How much rates vary
Facilitymedian $708 · 10th to 90th $525 to $1,549Professionalmedian $646 · 10th to 90th $457 to $1,349
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 Facility Modifier None Typical Low $524.81 Median $524.81 Typical High $524.81 | Facility | None | $524.81 | $524.81 | $524.81 |
Aetna Setting Professional Modifier None (both parts) Typical Low $478.63 Median $524.81 Typical High $524.81 | Professional | None (both parts) | $478.63 | $524.81 | $524.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $288.40 Median $295.12 Typical High $295.12 | Professional | 26 · Professional part | $288.40 | $295.12 | $295.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $229.09 Typical High $229.09 | Professional | TC · Technical part | $204.17 | $229.09 | $229.09 |
BCBS Setting Professional Modifier 26 · Professional part Typical Low $446.68 Median $707.95 Typical High $794.33 | Professional | 26 · Professional part | $446.68 | $707.95 | $794.33 |
BCBS Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $354.81 Typical High $575.44 | Professional | TC · Technical part | $275.42 | $354.81 | $575.44 |
Cigna Setting Facility Modifier None Typical Low $1,000.00 Median $1,548.82 Typical High $1,548.82 | Facility | None | $1,000.00 | $1,548.82 | $1,548.82 |
Cigna Setting Professional Modifier None (both parts) Typical Low $457.09 Median $707.95 Typical High $1,380.38 | Professional | None (both parts) | $457.09 | $707.95 | $1,380.38 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $288.40 Median $436.52 Typical High $812.83 | Professional | 26 · Professional part | $288.40 | $436.52 | $812.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $288.40 Typical High $588.84 | Professional | TC · Technical part | $144.54 | $288.40 | $588.84 |
Medcost Setting Professional Modifier None Typical Low $724.44 Median $724.44 Typical High $724.44 | Professional | None | $724.44 | $724.44 | $724.44 |
Medcost Setting Facility Modifier None Typical Low $524.81 Median $524.81 Typical High $630.96 | Facility | None | $524.81 | $524.81 | $630.96 |
Medcost Setting Professional Modifier None (both parts) Typical Low $537.03 Median $676.08 Typical High $1,122.02 | Professional | None (both parts) | $537.03 | $676.08 | $1,122.02 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $363.08 Median $380.19 Typical High $741.31 | Professional | 26 · Professional part | $363.08 | $380.19 | $741.31 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $263.03 Typical High $457.09 | Professional | TC · Technical part | $257.04 | $263.03 | $457.09 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $524.81 Median $524.81 Typical High $524.81 | Professional | None (both parts) | $524.81 | $524.81 | $524.81 |
United Setting Professional Modifier None (both parts) Typical Low $467.74 Median $724.44 Typical High $1,584.89 | Professional | None (both parts) | $467.74 | $724.44 | $1,584.89 |
United Setting Professional Modifier 26 · Professional part Typical Low $288.40 Median $436.52 Typical High $891.25 | Professional | 26 · Professional part | $288.40 | $436.52 | $891.25 |
United Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $302.00 Typical High $691.83 | Professional | TC · Technical part | $177.83 | $302.00 | $691.83 |
9 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 $229.09 Median $263.03 Typical High $263.03 | Professional | 52 · Reduced service | $229.09 | $263.03 | $263.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $91.20 Median $104.71 Typical High $104.71 | Professional | 53 · Discontinued | $91.20 | $104.71 | $104.71 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $323.59 Median $363.08 Typical High $363.08 | Professional | 78 · Unplanned return to OR | $323.59 | $363.08 | $363.08 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $363.08 Median $416.87 Typical High $416.87 | Professional | FX · Film X-ray | $363.08 | $416.87 | $416.87 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $269.15 Median $338.84 Typical High $741.31 | Professional | 51 · Multiple procedures | $269.15 | $338.84 | $741.31 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $109.65 Median $134.90 Typical High $295.12 | Professional | 80 · Assistant surgeon | $109.65 | $134.90 | $295.12 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $75.86 Median $95.50 Typical High $208.93 | Professional | 81 · Minimal assistant surgeon | $75.86 | $95.50 | $208.93 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $75.86 Median $95.50 Typical High $208.93 | Professional | 82 · Assistant surgeon, no resident | $75.86 | $95.50 | $208.93 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $75.86 Median $95.50 Typical High $208.93 | Professional | AS · PA/NP assist | $75.86 | $95.50 | $208.93 |
Where North Carolina sits
The same service costs 5.6 times more in Alaska than in Texas. 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· 28th of 51
$646
AK $2,239TX $398
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.