How much rates vary
Facilitymedian $891 · 10th to 90th $398 to $7,079Professionalmedian $324 · 10th to 90th $219 to $513
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 $218.78 Median $218.78 Typical High $7,943.28 | Facility | None | $218.78 | $218.78 | $7,943.28 |
Aetna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $218.78 Typical High $251.19 | Professional | None (both parts) | $218.78 | $218.78 | $251.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $158.49 Median $158.49 Typical High $173.78 | Professional | 26 · Professional part | $158.49 | $158.49 | $173.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $58.88 Typical High $72.44 | Professional | TC · Technical part | $58.88 | $58.88 | $72.44 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $213.80 Median $363.08 Typical High $489.78 | Professional | None (both parts) | $213.80 | $363.08 | $489.78 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $426.58 Median $426.58 Typical High $426.58 | Professional | 26 · Professional part | $426.58 | $426.58 | $426.58 |
Cigna Setting Facility Modifier None Typical Low $19,054.61 Median $26,302.68 Typical High $35,481.34 | Facility | None | $19,054.61 | $26,302.68 | $35,481.34 |
Cigna Setting Professional Modifier None (both parts) Typical Low $239.88 Median $323.59 Typical High $616.60 | Professional | None (both parts) | $239.88 | $323.59 | $616.60 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $173.78 Median $234.42 Typical High $446.68 | Professional | 26 · Professional part | $173.78 | $234.42 | $446.68 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $87.10 Typical High $165.96 | Professional | TC · Technical part | $64.57 | $87.10 | $165.96 |
Medcost Setting Facility Modifier None Typical Low $218.78 Median $275.42 Typical High $954.99 | Facility | None | $218.78 | $275.42 | $954.99 |
Medcost Setting Professional Modifier None (both parts) Typical Low $169.82 Median $281.84 Typical High $416.87 | Professional | None (both parts) | $169.82 | $281.84 | $416.87 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $165.96 Median $194.98 Typical High $316.23 | Professional | 26 · Professional part | $165.96 | $194.98 | $316.23 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $95.50 Typical High $117.49 | Professional | TC · Technical part | $54.95 | $95.50 | $117.49 |
United Setting Facility Modifier None Typical Low $478.63 Median $831.76 Typical High $4,365.16 | Facility | None | $478.63 | $831.76 | $4,365.16 |
United Setting Professional Modifier None (both parts) Typical Low $223.87 Median $316.23 Typical High $602.56 | Professional | None (both parts) | $223.87 | $316.23 | $602.56 |
United Setting Professional Modifier 26 · Professional part Typical Low $162.18 Median $229.09 Typical High $426.58 | Professional | 26 · Professional part | $162.18 | $229.09 | $426.58 |
United Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $85.11 Typical High $177.83 | Professional | TC · Technical part | $58.88 | $85.11 | $177.83 |
7 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 $109.65 Median $109.65 Typical High $112.20 | Professional | 52 · Reduced service | $109.65 | $109.65 | $112.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $43.65 Typical High $44.67 | Professional | 53 · Discontinued | $43.65 | $43.65 | $44.67 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $85.11 Median $141.25 Typical High $316.23 | Professional | 51 · Multiple procedures | $85.11 | $141.25 | $316.23 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $33.88 Median $56.23 Typical High $125.89 | Professional | 80 · Assistant surgeon | $33.88 | $56.23 | $125.89 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $23.99 Median $39.81 Typical High $87.10 | Professional | 81 · Minimal assistant surgeon | $23.99 | $39.81 | $87.10 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $23.99 Median $39.81 Typical High $87.10 | Professional | 82 · Assistant surgeon, no resident | $23.99 | $39.81 | $87.10 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $23.99 Median $39.81 Typical High $87.10 | Professional | AS · PA/NP assist | $23.99 | $39.81 | $87.10 |
Where North Carolina sits
The same service costs 5.8 times more in Louisiana than in Alabama. 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· 31st of 51
$347
LA $1,288AL $224
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.