How much rates vary
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 $15.14 Median $15.14 Typical High $15.14 | Facility | None | $15.14 | $15.14 | $15.14 |
Aetna Setting Professional Modifier None Typical Low $15.14 Median $15.14 Typical High $16.22 | Professional | None | $15.14 | $15.14 | $16.22 |
Cigna Setting Facility Modifier None Typical Low $131.83 Median $131.83 Typical High $131.83 | Facility | None | $131.83 | $131.83 | $131.83 |
Cigna Setting Professional Modifier None Typical Low $22.39 Median $77.62 Typical High $165.96 | Professional | None | $22.39 | $77.62 | $165.96 |
Medcost Setting Professional Modifier None Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | None | $120.23 | $120.23 | $120.23 |
Medcost Setting Facility Modifier None Typical Low $15.14 Median $15.14 Typical High $20.42 | Facility | None | $15.14 | $15.14 | $20.42 |
Medcost Setting Professional Modifier None Typical Low $17.38 Median $114.82 Typical High $181.97 | Professional | None | $17.38 | $114.82 | $181.97 |
Oscar Health Setting Professional Modifier None Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | None | $89.13 | $89.13 | $89.13 |
United Setting Professional Modifier None Typical Low $17.38 Median $48.98 Typical High $134.90 | Professional | None | $17.38 | $48.98 | $134.90 |
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 $7.59 Median $7.59 Typical High $10.47 | Professional | 52 · Reduced service | $7.59 | $7.59 | $10.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.02 Median $3.02 Typical High $4.27 | Professional | 53 · Discontinued | $3.02 | $3.02 | $4.27 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $11.22 Median $12.02 Typical High $12.02 | Professional | FX · Film X-ray | $11.22 | $12.02 | $12.02 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $19.95 Median $57.54 Typical High $91.20 | Professional | 51 · Multiple procedures | $19.95 | $57.54 | $91.20 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $7.94 Median $23.44 Typical High $36.31 | Professional | 80 · Assistant surgeon | $7.94 | $23.44 | $36.31 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $5.62 Median $16.22 Typical High $25.12 | Professional | 81 · Minimal assistant surgeon | $5.62 | $16.22 | $25.12 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $5.62 Median $16.22 Typical High $25.12 | Professional | 82 · Assistant surgeon, no resident | $5.62 | $16.22 | $25.12 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $5.62 Median $16.22 Typical High $25.12 | Professional | AS · PA/NP assist | $5.62 | $16.22 | $25.12 |
Where North Carolina sits
The same service costs 5.5 times more in Alabama than in Pennsylvania. 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· 13th of 51
$48.98
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.