How much rates vary
Facilitymedian $324 · 10th to 90th $269 to $1,585Professionalmedian $372 · 10th to 90th $229 to $759
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 $245.47 Median $269.15 Typical High $416.87 | Facility | None | $245.47 | $269.15 | $416.87 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $33.11 Median $37.15 Typical High $60.26 | Facility | 26 · Professional part | $33.11 | $37.15 | $60.26 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $194.98 Median $239.88 Typical High $389.05 | Facility | TC · Technical part | $194.98 | $239.88 | $389.05 |
Aetna Setting Professional Modifier None (both parts) Typical Low $251.19 Median $269.15 Typical High $630.96 | Professional | None (both parts) | $251.19 | $269.15 | $630.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $33.11 Typical High $83.18 | Professional | 26 · Professional part | $33.11 | $33.11 | $83.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $239.88 Typical High $549.54 | Professional | TC · Technical part | $218.78 | $239.88 | $549.54 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | None (both parts) | $295.12 | $295.12 | $295.12 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $89.13 Typical High $104.71 | Professional | 26 · Professional part | $60.26 | $89.13 | $104.71 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $380.19 Typical High $616.60 | Professional | TC · Technical part | $288.40 | $380.19 | $616.60 |
Cigna Setting Facility Modifier None Typical Low $1,000.00 Median $1,584.89 Typical High $1,584.89 | Facility | None | $1,000.00 | $1,584.89 | $1,584.89 |
Cigna Setting Professional Modifier None (both parts) Typical Low $208.93 Median $446.68 Typical High $912.01 | Professional | None (both parts) | $208.93 | $446.68 | $912.01 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $57.54 Typical High $107.15 | Professional | 26 · Professional part | $43.65 | $57.54 | $107.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $398.11 Typical High $794.33 | Professional | TC · Technical part | $165.96 | $398.11 | $794.33 |
Medcost Setting Professional Modifier None Typical Low $316.23 Median $316.23 Typical High $316.23 | Professional | None | $316.23 | $316.23 | $316.23 |
Medcost Setting Facility Modifier None Typical Low $269.15 Median $269.15 Typical High $323.59 | Facility | None | $269.15 | $269.15 | $323.59 |
Medcost Setting Professional Modifier None (both parts) Typical Low $302.00 Median $363.08 Typical High $660.69 | Professional | None (both parts) | $302.00 | $363.08 | $660.69 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $64.57 Typical High $114.82 | Professional | 26 · Professional part | $56.23 | $64.57 | $114.82 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $323.59 Typical High $602.56 | Professional | TC · Technical part | $288.40 | $323.59 | $602.56 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $245.47 Median $245.47 Typical High $245.47 | Professional | None (both parts) | $245.47 | $245.47 | $245.47 |
United Setting Professional Modifier None (both parts) Typical Low $234.42 Median $416.87 Typical High $891.25 | Professional | None (both parts) | $234.42 | $416.87 | $891.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $57.54 Typical High $107.15 | Professional | 26 · Professional part | $38.90 | $57.54 | $107.15 |
United Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $363.08 Typical High $776.25 | Professional | TC · Technical part | $199.53 | $363.08 | $776.25 |
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 $131.83 Median $134.90 Typical High $134.90 | Professional | 52 · Reduced service | $131.83 | $134.90 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $53.70 Median $54.95 Typical High $54.95 | Professional | 53 · Discontinued | $53.70 | $54.95 | $54.95 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $204.17 Median $218.78 Typical High $218.78 | Professional | FX · Film X-ray | $204.17 | $218.78 | $218.78 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $151.36 Median $181.97 Typical High $436.52 | Professional | 51 · Multiple procedures | $151.36 | $181.97 | $436.52 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $60.26 Median $74.13 Typical High $177.83 | Professional | 80 · Assistant surgeon | $60.26 | $74.13 | $177.83 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $41.69 Median $51.29 Typical High $123.03 | Professional | 81 · Minimal assistant surgeon | $41.69 | $51.29 | $123.03 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $41.69 Median $51.29 Typical High $123.03 | Professional | 82 · Assistant surgeon, no resident | $41.69 | $51.29 | $123.03 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $41.69 Median $51.29 Typical High $123.03 | Professional | AS · PA/NP assist | $41.69 | $51.29 | $123.03 |
Where North Carolina sits
The same service costs 3.5 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 $263
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.