How much rates vary
Facilitymedian $372 · 10th to 90th $166 to $550Professionalmedian $138 · 10th to 90th $76 to $219
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 $138.04 Median $138.04 Typical High $138.04 | Facility | None | $138.04 | $138.04 | $138.04 |
Aetna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $138.04 Typical High $147.91 | Professional | None (both parts) | $120.23 | $138.04 | $147.91 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $43.65 Typical High $43.65 | Professional | 26 · Professional part | $36.31 | $43.65 | $43.65 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $95.50 Typical High $102.33 | Professional | TC · Technical part | $83.18 | $95.50 | $102.33 |
BCBS Setting Facility Modifier None Typical Low $181.97 Median $407.38 Typical High $549.54 | Facility | None | $181.97 | $407.38 | $549.54 |
BCBS Setting Facility Modifier TC · Technical part Typical Low $251.19 Median $251.19 Typical High $251.19 | Facility | TC · Technical part | $251.19 | $251.19 | $251.19 |
BCBS Setting Professional Modifier None (both parts) Typical Low $125.89 Median $125.89 Typical High $141.25 | Professional | None (both parts) | $125.89 | $125.89 | $141.25 |
BCBS Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $41.69 Typical High $45.71 | Professional | 26 · Professional part | $41.69 | $41.69 | $45.71 |
BCBS Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $85.11 Typical High $93.33 | Professional | TC · Technical part | $85.11 | $85.11 | $93.33 |
Cigna Setting Facility Modifier None Typical Low $54.95 Median $54.95 Typical High $54.95 | Facility | None | $54.95 | $54.95 | $54.95 |
Cigna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $186.21 Typical High $288.40 | Professional | None (both parts) | $134.90 | $186.21 | $288.40 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $58.88 Typical High $91.20 | Professional | 26 · Professional part | $47.86 | $58.88 | $91.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $128.82 Typical High $181.97 | Professional | TC · Technical part | $91.20 | $128.82 | $181.97 |
Medcost Setting Facility Modifier None Typical Low $138.04 Median $165.96 Typical High $363.08 | Facility | None | $138.04 | $165.96 | $363.08 |
Medcost Setting Professional Modifier None (both parts) Typical Low $120.23 Median $128.82 Typical High $213.80 | Professional | None (both parts) | $120.23 | $128.82 | $213.80 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $54.95 Typical High $72.44 | Professional | 26 · Professional part | $48.98 | $54.95 | $72.44 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $74.13 Typical High $154.88 | Professional | TC · Technical part | $69.18 | $74.13 | $154.88 |
Molina Setting Professional Modifier None (both parts) Typical Low $51.29 Median $138.04 Typical High $223.87 | Professional | None (both parts) | $51.29 | $138.04 | $223.87 |
United Setting Facility Modifier None Typical Low $245.47 Median $302.00 Typical High $389.05 | Facility | None | $245.47 | $302.00 | $389.05 |
United Setting Professional Modifier None (both parts) Typical Low $123.03 Median $151.36 Typical High $239.88 | Professional | None (both parts) | $123.03 | $151.36 | $239.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $50.12 Typical High $77.62 | Professional | 26 · Professional part | $40.74 | $50.12 | $77.62 |
United Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $97.72 Typical High $162.18 | Professional | TC · Technical part | $75.86 | $97.72 | $162.18 |
5 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 |
|---|---|---|---|---|---|
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $52.48 Median $64.57 Typical High $120.23 | Professional | 51 · Multiple procedures | $52.48 | $64.57 | $120.23 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $20.89 Median $26.30 Typical High $48.98 | Professional | 80 · Assistant surgeon | $20.89 | $26.30 | $48.98 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $14.79 Median $18.20 Typical High $33.88 | Professional | 81 · Minimal assistant surgeon | $14.79 | $18.20 | $33.88 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $14.79 Median $18.20 Typical High $33.88 | Professional | 82 · Assistant surgeon, no resident | $14.79 | $18.20 | $33.88 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $14.79 Median $18.20 Typical High $33.88 | Professional | AS · PA/NP assist | $14.79 | $18.20 | $33.88 |
Where South Carolina sits
The same service costs 3.3 times more in Alaska than in Texas. 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.
South Carolina· 41st of 51
$138
AK $347TX $105
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.