How much rates vary
Facilitymedian $363 · 10th to 90th $324 to $513Professionalmedian $363 · 10th to 90th $191 to $741
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 $323.59 Median $363.08 Typical High $512.86 | Facility | None | $323.59 | $363.08 | $512.86 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $56.23 Median $56.23 Typical High $87.10 | Facility | 26 · Professional part | $56.23 | $56.23 | $87.10 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $239.88 Median $309.03 Typical High $446.68 | Facility | TC · Technical part | $239.88 | $309.03 | $446.68 |
Aetna Setting Professional Modifier None (both parts) Typical Low $331.13 Median $363.08 Typical High $512.86 | Professional | None (both parts) | $331.13 | $363.08 | $512.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $56.23 Typical High $79.43 | Professional | 26 · Professional part | $54.95 | $56.23 | $79.43 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $309.03 Typical High $436.52 | Professional | TC · Technical part | $275.42 | $309.03 | $436.52 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $363.08 Median $389.05 Typical High $645.65 | Professional | None (both parts) | $363.08 | $389.05 | $645.65 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $89.13 Typical High $95.50 | Professional | 26 · Professional part | $54.95 | $89.13 | $95.50 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $102.33 Typical High $190.55 | Professional | 26 · Professional part | $54.95 | $102.33 | $190.55 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $398.11 Typical High $977.24 | Professional | TC · Technical part | $309.03 | $398.11 | $977.24 |
Cigna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $316.23 Typical High $977.24 | Professional | None (both parts) | $190.55 | $316.23 | $977.24 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $70.79 Typical High $151.36 | Professional | 26 · Professional part | $54.95 | $70.79 | $151.36 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $257.04 Typical High $831.76 | Professional | TC · Technical part | $128.82 | $257.04 | $831.76 |
Medcost Setting Professional Modifier None Typical Low $93.33 Median $309.03 Typical High $309.03 | Professional | None | $93.33 | $309.03 | $309.03 |
Medcost Setting Facility Modifier None Typical Low $363.08 Median $363.08 Typical High $457.09 | Facility | None | $363.08 | $363.08 | $457.09 |
Medcost Setting Professional Modifier None (both parts) Typical Low $218.78 Median $245.47 Typical High $416.87 | Professional | None (both parts) | $218.78 | $245.47 | $416.87 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $56.23 Typical High $85.11 | Professional | 26 · Professional part | $52.48 | $56.23 | $85.11 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $190.55 Typical High $346.74 | Professional | TC · Technical part | $169.82 | $190.55 | $346.74 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $63.10 Median $416.87 Typical High $831.76 | Professional | None (both parts) | $63.10 | $416.87 | $831.76 |
United Setting Professional Modifier None (both parts) Typical Low $213.80 Median $363.08 Typical High $851.14 | Professional | None (both parts) | $213.80 | $363.08 | $851.14 |
United Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $61.66 Typical High $141.25 | Professional | 26 · Professional part | $51.29 | $61.66 | $141.25 |
United Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $302.00 Typical High $758.58 | Professional | TC · Technical part | $165.96 | $302.00 | $758.58 |
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 $177.83 Median $181.97 Typical High $190.55 | Professional | 52 · Reduced service | $177.83 | $181.97 | $190.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $72.44 Median $74.13 Typical High $75.86 | Professional | 53 · Discontinued | $72.44 | $74.13 | $75.86 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $109.65 Median $123.03 Typical High $269.15 | Professional | 51 · Multiple procedures | $109.65 | $123.03 | $269.15 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $43.65 Median $48.98 Typical High $107.15 | Professional | 80 · Assistant surgeon | $43.65 | $48.98 | $107.15 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $30.20 Median $34.67 Typical High $74.13 | Professional | 81 · Minimal assistant surgeon | $30.20 | $34.67 | $74.13 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $30.20 Median $34.67 Typical High $74.13 | Professional | 82 · Assistant surgeon, no resident | $30.20 | $34.67 | $74.13 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $30.20 Median $34.67 Typical High $74.13 | Professional | AS · PA/NP assist | $30.20 | $34.67 | $74.13 |
Where North Carolina sits
The same service costs 3.0 times more in Alaska than in New Mexico. 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· 40th of 51
$363
AK $794NM $269
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.