How much rates vary
Facilitymedian $102 · 10th to 90th $54 to $302Professionalmedian $58 · 10th to 90th $48 to $126
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 $14.45 Median $15.49 Typical High $16.60 | Professional | 26 · Professional part | $14.45 | $15.49 | $16.60 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $38.02 Typical High $38.90 | Professional | TC · Technical part | $31.62 | $38.02 | $38.90 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $33.88 Typical High $50.12 | Professional | 26 · Professional part | $27.54 | $33.88 | $50.12 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $63.10 Typical High $95.50 | Professional | TC · Technical part | $38.02 | $63.10 | $95.50 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $22.39 Typical High $46.77 | Professional | 26 · Professional part | $16.98 | $22.39 | $46.77 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $38.90 Typical High $100.00 | Professional | TC · Technical part | $28.18 | $38.90 | $100.00 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $24.55 Typical High $38.02 | Professional | 26 · Professional part | $20.89 | $24.55 | $38.02 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $45.71 Typical High $72.44 | Professional | TC · Technical part | $38.02 | $45.71 | $72.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $20.89 Typical High $37.15 | Professional | 26 · Professional part | $16.60 | $20.89 | $37.15 |
United Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $43.65 Typical High $89.13 | Professional | TC · Technical part | $29.51 | $43.65 | $89.13 |
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 $53.70 Median $53.70 Typical High $53.70 | Facility | None | $53.70 | $53.70 | $53.70 |
Aetna Setting Professional Modifier None (both parts) Typical Low $47.86 Median $53.70 Typical High $57.54 | Professional | None (both parts) | $47.86 | $53.70 | $57.54 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $23.99 Median $26.92 Typical High $28.84 | Professional | 52 · Reduced service | $23.99 | $26.92 | $28.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.55 Median $10.72 Typical High $11.48 | Professional | 53 · Discontinued | $9.55 | $10.72 | $11.48 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $40.74 Median $42.66 Typical High $42.66 | Professional | FX · Film X-ray | $40.74 | $42.66 | $42.66 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | None (both parts) | $41.69 | $41.69 | $41.69 |
Cigna Setting Facility Modifier None Typical Low $67.61 Median $199.53 Typical High $489.78 | Facility | None | $67.61 | $199.53 | $489.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $45.71 Median $63.10 Typical High $147.91 | Professional | None (both parts) | $45.71 | $63.10 | $147.91 |
Medcost Setting Professional Modifier None Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | None | $74.13 | $74.13 | $74.13 |
Medcost Setting Facility Modifier None Typical Low $53.70 Median $53.70 Typical High $69.18 | Facility | None | $53.70 | $53.70 | $69.18 |
Medcost Setting Professional Modifier None (both parts) Typical Low $57.54 Median $63.10 Typical High $112.20 | Professional | None (both parts) | $57.54 | $63.10 | $112.20 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $28.84 Median $30.90 Typical High $77.62 | Professional | 51 · Multiple procedures | $28.84 | $30.90 | $77.62 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $11.48 Median $12.59 Typical High $30.90 | Professional | 80 · Assistant surgeon | $11.48 | $12.59 | $30.90 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $8.13 Median $8.71 Typical High $21.88 | Professional | 81 · Minimal assistant surgeon | $8.13 | $8.71 | $21.88 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $8.13 Median $8.71 Typical High $21.88 | Professional | 82 · Assistant surgeon, no resident | $8.13 | $8.71 | $21.88 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $8.13 Median $8.71 Typical High $21.88 | Professional | AS · PA/NP assist | $8.13 | $8.71 | $21.88 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $56.23 Median $56.23 Typical High $56.23 | Professional | None (both parts) | $56.23 | $56.23 | $56.23 |
United Setting Professional Modifier None (both parts) Typical Low $45.71 Median $64.57 Typical High $125.89 | Professional | None (both parts) | $45.71 | $64.57 | $125.89 |
Where North Carolina sits
The same service costs 5.6 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· 39th of 51
$57.54
AK $182UT $32.36
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.