How much rates vary
Facilitymedian $107 · 10th to 90th $72 to $355Professionalmedian $91 · 10th to 90th $58 to $204
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 $19.95 Median $20.42 Typical High $24.55 | Professional | 26 · Professional part | $19.95 | $20.42 | $24.55 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $51.29 Typical High $66.07 | Professional | TC · Technical part | $51.29 | $51.29 | $66.07 |
BCBS Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $46.77 Typical High $67.61 | Professional | 26 · Professional part | $30.20 | $46.77 | $67.61 |
BCBS Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $112.20 Typical High $169.82 | Professional | TC · Technical part | $58.88 | $112.20 | $169.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $30.20 Typical High $61.66 | Professional | 26 · Professional part | $22.91 | $30.20 | $61.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $64.57 Typical High $173.78 | Professional | TC · Technical part | $31.62 | $64.57 | $173.78 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $33.88 Typical High $54.95 | Professional | 26 · Professional part | $28.18 | $33.88 | $54.95 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $89.13 Typical High $134.90 | Professional | TC · Technical part | $66.07 | $89.13 | $134.90 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $28.18 Typical High $50.12 | Professional | 26 · Professional part | $22.91 | $28.18 | $50.12 |
United Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $75.86 Typical High $138.04 | Professional | TC · Technical part | $47.86 | $75.86 | $138.04 |
18 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 $72.44 Median $72.44 Typical High $107.15 | Facility | None | $72.44 | $72.44 | $107.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $72.44 Median $72.44 Typical High $107.15 | Professional | None (both parts) | $72.44 | $72.44 | $107.15 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $36.31 Median $36.31 Typical High $41.69 | Professional | 52 · Reduced service | $36.31 | $36.31 | $41.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.45 Median $14.45 Typical High $16.60 | Professional | 53 · Discontinued | $14.45 | $14.45 | $16.60 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $57.54 Median $57.54 Typical High $58.88 | Professional | FX · Film X-ray | $57.54 | $57.54 | $58.88 |
BCBS Setting Professional Modifier None (both parts) Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | None (both parts) | $58.88 | $58.88 | $58.88 |
Cigna Setting Facility Modifier None Typical Low $89.13 Median $223.87 Typical High $354.81 | Facility | None | $89.13 | $223.87 | $354.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $57.54 Median $93.33 Typical High $229.09 | Professional | None (both parts) | $57.54 | $93.33 | $229.09 |
Medcost Setting Professional Modifier None Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | None | $104.71 | $104.71 | $104.71 |
Medcost Setting Facility Modifier None Typical Low $72.44 Median $72.44 Typical High $95.50 | Facility | None | $72.44 | $72.44 | $95.50 |
Medcost Setting Professional Modifier None (both parts) Typical Low $67.61 Median $104.71 Typical High $177.83 | Professional | None (both parts) | $67.61 | $104.71 | $177.83 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $33.88 Median $61.66 Typical High $125.89 | Professional | 51 · Multiple procedures | $33.88 | $61.66 | $125.89 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $13.49 Median $24.55 Typical High $50.12 | Professional | 80 · Assistant surgeon | $13.49 | $24.55 | $50.12 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $9.55 Median $16.98 Typical High $34.67 | Professional | 81 · Minimal assistant surgeon | $9.55 | $16.98 | $34.67 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $9.55 Median $16.98 Typical High $34.67 | Professional | 82 · Assistant surgeon, no resident | $9.55 | $16.98 | $34.67 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $9.55 Median $16.98 Typical High $34.67 | Professional | AS · PA/NP assist | $9.55 | $16.98 | $34.67 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $67.61 Median $67.61 Typical High $67.61 | Professional | None (both parts) | $67.61 | $67.61 | $67.61 |
United Setting Professional Modifier None (both parts) Typical Low $70.79 Median $104.71 Typical High $186.21 | Professional | None (both parts) | $70.79 | $104.71 | $186.21 |
Where North Carolina sits
The same service costs 3.8 times more in Alaska 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· 35th of 51
$91.20
AK $245UT $64.57
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.