How much rates vary
Facilitymedian $269 · 10th to 90th $229 to $1,660Professionalmedian $372 · 10th to 90th $214 to $741
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 $223.87 Median $229.09 Typical High $323.59 | Facility | None | $223.87 | $229.09 | $323.59 |
Aetna Setting Professional Modifier None Typical Low $218.78 Median $229.09 Typical High $363.08 | Professional | None | $218.78 | $229.09 | $363.08 |
BCBS Setting Facility Modifier None Typical Low $288.40 Median $288.40 Typical High $346.74 | Facility | None | $288.40 | $288.40 | $346.74 |
BCBS Setting Professional Modifier None Typical Low $275.42 Median $446.68 Typical High $831.76 | Professional | None | $275.42 | $446.68 | $831.76 |
Cigna Setting Facility Modifier None Typical Low $1,047.13 Median $1,659.59 Typical High $1,659.59 | Facility | None | $1,047.13 | $1,659.59 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $229.09 Median $457.09 Typical High $724.44 | Professional | None | $229.09 | $457.09 | $724.44 |
Medcost Setting Professional Modifier None Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | None | $257.04 | $257.04 | $257.04 |
Medcost Setting Facility Modifier None Typical Low $229.09 Median $229.09 Typical High $489.78 | Facility | None | $229.09 | $229.09 | $489.78 |
Medcost Setting Professional Modifier None Typical Low $125.89 Median $288.40 Typical High $446.68 | Professional | None | $125.89 | $288.40 | $446.68 |
Oscar Health Setting Facility Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00 | Facility | None | $1,000.00 | $1,000.00 | $1,000.00 |
Oscar Health Setting Professional Modifier None Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | None | $112.20 | $112.20 | $112.20 |
United Setting Professional Modifier None Typical Low $162.18 Median $331.13 Typical High $660.69 | Professional | None | $162.18 | $331.13 | $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 $109.65 Median $114.82 Typical High $114.82 | Professional | 52 · Reduced service | $109.65 | $114.82 | $114.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $45.71 Typical High $45.71 | Professional | 53 · Discontinued | $43.65 | $45.71 | $45.71 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $165.96 Median $181.97 Typical High $181.97 | Professional | FX · Film X-ray | $165.96 | $181.97 | $181.97 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $63.10 Median $144.54 Typical High $338.84 | Professional | 51 · Multiple procedures | $63.10 | $144.54 | $338.84 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $25.12 Median $58.88 Typical High $134.90 | Professional | 80 · Assistant surgeon | $25.12 | $58.88 | $134.90 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $17.78 Median $40.74 Typical High $95.50 | Professional | 81 · Minimal assistant surgeon | $17.78 | $40.74 | $95.50 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $17.78 Median $40.74 Typical High $95.50 | Professional | 82 · Assistant surgeon, no resident | $17.78 | $40.74 | $95.50 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $17.78 Median $40.74 Typical High $95.50 | Professional | AS · PA/NP assist | $17.78 | $40.74 | $95.50 |
Where North Carolina sits
The same service costs 5.1 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
$363
AK $933KY $182
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.