How much rates vary
Facilitymedian $85 · 10th to 90th $33 to $224Professionalmedian $38 · 10th to 90th $27 to $85
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 $6.61 Median $6.92 Typical High $8.71 | Professional | 26 · Professional part | $6.61 | $6.92 | $8.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $26.30 Typical High $31.62 | Professional | TC · Technical part | $22.39 | $26.30 | $31.62 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $16.22 Typical High $24.55 | Professional | 26 · Professional part | $11.48 | $16.22 | $24.55 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $47.86 Typical High $83.18 | Professional | TC · Technical part | $31.62 | $47.86 | $83.18 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $10.96 Typical High $21.88 | Professional | 26 · Professional part | $7.94 | $10.96 | $21.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $28.84 Typical High $77.62 | Professional | TC · Technical part | $16.60 | $28.84 | $77.62 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $12.30 Typical High $17.38 | Professional | 26 · Professional part | $9.33 | $12.30 | $17.38 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $35.48 Typical High $56.23 | Professional | TC · Technical part | $30.90 | $35.48 | $56.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $10.00 Typical High $16.98 | Professional | 26 · Professional part | $7.59 | $10.00 | $16.98 |
United Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $34.67 Typical High $63.10 | Professional | TC · Technical part | $22.91 | $34.67 | $63.10 |
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 $33.11 Median $33.11 Typical High $33.11 | Facility | None | $33.11 | $33.11 | $33.11 |
Aetna Setting Professional Modifier None (both parts) Typical Low $31.62 Median $33.11 Typical High $38.90 | Professional | None (both parts) | $31.62 | $33.11 | $38.90 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $15.85 Median $16.60 Typical High $19.05 | Professional | 52 · Reduced service | $15.85 | $16.60 | $19.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.31 Median $6.61 Typical High $7.59 | Professional | 53 · Discontinued | $6.31 | $6.61 | $7.59 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $25.70 Median $26.30 Typical High $26.30 | Professional | FX · Film X-ray | $25.70 | $26.30 | $26.30 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $22.39 Median $22.39 Typical High $22.39 | Professional | None (both parts) | $22.39 | $22.39 | $22.39 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $144.54 Typical High $234.42 | Facility | None | $50.12 | $144.54 | $234.42 |
Cigna Setting Professional Modifier None (both parts) Typical Low $26.92 Median $39.81 Typical High $97.72 | Professional | None (both parts) | $26.92 | $39.81 | $97.72 |
Medcost Setting Professional Modifier None Typical Low $40.74 Median $40.74 Typical High $40.74 | Professional | None | $40.74 | $40.74 | $40.74 |
Medcost Setting Facility Modifier None Typical Low $33.11 Median $33.11 Typical High $47.86 | Facility | None | $33.11 | $33.11 | $47.86 |
Medcost Setting Professional Modifier None (both parts) Typical Low $30.90 Median $44.67 Typical High $81.28 | Professional | None (both parts) | $30.90 | $44.67 | $81.28 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $15.49 Median $23.99 Typical High $53.70 | Professional | 51 · Multiple procedures | $15.49 | $23.99 | $53.70 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $6.17 Median $9.55 Typical High $21.38 | Professional | 80 · Assistant surgeon | $6.17 | $9.55 | $21.38 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $4.37 Median $6.61 Typical High $14.79 | Professional | 81 · Minimal assistant surgeon | $4.37 | $6.61 | $14.79 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $4.37 Median $6.61 Typical High $14.79 | Professional | 82 · Assistant surgeon, no resident | $4.37 | $6.61 | $14.79 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $4.37 Median $6.61 Typical High $14.79 | Professional | AS · PA/NP assist | $4.37 | $6.61 | $14.79 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | None (both parts) | $30.90 | $30.90 | $30.90 |
United Setting Professional Modifier None (both parts) Typical Low $29.51 Median $43.65 Typical High $79.43 | Professional | None (both parts) | $29.51 | $43.65 | $79.43 |
Where North Carolina sits
The same service costs 3.6 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· 41st of 51
$38.02
AK $115UT $31.62
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.