How much rates vary
Facilitymedian $49 · 10th to 90th $39 to $191Professionalmedian $59 · 10th to 90th $39 to $110
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 $12.02 Median $13.18 Typical High $22.39 | Facility | 26 · Professional part | $12.02 | $13.18 | $22.39 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $26.92 Median $29.51 Typical High $50.12 | Facility | TC · Technical part | $26.92 | $29.51 | $50.12 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $12.02 Typical High $25.70 | Professional | 26 · Professional part | $12.02 | $12.02 | $25.70 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $26.92 Typical High $56.23 | Professional | TC · Technical part | $26.92 | $26.92 | $56.23 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $38.90 Typical High $50.12 | Professional | 26 · Professional part | $26.30 | $38.90 | $50.12 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $63.10 Typical High $87.10 | Professional | TC · Technical part | $51.29 | $63.10 | $87.10 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $19.95 Typical High $41.69 | Professional | 26 · Professional part | $15.49 | $19.95 | $41.69 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $39.81 Typical High $81.28 | Professional | TC · Technical part | $29.51 | $39.81 | $81.28 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $28.18 Typical High $40.74 | Professional | 26 · Professional part | $17.38 | $28.18 | $40.74 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $52.48 Typical High $66.07 | Professional | TC · Technical part | $34.67 | $52.48 | $66.07 |
United Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $19.50 Typical High $34.67 | Professional | 26 · Professional part | $14.13 | $19.50 | $34.67 |
United Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $37.15 Typical High $63.10 | Professional | TC · Technical part | $27.54 | $37.15 | $63.10 |
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 $38.90 Median $42.66 Typical High $69.18 | Facility | None | $38.90 | $42.66 | $69.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $38.90 Median $38.90 Typical High $81.28 | Professional | None (both parts) | $38.90 | $38.90 | $81.28 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $18.62 Median $19.50 Typical High $22.39 | Professional | 52 · Reduced service | $18.62 | $19.50 | $22.39 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.41 Median $7.94 Typical High $9.12 | Professional | 53 · Discontinued | $7.41 | $7.94 | $9.12 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $31.62 Median $31.62 Typical High $31.62 | Professional | FX · Film X-ray | $31.62 | $31.62 | $31.62 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | None (both parts) | $109.65 | $109.65 | $109.65 |
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 $47.86 Median $123.03 Typical High $190.55 | Facility | None | $47.86 | $123.03 | $190.55 |
Cigna Setting Professional Modifier None (both parts) Typical Low $45.71 Median $61.66 Typical High $120.23 | Professional | None (both parts) | $45.71 | $61.66 | $120.23 |
Medcost Setting Professional Modifier None Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | None | $85.11 | $85.11 | $85.11 |
Medcost Setting Facility Modifier None Typical Low $38.90 Median $38.90 Typical High $48.98 | Facility | None | $38.90 | $38.90 | $48.98 |
Medcost Setting Professional Modifier None (both parts) Typical Low $46.77 Median $72.44 Typical High $104.71 | Professional | None (both parts) | $46.77 | $72.44 | $104.71 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $31.62 Median $40.74 Typical High $63.10 | Professional | 51 · Multiple procedures | $31.62 | $40.74 | $63.10 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $12.59 Median $16.22 Typical High $25.12 | Professional | 80 · Assistant surgeon | $12.59 | $16.22 | $25.12 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $8.91 Median $11.48 Typical High $17.38 | Professional | 81 · Minimal assistant surgeon | $8.91 | $11.48 | $17.38 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $8.91 Median $11.48 Typical High $17.38 | Professional | 82 · Assistant surgeon, no resident | $8.91 | $11.48 | $17.38 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $8.91 Median $11.48 Typical High $17.38 | Professional | AS · PA/NP assist | $8.91 | $11.48 | $17.38 |
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 $42.66 Median $57.54 Typical High $95.50 | Professional | None (both parts) | $42.66 | $57.54 | $95.50 |
Where North Carolina sits
The same service costs 4.0 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· 21st of 51
$58.88
AK $132UT $33.11
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.