How much rates vary
Facilitymedian $43 · 10th to 90th $28 to $145Professionalmedian $38 · 10th to 90th $28 to $72
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 $20.89 Median $21.88 Typical High $38.90 | Facility | TC · Technical part | $20.89 | $21.88 | $38.90 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $7.59 Typical High $13.49 | Professional | 26 · Professional part | $7.59 | $7.59 | $13.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $20.89 Typical High $41.69 | Professional | TC · Technical part | $20.42 | $20.89 | $41.69 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $8.13 Typical High $8.13 | Professional | 26 · Professional part | $8.13 | $8.13 | $8.13 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $19.50 Typical High $24.55 | Professional | 26 · Professional part | $13.80 | $19.50 | $24.55 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $44.67 Typical High $64.57 | Professional | TC · Technical part | $35.48 | $44.67 | $64.57 |
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 $21.88 Median $28.18 Typical High $60.26 | Professional | TC · Technical part | $21.88 | $28.18 | $60.26 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $15.14 Typical High $22.91 | Professional | 26 · Professional part | $10.47 | $15.14 | $22.91 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $36.31 Typical High $54.95 | Professional | TC · Technical part | $26.92 | $36.31 | $54.95 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $10.47 Typical High $18.62 | Professional | 26 · Professional part | $8.13 | $10.47 | $18.62 |
United Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $26.92 Typical High $47.86 | Professional | TC · Technical part | $20.89 | $26.92 | $47.86 |
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 $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 $28.18 Median $28.18 Typical High $60.26 | Professional | None (both parts) | $28.18 | $28.18 | $60.26 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $13.18 Median $14.13 Typical High $15.85 | Professional | 52 · Reduced service | $13.18 | $14.13 | $15.85 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.37 Median $5.62 Typical High $6.31 | Professional | 53 · Discontinued | $5.37 | $5.62 | $6.31 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $22.39 Median $22.91 Typical High $22.91 | Professional | FX · Film X-ray | $22.39 | $22.91 | $22.91 |
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 $36.31 Median $93.33 Typical High $144.54 | Facility | None | $36.31 | $93.33 | $144.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $30.90 Median $40.74 Typical High $83.18 | Professional | None (both parts) | $30.90 | $40.74 | $83.18 |
Medcost Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | None | $52.48 | $52.48 | $52.48 |
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 $35.48 Median $45.71 Typical High $69.18 | Professional | None (both parts) | $35.48 | $45.71 | $69.18 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $19.95 Median $23.44 Typical High $42.66 | Professional | 51 · Multiple procedures | $19.95 | $23.44 | $42.66 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $7.94 Median $9.33 Typical High $16.98 | Professional | 80 · Assistant surgeon | $7.94 | $9.33 | $16.98 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $5.62 Median $6.61 Typical High $11.75 | Professional | 81 · Minimal assistant surgeon | $5.62 | $6.61 | $11.75 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $5.62 Median $6.61 Typical High $11.75 | Professional | 82 · Assistant surgeon, no resident | $5.62 | $6.61 | $11.75 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $5.62 Median $6.61 Typical High $11.75 | Professional | AS · PA/NP assist | $5.62 | $6.61 | $11.75 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $40.74 Median $40.74 Typical High $40.74 | Professional | None (both parts) | $40.74 | $40.74 | $40.74 |
United Setting Professional Modifier None (both parts) Typical Low $28.84 Median $37.15 Typical High $66.07 | Professional | None (both parts) | $28.84 | $37.15 | $66.07 |
Where North Carolina sits
The same service costs 3.5 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· 27th of 51
$38.02
AK $87.10FL $25.12
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.