How much rates vary
Facilitymedian $32 · 10th to 90th $26 to $129Professionalmedian $32 · 10th to 90th $23 to $63
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 $26.30 Median $26.30 Typical High $44.67 | Facility | None | $26.30 | $26.30 | $44.67 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $7.94 Median $8.13 Typical High $13.18 | Facility | 26 · Professional part | $7.94 | $8.13 | $13.18 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $18.62 Median $18.62 Typical High $30.90 | Facility | TC · Technical part | $18.62 | $18.62 | $30.90 |
Aetna Setting Professional Modifier None (both parts) Typical Low $24.55 Median $26.30 Typical High $51.29 | Professional | None (both parts) | $24.55 | $26.30 | $51.29 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $7.94 Typical High $14.13 | Professional | 26 · Professional part | $7.94 | $7.94 | $14.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $18.62 Typical High $35.48 | Professional | TC · Technical part | $16.98 | $18.62 | $35.48 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $19.05 Median $23.44 Typical High $56.23 | Professional | None (both parts) | $19.05 | $23.44 | $56.23 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $13.80 Typical High $16.98 | Professional | 26 · Professional part | $9.12 | $13.80 | $16.98 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $15.49 Median $26.30 Typical High $33.11 | Professional | TC · Technical part | $15.49 | $26.30 | $33.11 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $20.42 Typical High $27.54 | Professional | 26 · Professional part | $15.14 | $20.42 | $27.54 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $39.81 Typical High $53.70 | Professional | TC · Technical part | $28.84 | $39.81 | $53.70 |
Cigna Setting Facility Modifier None Typical Low $32.36 Median $95.50 Typical High $128.82 | Facility | None | $32.36 | $95.50 | $128.82 |
Cigna Setting Professional Modifier None (both parts) Typical Low $26.92 Median $35.48 Typical High $75.86 | Professional | None (both parts) | $26.92 | $35.48 | $75.86 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $11.48 Typical High $23.99 | Professional | 26 · Professional part | $9.33 | $11.48 | $23.99 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $22.91 Typical High $53.70 | Professional | TC · Technical part | $17.38 | $22.91 | $53.70 |
Medcost Setting Facility Modifier None Typical Low $26.30 Median $26.30 Typical High $33.11 | Facility | None | $26.30 | $26.30 | $33.11 |
Medcost Setting Professional Modifier None (both parts) Typical Low $30.90 Median $38.90 Typical High $57.54 | Professional | None (both parts) | $30.90 | $38.90 | $57.54 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $13.49 Typical High $19.50 | Professional | 26 · Professional part | $10.96 | $13.49 | $19.50 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $25.70 Typical High $38.90 | Professional | TC · Technical part | $23.99 | $25.70 | $38.90 |
Oscar Health Setting Facility Modifier None Typical Low $2,951.21 Median $2,951.21 Typical High $2,951.21 | Facility | None | $2,951.21 | $2,951.21 | $2,951.21 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $9.33 Median $27.54 Typical High $54.95 | Professional | None (both parts) | $9.33 | $27.54 | $54.95 |
United Setting Professional Modifier None (both parts) Typical Low $25.70 Median $34.67 Typical High $61.66 | Professional | None (both parts) | $25.70 | $34.67 | $61.66 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $11.75 Typical High $19.05 | Professional | 26 · Professional part | $8.71 | $11.75 | $19.05 |
United Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $23.44 Typical High $42.66 | Professional | TC · Technical part | $17.38 | $23.44 | $42.66 |
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 $19.50 Median $19.50 Typical High $39.81 | Professional | 51 · Multiple procedures | $19.50 | $19.50 | $39.81 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $7.76 Median $7.76 Typical High $15.85 | Professional | 80 · Assistant surgeon | $7.76 | $7.76 | $15.85 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $5.50 Median $5.50 Typical High $11.22 | Professional | 81 · Minimal assistant surgeon | $5.50 | $5.50 | $11.22 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $5.50 Median $5.50 Typical High $11.22 | Professional | 82 · Assistant surgeon, no resident | $5.50 | $5.50 | $11.22 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $5.50 Median $5.50 Typical High $11.22 | Professional | AS · PA/NP assist | $5.50 | $5.50 | $11.22 |
Where North Carolina sits
The same service costs 5.0 times more in Vermont than in New York. 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
$32.36
VT $110NY $21.88
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.