $275.42 | $691.83 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $138.04 Median $138.04 Typical High $213.80 | Professional | 52 · Reduced service | $138.04 | $138.04 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $54.95 Typical High $85.11 | Professional | 53 · Discontinued | $54.95 | $54.95 | $85.11 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $223.87 Median $223.87 Typical High $323.59 | Professional | FX · Film X-ray | $223.87 | $223.87 | $323.59 |
BCBS Setting Facility Modifier None Typical Low $1,380.38 Median $2,187.76 Typical High $2,754.23 | Facility | None | $1,380.38 | $2,187.76 | $2,754.23 |
BCBS Setting Professional Modifier None (both parts) Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | None (both parts) | $213.80 | $213.80 | $213.80 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $1,148.15 Typical High $2,238.72 | Facility | None | $741.31 | $1,148.15 | $2,238.72 |
Cigna Setting Professional Modifier None (both parts) Typical Low $398.11 Median $630.96 Typical High $1,071.52 | Professional | None (both parts) | $398.11 | $630.96 | $1,071.52 |
Medcost Setting Professional Modifier None Typical Low $933.25 Median $933.25 Typical High $933.25 | Professional | None | $933.25 | $933.25 | $933.25 |
Medcost Setting Facility Modifier None Typical Low $251.19 Median $275.42 Typical High $302.00 | Facility | None | $251.19 | $275.42 | $302.00 |
Medcost Setting Professional Modifier None (both parts) Typical Low $354.81 Median $707.95 Typical High $954.99 | Professional | None (both parts) | $354.81 | $707.95 | $954.99 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $257.04 Median $407.38 Typical High $478.63 | Professional | 51 · Multiple procedures | $257.04 | $407.38 | $478.63 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $109.65 Median $162.18 Typical High $190.55 | Professional | 80 · Assistant surgeon | $109.65 | $162.18 | $190.55 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $75.86 Median $114.82 Typical High $134.90 | Professional | 81 · Minimal assistant surgeon | $75.86 | $114.82 | $134.90 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $75.86 Median $114.82 Typical High $134.90 | Professional | 82 · Assistant surgeon, no resident | $75.86 | $114.82 | $134.90 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $75.86 Median $114.82 Typical High $134.90 | Professional | AS · PA/NP assist | $75.86 | $114.82 | $134.90 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $85.11 Median $245.47 Typical High $489.78 | Professional | None (both parts) | $85.11 | $245.47 | $489.78 |
United Setting Professional Modifier None (both parts) Typical Low $295.12 Median $537.03 Typical High $891.25 | Professional | None (both parts) | $295.12 | $537.03 | $891.25 |
Where North Carolina sits
The same service costs 5.6 times more in Wyoming 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· 8th of 51
$603
WY $1,072UT $191
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.