How much rates vary
Facilitymedian $288 · 10th to 90th $257 to $1,413Professionalmedian $282 · 10th to 90th $178 to $646
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 $257.04 Median $257.04 Typical High $354.81 | Facility | None | $257.04 | $257.04 | $354.81 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $37.15 Median $37.15 Typical High $58.88 | Facility | 26 · Professional part | $37.15 | $37.15 | $58.88 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $218.78 Median $218.78 Typical High $346.74 | Facility | TC · Technical part | $218.78 | $218.78 | $346.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $208.93 Median $257.04 Typical High $512.86 | Professional | None (both parts) | $208.93 | $257.04 | $512.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $37.15 Typical High $67.61 | Professional | 26 · Professional part | $33.88 | $37.15 | $67.61 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $218.78 Typical High $457.09 | Professional | TC · Technical part | $169.82 | $218.78 | $457.09 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $204.17 Median $204.17 Typical High $204.17 | Professional | None (both parts) | $204.17 | $204.17 | $204.17 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $70.79 Typical High $95.50 | Professional | 26 · Professional part | $54.95 | $70.79 | $95.50 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $363.08 Typical High $524.81 | Professional | TC · Technical part | $234.42 | $363.08 | $524.81 |
Cigna Setting Facility Modifier None Typical Low $891.25 Median $1,412.54 Typical High $1,412.54 | Facility | None | $891.25 | $1,412.54 | $1,412.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $177.83 Median $316.23 Typical High $724.44 | Professional | None (both parts) | $177.83 | $316.23 | $724.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $54.95 Typical High $97.72 | Professional | 26 · Professional part | $36.31 | $54.95 | $97.72 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $263.03 Typical High $616.60 | Professional | TC · Technical part | $138.04 | $263.03 | $616.60 |
Medcost Setting Professional Modifier None Typical Low $269.15 Median $269.15 Typical High $269.15 | Professional | None | $269.15 | $269.15 | $269.15 |
Medcost Setting Facility Modifier None Typical Low $257.04 Median $257.04 Typical High $302.00 | Facility | None | $257.04 | $257.04 | $302.00 |
Medcost Setting Professional Modifier None (both parts) Typical Low $239.88 Median $263.03 Typical High $512.86 | Professional | None (both parts) | $239.88 | $263.03 | $512.86 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $57.54 Typical High $117.49 | Professional | 26 · Professional part | $44.67 | $57.54 | $117.49 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $223.87 Typical High $426.58 | Professional | TC · Technical part | $199.53 | $223.87 | $426.58 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | None (both parts) | $213.80 | $213.80 | $213.80 |
United Setting Professional Modifier None (both parts) Typical Low $173.78 Median $363.08 Typical High $776.25 | Professional | None (both parts) | $173.78 | $363.08 | $776.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $53.70 Typical High $112.20 | Professional | 26 · Professional part | $35.48 | $53.70 | $112.20 |
United Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $316.23 Typical High $660.69 | Professional | TC · Technical part | $147.91 | $316.23 | $660.69 |
8 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 52 · Reduced service Typical Low $114.82 Median $128.82 Typical High $128.82 | Professional | 52 · Reduced service | $114.82 | $128.82 | $128.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $51.29 Typical High $51.29 | Professional | 53 · Discontinued | $46.77 | $51.29 | $51.29 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $173.78 Median $204.17 Typical High $204.17 | Professional | FX · Film X-ray | $173.78 | $204.17 | $204.17 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $125.89 Median $131.83 Typical High $380.19 | Professional | 51 · Multiple procedures | $125.89 | $131.83 | $380.19 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $50.12 Median $52.48 Typical High $151.36 | Professional | 80 · Assistant surgeon | $50.12 | $52.48 | $151.36 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $34.67 Median $37.15 Typical High $107.15 | Professional | 81 · Minimal assistant surgeon | $34.67 | $37.15 | $107.15 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $34.67 Median $37.15 Typical High $107.15 | Professional | 82 · Assistant surgeon, no resident | $34.67 | $37.15 | $107.15 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $34.67 Median $37.15 Typical High $107.15 | Professional | AS · PA/NP assist | $34.67 | $37.15 | $107.15 |
Where North Carolina sits
The same service costs 4.4 times more in Alaska than in Kentucky. 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· 32nd of 51
$282
AK $977KY $224
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.