How much rates vary
Facilitymedian $295 · 10th to 90th $151 to $724Professionalmedian $162 · 10th to 90th $120 to $355
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 Professional Modifier 26 · Professional part Typical Low $48.98 Median $51.29 Typical High $56.23 | Professional | 26 · Professional part | $48.98 | $51.29 | $56.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $100.00 Typical High $104.71 | Professional | TC · Technical part | $83.18 | $100.00 | $104.71 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $147.91 Typical High $169.82 | Professional | 26 · Professional part | $93.33 | $147.91 | $169.82 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $154.88 Typical High $239.88 | Professional | TC · Technical part | $83.18 | $154.88 | $239.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $75.86 Typical High $158.49 | Professional | 26 · Professional part | $58.88 | $75.86 | $158.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $91.20 Typical High $257.04 | Professional | TC · Technical part | $53.70 | $91.20 | $257.04 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $85.11 Typical High $128.82 | Professional | 26 · Professional part | $70.79 | $85.11 | $128.82 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $109.65 Typical High $190.55 | Professional | TC · Technical part | $97.72 | $109.65 | $190.55 |
United Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $70.79 Typical High $125.89 | Professional | 26 · Professional part | $57.54 | $70.79 | $125.89 |
United Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $112.20 Typical High $223.87 | Professional | TC · Technical part | $72.44 | $112.20 | $223.87 |
18 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 Facility Modifier None Typical Low $151.36 Median $151.36 Typical High $151.36 | Facility | None | $151.36 | $151.36 | $151.36 |
Aetna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $151.36 Typical High $162.18 | Professional | None (both parts) | $138.04 | $151.36 | $162.18 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $69.18 Median $75.86 Typical High $81.28 | Professional | 52 · Reduced service | $69.18 | $75.86 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $30.20 Typical High $32.36 | Professional | 53 · Discontinued | $27.54 | $30.20 | $32.36 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $112.20 Median $120.23 Typical High $120.23 | Professional | FX · Film X-ray | $112.20 | $120.23 | $120.23 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | None (both parts) | $147.91 | $147.91 | $147.91 |
Cigna Setting Facility Modifier None Typical Low $165.96 Median $478.63 Typical High $724.44 | Facility | None | $165.96 | $478.63 | $724.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $169.82 Typical High $407.38 | Professional | None (both parts) | $120.23 | $169.82 | $407.38 |
Medcost Setting Professional Modifier None Typical Low $186.21 Median $186.21 Typical High $186.21 | Professional | None | $186.21 | $186.21 | $186.21 |
Medcost Setting Facility Modifier None Typical Low $151.36 Median $151.36 Typical High $181.97 | Facility | None | $151.36 | $151.36 | $181.97 |
Medcost Setting Professional Modifier None (both parts) Typical Low $141.25 Median $186.21 Typical High $316.23 | Professional | None (both parts) | $141.25 | $186.21 | $316.23 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $70.79 Median $97.72 Typical High $223.87 | Professional | 51 · Multiple procedures | $70.79 | $97.72 | $223.87 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $28.18 Median $38.90 Typical High $89.13 | Professional | 80 · Assistant surgeon | $28.18 | $38.90 | $89.13 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $19.95 Median $27.54 Typical High $63.10 | Professional | 81 · Minimal assistant surgeon | $19.95 | $27.54 | $63.10 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $19.95 Median $27.54 Typical High $63.10 | Professional | 82 · Assistant surgeon, no resident | $19.95 | $27.54 | $63.10 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $19.95 Median $27.54 Typical High $63.10 | Professional | AS · PA/NP assist | $19.95 | $27.54 | $63.10 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | None (both parts) | $141.25 | $141.25 | $141.25 |
United Setting Professional Modifier None (both parts) Typical Low $125.89 Median $181.97 Typical High $346.74 | Professional | None (both parts) | $125.89 | $181.97 | $346.74 |
Where North Carolina sits
The same service costs 4.3 times more in Alaska than in Utah. 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· 36th of 51
$166
AK $513UT $120
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.