How much rates vary
Facilitymedian $59 · 10th to 90th $43 to $209Professionalmedian $55 · 10th to 90th $43 to $105
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 Facility Modifier TC · Technical part Typical Low $30.20 Median $30.20 Typical High $48.98 | Facility | TC · Technical part | $30.20 | $30.20 | $48.98 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $12.02 Typical High $24.55 | Professional | 26 · Professional part | $12.02 | $12.02 | $24.55 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $30.20 Typical High $60.26 | Professional | TC · Technical part | $28.18 | $30.20 | $60.26 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $25.12 Typical High $33.88 | Professional | 26 · Professional part | $25.12 | $25.12 | $33.88 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $31.62 Typical High $40.74 | Professional | 26 · Professional part | $22.39 | $31.62 | $40.74 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $60.26 Typical High $87.10 | Professional | TC · Technical part | $39.81 | $60.26 | $87.10 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $17.78 Typical High $36.31 | Professional | 26 · Professional part | $13.49 | $17.78 | $36.31 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $38.02 Typical High $85.11 | Professional | TC · Technical part | $28.84 | $38.02 | $85.11 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $23.99 Typical High $38.02 | Professional | 26 · Professional part | $16.98 | $23.99 | $38.02 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $47.86 Typical High $63.10 | Professional | TC · Technical part | $38.90 | $47.86 | $63.10 |
United Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $16.98 Typical High $29.51 | Professional | 26 · Professional part | $13.18 | $16.98 | $29.51 |
United Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $37.15 Typical High $69.18 | Professional | TC · Technical part | $28.18 | $37.15 | $69.18 |
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 $42.66 Median $42.66 Typical High $63.10 | Facility | None | $42.66 | $42.66 | $63.10 |
Aetna Setting Professional Modifier None (both parts) Typical Low $39.81 Median $42.66 Typical High $87.10 | Professional | None (both parts) | $39.81 | $42.66 | $87.10 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $19.50 Median $21.38 Typical High $22.91 | Professional | 52 · Reduced service | $19.50 | $21.38 | $22.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.94 Median $8.51 Typical High $9.33 | Professional | 53 · Discontinued | $7.94 | $8.51 | $9.33 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $33.11 Median $33.88 Typical High $33.88 | Professional | FX · Film X-ray | $33.11 | $33.88 | $33.88 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | None (both parts) | $34.67 | $34.67 | $34.67 |
Cigna Setting Facility Modifier None Typical Low $52.48 Median $131.83 Typical High $208.93 | Facility | None | $52.48 | $131.83 | $208.93 |
Cigna Setting Professional Modifier None (both parts) Typical Low $42.66 Median $56.23 Typical High $120.23 | Professional | None (both parts) | $42.66 | $56.23 | $120.23 |
Medcost Setting Professional Modifier None Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | None | $70.79 | $70.79 | $70.79 |
Medcost Setting Facility Modifier None Typical Low $42.66 Median $42.66 Typical High $52.48 | Facility | None | $42.66 | $42.66 | $52.48 |
Medcost Setting Professional Modifier None (both parts) Typical Low $50.12 Median $69.18 Typical High $104.71 | Professional | None (both parts) | $50.12 | $69.18 | $104.71 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $29.51 Median $35.48 Typical High $63.10 | Professional | 51 · Multiple procedures | $29.51 | $35.48 | $63.10 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $11.75 Median $14.13 Typical High $25.70 | Professional | 80 · Assistant surgeon | $11.75 | $14.13 | $25.70 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $8.32 Median $10.00 Typical High $17.78 | Professional | 81 · Minimal assistant surgeon | $8.32 | $10.00 | $17.78 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $8.32 Median $10.00 Typical High $17.78 | Professional | 82 · Assistant surgeon, no resident | $8.32 | $10.00 | $17.78 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $8.32 Median $10.00 Typical High $17.78 | Professional | AS · PA/NP assist | $8.32 | $10.00 | $17.78 |
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 $41.69 Median $53.70 Typical High $97.72 | Professional | None (both parts) | $41.69 | $53.70 | $97.72 |
Where North Carolina sits
The same service costs 4.1 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· 28th of 51
$54.95
AK $132UT $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.