How much rates vary
Facilitymedian $178 · 10th to 90th $54 to $309Professionalmedian $42 · 10th to 90th $30 to $62
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 $30.20 Median $30.20 Typical High $53.70 | Facility | None | $30.20 | $30.20 | $53.70 |
Aetna Setting Professional Modifier None (both parts) Typical Low $30.20 Median $30.20 Typical High $48.98 | Professional | None (both parts) | $30.20 | $30.20 | $48.98 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $9.33 Typical High $14.79 | Professional | 26 · Professional part | $9.33 | $9.33 | $14.79 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $20.89 Typical High $33.88 | Professional | TC · Technical part | $20.89 | $20.89 | $33.88 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $28.84 Median $33.88 Typical High $40.74 | Professional | None (both parts) | $28.84 | $33.88 | $40.74 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $10.47 Typical High $19.05 | Professional | 26 · Professional part | $8.32 | $10.47 | $19.05 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $36.31 Typical High $42.66 | Professional | TC · Technical part | $36.31 | $36.31 | $42.66 |
BCBS Setting Facility Modifier None Typical Low $100.00 Median $194.98 Typical High $295.12 | Facility | None | $100.00 | $194.98 | $295.12 |
BCBS Setting Facility Modifier TC · Technical part Typical Low $109.65 Median $109.65 Typical High $109.65 | Facility | TC · Technical part | $109.65 | $109.65 | $109.65 |
BCBS Setting Professional Modifier None (both parts) Typical Low $33.88 Median $45.71 Typical High $64.57 | Professional | None (both parts) | $33.88 | $45.71 | $64.57 |
BCBS Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $25.12 Typical High $31.62 | Professional | 26 · Professional part | $10.47 | $25.12 | $31.62 |
BCBS Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $23.44 Typical High $32.36 | Professional | TC · Technical part | $19.95 | $23.44 | $32.36 |
Cigna Setting Facility Modifier None Typical Low $158.49 Median $281.84 Typical High $562.34 | Facility | None | $158.49 | $281.84 | $562.34 |
Cigna Setting Professional Modifier None (both parts) Typical Low $32.36 Median $36.31 Typical High $66.07 | Professional | None (both parts) | $32.36 | $36.31 | $66.07 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $12.88 Typical High $23.99 | Professional | 26 · Professional part | $12.02 | $12.88 | $23.99 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $23.44 Typical High $43.65 | Professional | TC · Technical part | $20.89 | $23.44 | $43.65 |
Medcost Setting Facility Modifier None Typical Low $30.20 Median $36.31 Typical High $97.72 | Facility | None | $30.20 | $36.31 | $97.72 |
Medcost Setting Professional Modifier None (both parts) Typical Low $41.69 Median $46.77 Typical High $58.88 | Professional | None (both parts) | $41.69 | $46.77 | $58.88 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $16.98 Typical High $25.70 | Professional | 26 · Professional part | $16.98 | $16.98 | $25.70 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $29.51 Typical High $48.98 | Professional | TC · Technical part | $29.51 | $29.51 | $48.98 |
Molina Setting Professional Modifier None (both parts) Typical Low $32.36 Median $43.65 Typical High $61.66 | Professional | None (both parts) | $32.36 | $43.65 | $61.66 |
United Setting Facility Modifier None Typical Low $436.52 Median $537.03 Typical High $691.83 | Facility | None | $436.52 | $537.03 | $691.83 |
United Setting Professional Modifier None (both parts) Typical Low $30.20 Median $40.74 Typical High $69.18 | Professional | None (both parts) | $30.20 | $40.74 | $69.18 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $13.49 Typical High $23.44 | Professional | 26 · Professional part | $10.23 | $13.49 | $23.44 |
United Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $26.30 Typical High $47.86 | Professional | TC · Technical part | $19.05 | $26.30 | $47.86 |
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 $23.44 Median $23.44 Typical High $53.70 | Professional | 51 · Multiple procedures | $23.44 | $23.44 | $53.70 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $9.33 Median $9.33 Typical High $21.38 | Professional | 80 · Assistant surgeon | $9.33 | $9.33 | $21.38 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $6.61 Median $6.61 Typical High $15.14 | Professional | 81 · Minimal assistant surgeon | $6.61 | $6.61 | $15.14 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $6.61 Median $6.61 Typical High $15.14 | Professional | 82 · Assistant surgeon, no resident | $6.61 | $6.61 | $15.14 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $6.61 Median $6.61 Typical High $15.14 | Professional | AS · PA/NP assist | $6.61 | $6.61 | $15.14 |
Where South 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.
South Carolina· 23rd of 51
$44.67
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.