How much rates vary
Facilitymedian $40 · 10th to 90th $32 to $158Professionalmedian $41 · 10th to 90th $30 to $79
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 $10.00 Median $10.72 Typical High $16.98 | Facility | 26 · Professional part | $10.00 | $10.72 | $16.98 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $22.39 Median $22.91 Typical High $37.15 | Facility | TC · Technical part | $22.39 | $22.91 | $37.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $10.00 Typical High $17.38 | Professional | 26 · Professional part | $10.00 | $10.00 | $17.38 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $22.39 Typical High $40.74 | Professional | TC · Technical part | $20.42 | $22.39 | $40.74 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $16.98 Typical High $20.89 | Professional | 26 · Professional part | $8.32 | $16.98 | $20.89 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $26.30 Typical High $34.67 | Professional | 26 · Professional part | $19.50 | $26.30 | $34.67 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $43.65 Typical High $63.10 | Professional | TC · Technical part | $36.31 | $43.65 | $63.10 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $14.45 Typical High $30.90 | Professional | 26 · Professional part | $12.02 | $14.45 | $30.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $27.54 Typical High $64.57 | Professional | TC · Technical part | $20.89 | $27.54 | $64.57 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $16.98 Typical High $25.12 | Professional | 26 · Professional part | $13.80 | $16.98 | $25.12 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $30.20 Typical High $46.77 | Professional | TC · Technical part | $28.84 | $30.20 | $46.77 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $15.14 Typical High $23.99 | Professional | 26 · Professional part | $10.96 | $15.14 | $23.99 |
United Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $27.54 Typical High $52.48 | Professional | TC · Technical part | $20.89 | $27.54 | $52.48 |
15 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 $32.36 Median $33.11 Typical High $53.70 | Facility | None | $32.36 | $33.11 | $53.70 |
Aetna Setting Professional Modifier None (both parts) Typical Low $30.20 Median $32.36 Typical High $60.26 | Professional | None (both parts) | $30.20 | $32.36 | $60.26 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $22.91 Median $32.36 Typical High $67.61 | Professional | None (both parts) | $22.91 | $32.36 | $67.61 |
Cigna Setting Facility Modifier None Typical Low $39.81 Median $117.49 Typical High $158.49 | Facility | None | $39.81 | $117.49 | $158.49 |
Cigna Setting Professional Modifier None (both parts) Typical Low $33.11 Median $43.65 Typical High $93.33 | Professional | None (both parts) | $33.11 | $43.65 | $93.33 |
Medcost Setting Facility Modifier None Typical Low $32.36 Median $32.36 Typical High $40.74 | Facility | None | $32.36 | $32.36 | $40.74 |
Medcost Setting Professional Modifier None (both parts) Typical Low $34.67 Median $47.86 Typical High $74.13 | Professional | None (both parts) | $34.67 | $47.86 | $74.13 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $23.99 Median $23.99 Typical High $48.98 | Professional | 51 · Multiple procedures | $23.99 | $23.99 | $48.98 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $9.55 Median $9.55 Typical High $19.50 | Professional | 80 · Assistant surgeon | $9.55 | $9.55 | $19.50 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $6.61 Median $6.61 Typical High $13.80 | Professional | 81 · Minimal assistant surgeon | $6.61 | $6.61 | $13.80 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $6.61 Median $6.61 Typical High $13.80 | Professional | 82 · Assistant surgeon, no resident | $6.61 | $6.61 | $13.80 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $6.61 Median $6.61 Typical High $13.80 | Professional | AS · PA/NP assist | $6.61 | $6.61 | $13.80 |
Oscar Health Setting Facility Modifier None Typical Low $660.69 Median $660.69 Typical High $660.69 | Facility | None | $660.69 | $660.69 | $660.69 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $11.48 Median $33.11 Typical High $66.07 | Professional | None (both parts) | $11.48 | $33.11 | $66.07 |
United Setting Professional Modifier None (both parts) Typical Low $31.62 Median $41.69 Typical High $75.86 | Professional | None (both parts) | $31.62 | $41.69 | $75.86 |
Where North Carolina sits
The same service costs 4.3 times more in Minnesota 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· 28th of 51
$40.74
MN $115NY $26.92
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.