How much rates vary
Facilitymedian $200 · 10th to 90th $52 to $234Professionalmedian $126 · 10th to 90th $51 to $417
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 $12.30 Median $12.88 Typical High $14.13 | Professional | 26 · Professional part | $12.30 | $12.88 | $14.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $194.98 Typical High $229.09 | Professional | TC · Technical part | $194.98 | $194.98 | $229.09 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $33.11 Typical High $43.65 | Professional | 26 · Professional part | $23.99 | $33.11 | $43.65 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $537.03 Typical High $758.58 | Professional | TC · Technical part | $263.03 | $537.03 | $758.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $19.05 Typical High $38.90 | Professional | 26 · Professional part | $14.79 | $19.05 | $38.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $46.77 Typical High $91.20 | Professional | TC · Technical part | $34.67 | $46.77 | $91.20 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $21.88 Typical High $34.67 | Professional | 26 · Professional part | $17.78 | $21.88 | $34.67 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $263.03 Typical High $467.74 | Professional | TC · Technical part | $58.88 | $263.03 | $467.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $18.20 Typical High $31.62 | Professional | 26 · Professional part | $14.13 | $18.20 | $31.62 |
United Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $263.03 Typical High $501.19 | Professional | TC · Technical part | $36.31 | $263.03 | $501.19 |
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 $199.53 Median $199.53 Typical High $199.53 | Facility | None | $199.53 | $199.53 | $199.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $199.53 Median $199.53 Typical High $245.47 | Professional | None (both parts) | $199.53 | $199.53 | $245.47 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $100.00 Median $100.00 Typical High $123.03 | Professional | 52 · Reduced service | $100.00 | $100.00 | $123.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $39.81 Typical High $48.98 | Professional | 53 · Discontinued | $39.81 | $39.81 | $48.98 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $158.49 Median $158.49 Typical High $162.18 | Professional | FX · Film X-ray | $158.49 | $158.49 | $162.18 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $37.15 Median $37.15 Typical High $37.15 | Professional | None (both parts) | $37.15 | $37.15 | $37.15 |
Cigna Setting Facility Modifier None Typical Low $52.48 Median $154.88 Typical High $239.88 | Facility | None | $52.48 | $154.88 | $239.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $50.12 Median $66.07 Typical High $131.83 | Professional | None (both parts) | $50.12 | $66.07 | $131.83 |
Medcost Setting Professional Modifier None Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | None | $83.18 | $83.18 | $83.18 |
Medcost Setting Facility Modifier None Typical Low $199.53 Median $199.53 Typical High $213.80 | Facility | None | $199.53 | $199.53 | $213.80 |
Medcost Setting Professional Modifier None (both parts) Typical Low $64.57 Median $245.47 Typical High $436.52 | Professional | None (both parts) | $64.57 | $245.47 | $436.52 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $32.36 Median $147.91 Typical High $316.23 | Professional | 51 · Multiple procedures | $32.36 | $147.91 | $316.23 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $12.88 Median $58.88 Typical High $125.89 | Professional | 80 · Assistant surgeon | $12.88 | $58.88 | $125.89 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $9.12 Median $40.74 Typical High $89.13 | Professional | 81 · Minimal assistant surgeon | $9.12 | $40.74 | $89.13 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $9.12 Median $40.74 Typical High $89.13 | Professional | 82 · Assistant surgeon, no resident | $9.12 | $40.74 | $89.13 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $9.12 Median $40.74 Typical High $89.13 | Professional | AS · PA/NP assist | $9.12 | $40.74 | $89.13 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | None (both parts) | $64.57 | $64.57 | $64.57 |
United Setting Professional Modifier None (both parts) Typical Low $52.48 Median $275.42 Typical High $524.81 | Professional | None (both parts) | $52.48 | $275.42 | $524.81 |
Where North Carolina sits
The same service costs 6.6 times more in Colorado than in Michigan. 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· 30th of 51
$129
CO $316MI $47.86
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.