How much rates vary
Facilitymedian $40 · 10th to 90th $28 to $148Professionalmedian $35 · 10th to 90th $26 to $68
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 $7.41 Median $7.94 Typical High $16.22 | Professional | 26 · Professional part | $7.41 | $7.94 | $16.22 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $20.42 Typical High $39.81 | Professional | TC · Technical part | $18.62 | $20.42 | $39.81 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $19.50 Typical High $25.12 | Professional | 26 · Professional part | $13.80 | $19.50 | $25.12 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $38.02 Typical High $57.54 | Professional | TC · Technical part | $28.18 | $38.02 | $57.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $11.48 Typical High $22.91 | Professional | 26 · Professional part | $8.51 | $11.48 | $22.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $23.44 Typical High $56.23 | Professional | TC · Technical part | $16.60 | $23.44 | $56.23 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $15.14 Typical High $20.89 | Professional | 26 · Professional part | $10.23 | $15.14 | $20.89 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $27.54 Typical High $42.66 | Professional | TC · Technical part | $25.70 | $27.54 | $42.66 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $10.00 Typical High $18.20 | Professional | 26 · Professional part | $7.94 | $10.00 | $18.20 |
United Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $24.55 Typical High $47.86 | Professional | TC · Technical part | $17.38 | $24.55 | $47.86 |
20 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 $28.18 Median $28.18 Typical High $46.77 | Facility | None | $28.18 | $28.18 | $46.77 |
Aetna Setting Professional Modifier None (both parts) Typical Low $25.70 Median $28.18 Typical High $57.54 | Professional | None (both parts) | $25.70 | $28.18 | $57.54 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $13.18 Median $14.13 Typical High $15.49 | Professional | 52 · Reduced service | $13.18 | $14.13 | $15.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.25 Median $5.62 Typical High $6.17 | Professional | 53 · Discontinued | $5.25 | $5.62 | $6.17 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $21.38 Median $22.91 Typical High $22.91 | Professional | FX · Film X-ray | $21.38 | $22.91 | $22.91 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | None (both parts) | $61.66 | $61.66 | $61.66 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $21.88 Median $21.88 Typical High $21.88 | Professional | None (both parts) | $21.88 | $21.88 | $21.88 |
Cigna Setting Facility Modifier None Typical Low $37.15 Median $95.50 Typical High $147.91 | Facility | None | $37.15 | $95.50 | $147.91 |
Cigna Setting Professional Modifier None (both parts) Typical Low $25.70 Median $35.48 Typical High $79.43 | Professional | None (both parts) | $25.70 | $35.48 | $79.43 |
Medcost Setting Professional Modifier None Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | None | $39.81 | $39.81 | $39.81 |
Medcost Setting Facility Modifier None Typical Low $28.18 Median $28.18 Typical High $36.31 | Facility | None | $28.18 | $28.18 | $36.31 |
Medcost Setting Professional Modifier None (both parts) Typical Low $34.67 Median $39.81 Typical High $64.57 | Professional | None (both parts) | $34.67 | $39.81 | $64.57 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $57.54 Median $60.26 Typical High $125.89 | Professional | 50 · Both sides | $57.54 | $60.26 | $125.89 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $19.05 Median $19.95 Typical High $42.66 | Professional | 51 · Multiple procedures | $19.05 | $19.95 | $42.66 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $7.59 Median $7.94 Typical High $16.98 | Professional | 80 · Assistant surgeon | $7.59 | $7.94 | $16.98 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $5.37 Median $5.62 Typical High $11.75 | Professional | 81 · Minimal assistant surgeon | $5.37 | $5.62 | $11.75 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $5.37 Median $5.62 Typical High $11.75 | Professional | 82 · Assistant surgeon, no resident | $5.37 | $5.62 | $11.75 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $5.37 Median $5.62 Typical High $11.75 | Professional | AS · PA/NP assist | $5.37 | $5.62 | $11.75 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $9.33 Median $30.20 Typical High $60.26 | Professional | None (both parts) | $9.33 | $30.20 | $60.26 |
United Setting Professional Modifier None (both parts) Typical Low $25.70 Median $35.48 Typical High $66.07 | Professional | None (both parts) | $25.70 | $35.48 | $66.07 |
Where North Carolina sits
The same service costs 4.1 times more in Alaska 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· 31st of 51
$35.48
AK $95.50NY $23.44
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.