How much rates vary
Facilitymedian $427 · 10th to 90th $331 to $661Professionalmedian $427 · 10th to 90th $170 to $851
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 $331.13 Median $426.58 Typical High $660.69 | Facility | None | $331.13 | $426.58 | $660.69 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $56.23 Median $57.54 Typical High $87.10 | Facility | 26 · Professional part | $56.23 | $57.54 | $87.10 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $275.42 Median $371.54 Typical High $562.34 | Facility | TC · Technical part | $275.42 | $371.54 | $562.34 |
Aetna Setting Professional Modifier None (both parts) Typical Low $371.54 Median $426.58 Typical High $588.84 | Professional | None (both parts) | $371.54 | $426.58 | $588.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $56.23 Typical High $79.43 | Professional | 26 · Professional part | $56.23 | $56.23 | $79.43 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $371.54 Typical High $524.81 | Professional | TC · Technical part | $323.59 | $371.54 | $524.81 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $416.87 Median $416.87 Typical High $660.69 | Professional | None (both parts) | $416.87 | $416.87 | $660.69 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $91.20 Typical High $102.33 | Professional | 26 · Professional part | $72.44 | $91.20 | $102.33 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $93.33 Typical High $190.55 | Professional | 26 · Professional part | $54.95 | $93.33 | $190.55 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $478.63 Typical High $1,174.90 | Professional | TC · Technical part | $338.84 | $478.63 | $1,174.90 |
Cigna Setting Professional Modifier None (both parts) Typical Low $165.96 Median $346.74 Typical High $1,148.15 | Professional | None (both parts) | $165.96 | $346.74 | $1,148.15 |
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 $100.00 Median $275.42 Typical High $1,023.29 | Professional | TC · Technical part | $100.00 | $275.42 | $1,023.29 |
Medcost Setting Professional Modifier None Typical Low $102.33 Median $346.74 Typical High $346.74 | Professional | None | $102.33 | $346.74 | $346.74 |
Medcost Setting Facility Modifier None Typical Low $426.58 Median $426.58 Typical High $537.03 | Facility | None | $426.58 | $426.58 | $537.03 |
Medcost Setting Professional Modifier None (both parts) Typical Low $245.47 Median $269.15 Typical High $489.78 | Professional | None (both parts) | $245.47 | $269.15 | $489.78 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $56.23 Typical High $91.20 | Professional | 26 · Professional part | $52.48 | $56.23 | $91.20 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $213.80 Typical High $426.58 | Professional | TC · Technical part | $154.88 | $213.80 | $426.58 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $63.10 Median $478.63 Typical High $954.99 | Professional | None (both parts) | $63.10 | $478.63 | $954.99 |
United Setting Professional Modifier None (both parts) Typical Low $218.78 Median $416.87 Typical High $977.24 | Professional | None (both parts) | $218.78 | $416.87 | $977.24 |
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 $371.54 Typical High $891.25 | Professional | TC · Technical part | $165.96 | $371.54 | $891.25 |
8 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 $208.93 Median $213.80 Typical High $218.78 | Professional | 52 · Reduced service | $208.93 | $213.80 | $218.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $85.11 Median $85.11 Typical High $87.10 | Professional | 53 · Discontinued | $85.11 | $85.11 | $87.10 |
Ambetter Setting Professional Modifier 52 · Reduced service Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | 52 · Reduced service | $104.71 | $104.71 | $104.71 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $123.03 Median $134.90 Typical High $302.00 | Professional | 51 · Multiple procedures | $123.03 | $134.90 | $302.00 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $48.98 Median $53.70 Typical High $123.03 | Professional | 80 · Assistant surgeon | $48.98 | $53.70 | $123.03 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $34.67 Median $38.02 Typical High $85.11 | Professional | 81 · Minimal assistant surgeon | $34.67 | $38.02 | $85.11 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $34.67 Median $38.02 Typical High $85.11 | Professional | 82 · Assistant surgeon, no resident | $34.67 | $38.02 | $85.11 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $34.67 Median $38.02 Typical High $85.11 | Professional | AS · PA/NP assist | $34.67 | $38.02 | $85.11 |
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· 37th of 51
$427
AK $933NM $309
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.