How much rates vary
Facilitymedian $51 · 10th to 90th $32 to $182Professionalmedian $72 · 10th to 90th $32 to $155
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 $8.51 Median $9.12 Typical High $15.85 | Facility | 26 · Professional part | $8.51 | $9.12 | $15.85 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $23.44 Median $28.18 Typical High $107.15 | Facility | TC · Technical part | $23.44 | $28.18 | $107.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $8.91 Typical High $17.78 | Professional | 26 · Professional part | $8.51 | $8.91 | $17.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $27.54 Typical High $89.13 | Professional | TC · Technical part | $23.44 | $27.54 | $89.13 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $13.80 Typical High $18.20 | Professional | 26 · Professional part | $7.24 | $13.80 | $18.20 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $22.91 Typical High $30.90 | Professional | 26 · Professional part | $16.98 | $22.91 | $30.90 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $109.65 Typical High $181.97 | Professional | TC · Technical part | $74.13 | $109.65 | $181.97 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $13.18 Typical High $26.30 | Professional | 26 · Professional part | $10.00 | $13.18 | $26.30 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $93.33 Typical High $131.83 | Professional | TC · Technical part | $33.88 | $93.33 | $131.83 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $17.38 Typical High $34.67 | Professional | 26 · Professional part | $11.75 | $17.38 | $34.67 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $70.79 Typical High $112.20 | Professional | TC · Technical part | $33.11 | $70.79 | $112.20 |
United Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $12.02 Typical High $22.91 | Professional | 26 · Professional part | $9.33 | $12.02 | $22.91 |
United Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $50.12 Typical High $109.65 | Professional | TC · Technical part | $27.54 | $50.12 | $109.65 |
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 $32.36 Median $34.67 Typical High $104.71 | Facility | None | $32.36 | $34.67 | $104.71 |
Aetna Setting Professional Modifier None (both parts) Typical Low $32.36 Median $36.31 Typical High $107.15 | Professional | None (both parts) | $32.36 | $36.31 | $107.15 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $25.70 Median $25.70 Typical High $26.30 | Professional | FX · Film X-ray | $25.70 | $25.70 | $26.30 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $29.51 Median $39.81 Typical High $74.13 | Professional | None (both parts) | $29.51 | $39.81 | $74.13 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | None (both parts) | $25.70 | $25.70 | $25.70 |
Cigna Setting Facility Modifier None Typical Low $45.71 Median $120.23 Typical High $181.97 | Facility | None | $45.71 | $120.23 | $181.97 |
Cigna Setting Professional Modifier None (both parts) Typical Low $45.71 Median $107.15 Typical High $154.88 | Professional | None (both parts) | $45.71 | $107.15 | $154.88 |
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 $32.36 Median $32.36 Typical High $43.65 | Facility | None | $32.36 | $32.36 | $43.65 |
Medcost Setting Professional Modifier None (both parts) Typical Low $44.67 Median $91.20 Typical High $173.78 | Professional | None (both parts) | $44.67 | $91.20 | $173.78 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $33.11 Median $53.70 Typical High $87.10 | Professional | 51 · Multiple procedures | $33.11 | $53.70 | $87.10 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $13.18 Median $21.38 Typical High $34.67 | Professional | 80 · Assistant surgeon | $13.18 | $21.38 | $34.67 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $9.12 Median $15.14 Typical High $23.99 | Professional | 81 · Minimal assistant surgeon | $9.12 | $15.14 | $23.99 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $9.12 Median $15.14 Typical High $23.99 | Professional | 82 · Assistant surgeon, no resident | $9.12 | $15.14 | $23.99 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $9.12 Median $15.14 Typical High $23.99 | Professional | AS · PA/NP assist | $9.12 | $15.14 | $23.99 |
Oscar Health Setting Facility Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,230.27 | Facility | None | $1,230.27 | $1,230.27 | $1,230.27 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $10.00 Median $36.31 Typical High $72.44 | Professional | None (both parts) | $10.00 | $36.31 | $72.44 |
United Setting Professional Modifier None (both parts) Typical Low $38.02 Median $69.18 Typical High $120.23 | Professional | None (both parts) | $38.02 | $69.18 | $120.23 |
Where North Carolina sits
The same service costs 4.2 times more in Vermont than in Florida. 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· 15th of 51
$72.44
VT $135FL $32.36
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.