How much rates vary
Facilitymedian $794 · 10th to 90th $347 to $4,365Professionalmedian $71 · 10th to 90th $46 to $129
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 $45.71 Median $616.60 Typical High $7,943.28 | Facility | None | $45.71 | $616.60 | $7,943.28 |
Aetna Setting Professional Modifier None (both parts) Typical Low $45.71 Median $45.71 Typical High $67.61 | Professional | None (both parts) | $45.71 | $45.71 | $67.61 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $37.15 Typical High $38.02 | Professional | 26 · Professional part | $37.15 | $37.15 | $38.02 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $9.33 Median $9.33 Typical High $9.55 | Professional | TC · Technical part | $9.33 | $9.33 | $9.55 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $91.20 Typical High $134.90 | Professional | 26 · Professional part | $64.57 | $91.20 | $134.90 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $10.72 Median $19.05 Typical High $33.11 | Professional | TC · Technical part | $10.72 | $19.05 | $33.11 |
Cigna Setting Professional Modifier None (both parts) Typical Low $61.66 Median $74.13 Typical High $134.90 | Professional | None (both parts) | $61.66 | $74.13 | $134.90 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $58.88 Typical High $107.15 | Professional | 26 · Professional part | $47.86 | $58.88 | $107.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $12.88 Median $14.79 Typical High $27.54 | Professional | TC · Technical part | $12.88 | $14.79 | $27.54 |
Medcost Setting Facility Modifier None Typical Low $45.71 Median $74.13 Typical High $257.04 | Facility | None | $45.71 | $74.13 | $257.04 |
Medcost Setting Professional Modifier None (both parts) Typical Low $51.29 Median $77.62 Typical High $100.00 | Professional | None (both parts) | $51.29 | $77.62 | $100.00 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $61.66 Typical High $83.18 | Professional | 26 · Professional part | $37.15 | $61.66 | $83.18 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $8.91 Median $16.22 Typical High $20.42 | Professional | TC · Technical part | $8.91 | $16.22 | $20.42 |
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 $50.12 Median $77.62 Typical High $147.91 | Professional | None (both parts) | $50.12 | $77.62 | $147.91 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $61.66 Typical High $104.71 | Professional | 26 · Professional part | $38.02 | $61.66 | $104.71 |
United Setting Professional Modifier TC · Technical part Typical Low $10.23 Median $16.22 Typical High $33.11 | Professional | TC · Technical part | $10.23 | $16.22 | $33.11 |
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 $22.91 Median $22.91 Typical High $23.44 | Professional | 52 · Reduced service | $22.91 | $22.91 | $23.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.12 Median $9.12 Typical High $9.55 | Professional | 53 · Discontinued | $9.12 | $9.12 | $9.55 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $25.12 Median $38.90 Typical High $66.07 | Professional | 51 · Multiple procedures | $25.12 | $38.90 | $66.07 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $10.23 Median $15.49 Typical High $26.92 | Professional | 80 · Assistant surgeon | $10.23 | $15.49 | $26.92 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $7.08 Median $10.72 Typical High $18.62 | Professional | 81 · Minimal assistant surgeon | $7.08 | $10.72 | $18.62 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $7.08 Median $10.72 Typical High $18.62 | Professional | 82 · Assistant surgeon, no resident | $7.08 | $10.72 | $18.62 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $7.08 Median $10.72 Typical High $18.62 | Professional | AS · PA/NP assist | $7.08 | $10.72 | $18.62 |
Where North Carolina sits
The same service costs 51.3 times more in Oklahoma 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· 32nd of 51
$77.62
OK $2,570NY $50.12
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.