How much rates vary
Facilitymedian $45 · 10th to 90th $33 to $178Professionalmedian $41 · 10th to 90th $30 to $79
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 26 · Professional part Typical Low $7.59 Median $7.76 Typical High $12.30 | Facility | 26 · Professional part | $7.59 | $7.76 | $12.30 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $25.70 Median $26.30 Typical High $38.90 | Facility | TC · Technical part | $25.70 | $26.30 | $38.90 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $7.59 Typical High $15.14 | Professional | 26 · Professional part | $7.41 | $7.59 | $15.14 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $25.70 Typical High $47.86 | Professional | TC · Technical part | $22.39 | $25.70 | $47.86 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $19.95 Typical High $25.70 | Professional | 26 · Professional part | $13.80 | $19.95 | $25.70 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $46.77 Typical High $69.18 | Professional | TC · Technical part | $35.48 | $46.77 | $69.18 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $10.96 Typical High $22.91 | Professional | 26 · Professional part | $8.51 | $10.96 | $22.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $28.84 Typical High $69.18 | Professional | TC · Technical part | $20.42 | $28.84 | $69.18 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $15.14 Typical High $23.44 | Professional | 26 · Professional part | $10.47 | $15.14 | $23.44 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $33.11 Typical High $52.48 | Professional | TC · Technical part | $30.90 | $33.11 | $52.48 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $10.47 Typical High $18.20 | Professional | 26 · Professional part | $8.13 | $10.47 | $18.20 |
United Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $30.90 Typical High $60.26 | Professional | TC · Technical part | $20.89 | $30.90 | $60.26 |
19 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 $33.11 Median $33.11 Typical High $48.98 | Facility | None | $33.11 | $33.11 | $48.98 |
Aetna Setting Professional Modifier None (both parts) Typical Low $30.20 Median $33.11 Typical High $64.57 | Professional | None (both parts) | $30.20 | $33.11 | $64.57 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $15.49 Median $16.60 Typical High $18.20 | Professional | 52 · Reduced service | $15.49 | $16.60 | $18.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.17 Median $6.61 Typical High $7.24 | Professional | 53 · Discontinued | $6.17 | $6.61 | $7.24 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $25.12 Median $26.92 Typical High $26.92 | Professional | FX · Film X-ray | $25.12 | $26.92 | $26.92 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $18.20 Median $18.20 Typical High $70.79 | Professional | None (both parts) | $18.20 | $18.20 | $70.79 |
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 $44.67 Median $107.15 Typical High $177.83 | Facility | None | $44.67 | $107.15 | $177.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $28.84 Median $39.81 Typical High $91.20 | Professional | None (both parts) | $28.84 | $39.81 | $91.20 |
Medcost Setting Professional Modifier None Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | None | $45.71 | $45.71 | $45.71 |
Medcost Setting Facility Modifier None Typical Low $33.11 Median $33.11 Typical High $41.69 | Facility | None | $33.11 | $33.11 | $41.69 |
Medcost Setting Professional Modifier None (both parts) Typical Low $38.90 Median $45.71 Typical High $72.44 | Professional | None (both parts) | $38.90 | $45.71 | $72.44 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $21.38 Median $22.91 Typical High $48.98 | Professional | 51 · Multiple procedures | $21.38 | $22.91 | $48.98 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $8.71 Median $9.12 Typical High $19.95 | Professional | 80 · Assistant surgeon | $8.71 | $9.12 | $19.95 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $6.03 Median $6.46 Typical High $13.80 | Professional | 81 · Minimal assistant surgeon | $6.03 | $6.46 | $13.80 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $6.03 Median $6.46 Typical High $13.80 | Professional | 82 · Assistant surgeon, no resident | $6.03 | $6.46 | $13.80 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $6.03 Median $6.46 Typical High $13.80 | Professional | AS · PA/NP assist | $6.03 | $6.46 | $13.80 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $36.31 Median $36.31 Typical High $36.31 | Professional | None (both parts) | $36.31 | $36.31 | $36.31 |
United Setting Professional Modifier None (both parts) Typical Low $28.84 Median $41.69 Typical High $77.62 | Professional | None (both parts) | $28.84 | $41.69 | $77.62 |
Where North Carolina sits
The same service costs 3.9 times more in Alaska than in Florida. 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· 33rd of 51
$40.74
AK $112FL $28.84
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.