How much rates vary
Facilitymedian $427 · 10th to 90th $389 to $2,089Professionalmedian $617 · 10th to 90th $389 to $1,148
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 $389.05 Median $389.05 Typical High $660.69 | Facility | None | $389.05 | $389.05 | $660.69 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $69.18 Median $70.79 Typical High $114.82 | Facility | 26 · Professional part | $69.18 | $70.79 | $114.82 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $323.59 Median $331.13 Typical High $575.44 | Facility | TC · Technical part | $323.59 | $331.13 | $575.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $389.05 Median $407.38 Typical High $933.25 | Professional | None (both parts) | $389.05 | $407.38 | $933.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $70.79 Typical High $165.96 | Professional | 26 · Professional part | $69.18 | $70.79 | $165.96 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $331.13 Typical High $758.58 | Professional | TC · Technical part | $323.59 | $331.13 | $758.58 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $323.59 Median $630.96 Typical High $933.25 | Professional | None (both parts) | $323.59 | $630.96 | $933.25 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $162.18 Typical High $213.80 | Professional | 26 · Professional part | $120.23 | $162.18 | $213.80 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $478.63 Median $616.60 Typical High $933.25 | Professional | TC · Technical part | $478.63 | $616.60 | $933.25 |
Cigna Setting Facility Modifier None Typical Low $1,348.96 Median $2,089.30 Typical High $2,089.30 | Facility | None | $1,348.96 | $2,089.30 | $2,089.30 |
Cigna Setting Professional Modifier None (both parts) Typical Low $478.63 Median $660.69 Typical High $1,288.25 | Professional | None (both parts) | $478.63 | $660.69 | $1,288.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $120.23 Typical High $213.80 | Professional | 26 · Professional part | $89.13 | $120.23 | $213.80 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $389.05 Median $549.54 Typical High $1,047.13 | Professional | TC · Technical part | $389.05 | $549.54 | $1,047.13 |
Medcost Setting Professional Modifier None Typical Low $588.84 Median $588.84 Typical High $588.84 | Professional | None | $588.84 | $588.84 | $588.84 |
Medcost Setting Facility Modifier None Typical Low $389.05 Median $389.05 Typical High $478.63 | Facility | None | $389.05 | $389.05 | $478.63 |
Medcost Setting Professional Modifier None (both parts) Typical Low $512.86 Median $524.81 Typical High $977.24 | Professional | None (both parts) | $512.86 | $524.81 | $977.24 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $112.20 Typical High $251.19 | Professional | 26 · Professional part | $112.20 | $112.20 | $251.19 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $416.87 Median $416.87 Typical High $831.76 | Professional | TC · Technical part | $416.87 | $416.87 | $831.76 |
Oscar Health Setting Facility Modifier None Typical Low $3,801.89 Median $3,801.89 Typical High $3,801.89 | Facility | None | $3,801.89 | $3,801.89 | $3,801.89 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $446.68 Median $446.68 Typical High $446.68 | Professional | None (both parts) | $446.68 | $446.68 | $446.68 |
United Setting Professional Modifier None (both parts) Typical Low $467.74 Median $776.25 Typical High $1,258.93 | Professional | None (both parts) | $467.74 | $776.25 | $1,258.93 |
United Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $141.25 Typical High $218.78 | Professional | 26 · Professional part | $79.43 | $141.25 | $218.78 |
United Setting Professional Modifier TC · Technical part Typical Low $389.05 Median $630.96 Typical High $1,023.29 | Professional | TC · Technical part | $389.05 | $630.96 | $1,023.29 |
6 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 FX · Film X-ray Typical Low $302.00 Median $316.23 Typical High $316.23 | Professional | FX · Film X-ray | $302.00 | $316.23 | $316.23 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $263.03 Median $263.03 Typical High $630.96 | Professional | 51 · Multiple procedures | $263.03 | $263.03 | $630.96 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $107.15 Median $107.15 Typical High $251.19 | Professional | 80 · Assistant surgeon | $107.15 | $107.15 | $251.19 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $74.13 Median $74.13 Typical High $177.83 | Professional | 81 · Minimal assistant surgeon | $74.13 | $74.13 | $177.83 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $74.13 Median $74.13 Typical High $177.83 | Professional | 82 · Assistant surgeon, no resident | $74.13 | $74.13 | $177.83 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $74.13 Median $74.13 Typical High $177.83 | Professional | AS · PA/NP assist | $74.13 | $74.13 | $177.83 |
Where North Carolina sits
The same service costs 6.3 times more in Minnesota than in Florida. 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
$589
MN $2,455FL $389
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.