How much rates vary
Facilitymedian $324 · 10th to 90th $89 to $513Professionalmedian $166 · 10th to 90th $89 to $275
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 $89.13 Median $89.13 Typical High $89.13 | Facility | None | $89.13 | $89.13 | $89.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $89.13 Typical High $128.82 | Professional | None (both parts) | $89.13 | $89.13 | $128.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $17.38 Typical High $21.38 | Professional | 26 · Professional part | $17.38 | $17.38 | $21.38 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $72.44 Typical High $109.65 | Professional | TC · Technical part | $72.44 | $72.44 | $109.65 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $38.02 Typical High $60.26 | Professional | 26 · Professional part | $28.84 | $38.02 | $60.26 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $169.82 Typical High $275.42 | Professional | TC · Technical part | $147.91 | $169.82 | $275.42 |
Cigna Setting Facility Modifier None Typical Low $323.59 Median $512.86 Typical High $512.86 | Facility | None | $323.59 | $512.86 | $512.86 |
Cigna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $181.97 Typical High $288.40 | Professional | None (both parts) | $141.25 | $181.97 | $288.40 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $33.88 Typical High $56.23 | Professional | 26 · Professional part | $24.55 | $33.88 | $56.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $144.54 Typical High $234.42 | Professional | TC · Technical part | $112.20 | $144.54 | $234.42 |
Medcost Setting Professional Modifier None Typical Low $251.19 Median $251.19 Typical High $251.19 | Professional | None | $251.19 | $251.19 | $251.19 |
Medcost Setting Facility Modifier None Typical Low $89.13 Median $89.13 Typical High $114.82 | Facility | None | $89.13 | $89.13 | $114.82 |
Medcost Setting Professional Modifier None (both parts) Typical Low $120.23 Median $199.53 Typical High $263.03 | Professional | None (both parts) | $120.23 | $199.53 | $263.03 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $31.62 Typical High $69.18 | Professional | 26 · Professional part | $23.99 | $31.62 | $69.18 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $169.82 Typical High $223.87 | Professional | TC · Technical part | $97.72 | $169.82 | $223.87 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | None (both parts) | $199.53 | $199.53 | $199.53 |
United Setting Professional Modifier None (both parts) Typical Low $107.15 Median $173.78 Typical High $288.40 | Professional | None (both parts) | $107.15 | $173.78 | $288.40 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $30.20 Typical High $54.95 | Professional | 26 · Professional part | $21.38 | $30.20 | $54.95 |
United Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $144.54 Typical High $229.09 | Professional | TC · Technical part | $85.11 | $144.54 | $229.09 |
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 $44.67 Median $44.67 Typical High $52.48 | Professional | 52 · Reduced service | $44.67 | $44.67 | $52.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $17.78 Typical High $21.38 | Professional | 53 · Discontinued | $17.78 | $17.78 | $21.38 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $70.79 Median $72.44 Typical High $72.44 | Professional | FX · Film X-ray | $70.79 | $72.44 | $72.44 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $83.18 Median $100.00 Typical High $147.91 | Professional | 51 · Multiple procedures | $83.18 | $100.00 | $147.91 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $33.11 Median $39.81 Typical High $58.88 | Professional | 80 · Assistant surgeon | $33.11 | $39.81 | $58.88 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $23.44 Median $27.54 Typical High $41.69 | Professional | 81 · Minimal assistant surgeon | $23.44 | $27.54 | $41.69 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $23.44 Median $27.54 Typical High $41.69 | Professional | 82 · Assistant surgeon, no resident | $23.44 | $27.54 | $41.69 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $23.44 Median $27.54 Typical High $41.69 | Professional | AS · PA/NP assist | $23.44 | $27.54 | $41.69 |
Where North Carolina sits
The same service costs 5.0 times more in Alabama than in New York. 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· 18th of 51
$166
AL $479NY $95.50
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.