How much rates vary
Facilitymedian $105 · 10th to 90th $98 to $186Professionalmedian $105 · 10th to 90th $78 to $219
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 $102.33 Median $102.33 Typical High $169.82 | Facility | None | $102.33 | $102.33 | $169.82 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $23.99 Median $23.99 Typical High $42.66 | Facility | 26 · Professional part | $23.99 | $23.99 | $42.66 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $67.61 Median $77.62 Typical High $128.82 | Facility | TC · Technical part | $67.61 | $77.62 | $128.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $102.33 Typical High $186.21 | Professional | None (both parts) | $87.10 | $102.33 | $186.21 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $23.99 Typical High $44.67 | Professional | 26 · Professional part | $23.99 | $23.99 | $44.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $77.62 Typical High $144.54 | Professional | TC · Technical part | $56.23 | $77.62 | $144.54 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $83.18 Median $117.49 Typical High $186.21 | Professional | None (both parts) | $83.18 | $117.49 | $186.21 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $31.62 Typical High $44.67 | Professional | 26 · Professional part | $23.99 | $31.62 | $44.67 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $63.10 Typical High $75.86 | Professional | 26 · Professional part | $38.02 | $63.10 | $75.86 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $95.50 Typical High $169.82 | Professional | TC · Technical part | $72.44 | $95.50 | $169.82 |
Cigna Setting Facility Modifier None Typical Low $158.49 Median $158.49 Typical High $158.49 | Facility | None | $158.49 | $158.49 | $158.49 |
Cigna Setting Professional Modifier None (both parts) Typical Low $74.13 Median $109.65 Typical High $239.88 | Professional | None (both parts) | $74.13 | $109.65 | $239.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $34.67 Typical High $69.18 | Professional | 26 · Professional part | $25.70 | $34.67 | $69.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $74.13 Typical High $173.78 | Professional | TC · Technical part | $46.77 | $74.13 | $173.78 |
Medcost Setting Facility Modifier None Typical Low $97.72 Median $162.18 Typical High $186.21 | Facility | None | $97.72 | $162.18 | $186.21 |
Medcost Setting Professional Modifier None (both parts) Typical Low $97.72 Median $117.49 Typical High $186.21 | Professional | None (both parts) | $97.72 | $117.49 | $186.21 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $40.74 Typical High $47.86 | Professional | 26 · Professional part | $33.11 | $40.74 | $47.86 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $75.86 Typical High $141.25 | Professional | TC · Technical part | $58.88 | $75.86 | $141.25 |
Oscar Health Setting Facility Modifier None Typical Low $43.65 Median $43.65 Typical High $2,089.30 | Facility | None | $43.65 | $43.65 | $2,089.30 |
United Setting Professional Modifier None (both parts) Typical Low $74.13 Median $107.15 Typical High $234.42 | Professional | None (both parts) | $74.13 | $107.15 | $234.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $30.90 Typical High $56.23 | Professional | 26 · Professional part | $25.70 | $30.90 | $56.23 |
United Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $75.86 Typical High $177.83 | Professional | TC · Technical part | $47.86 | $75.86 | $177.83 |
6 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 Professional Modifier FX · Film X-ray Typical Low $75.86 Median $81.28 Typical High $81.28 | Professional | FX · Film X-ray | $75.86 | $81.28 | $81.28 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $48.98 Median $58.88 Typical High $147.91 | Professional | 51 · Multiple procedures | $48.98 | $58.88 | $147.91 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $19.50 Median $23.44 Typical High $58.88 | Professional | 80 · Assistant surgeon | $19.50 | $23.44 | $58.88 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $13.80 Median $16.60 Typical High $41.69 | Professional | 81 · Minimal assistant surgeon | $13.80 | $16.60 | $41.69 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $13.80 Median $16.60 Typical High $41.69 | Professional | 82 · Assistant surgeon, no resident | $13.80 | $16.60 | $41.69 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $13.80 Median $16.60 Typical High $41.69 | Professional | AS · PA/NP assist | $13.80 | $16.60 | $41.69 |
Where North Carolina sits
The same service costs 4.5 times more in Alaska 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· 43rd of 51
$105
AK $355NY $79.43
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.