How much rates vary
Facilitymedian $78 · 10th to 90th $47 to $251Professionalmedian $60 · 10th to 90th $45 to $115
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 $10.23 Median $10.23 Typical High $20.89 | Professional | 26 · Professional part | $10.23 | $10.23 | $20.89 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $36.31 Typical High $72.44 | Professional | TC · Technical part | $33.11 | $36.31 | $72.44 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $26.30 Typical High $35.48 | Professional | 26 · Professional part | $19.05 | $26.30 | $35.48 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $70.79 Typical High $102.33 | Professional | TC · Technical part | $53.70 | $70.79 | $102.33 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $15.49 Typical High $31.62 | Professional | 26 · Professional part | $12.02 | $15.49 | $31.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $43.65 Typical High $100.00 | Professional | TC · Technical part | $32.36 | $43.65 | $100.00 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $19.95 Typical High $30.90 | Professional | 26 · Professional part | $14.79 | $19.95 | $30.90 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $52.48 Typical High $79.43 | Professional | TC · Technical part | $45.71 | $52.48 | $79.43 |
United Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $14.79 Typical High $26.30 | Professional | 26 · Professional part | $11.75 | $14.79 | $26.30 |
United Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $44.67 Typical High $83.18 | Professional | TC · Technical part | $33.11 | $44.67 | $83.18 |
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 $42.66 Median $46.77 Typical High $77.62 | Facility | None | $42.66 | $46.77 | $77.62 |
Aetna Setting Professional Modifier None (both parts) Typical Low $43.65 Median $46.77 Typical High $95.50 | Professional | None (both parts) | $43.65 | $46.77 | $95.50 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $21.38 Median $23.44 Typical High $25.70 | Professional | 52 · Reduced service | $21.38 | $23.44 | $25.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.71 Median $9.33 Typical High $10.23 | Professional | 53 · Discontinued | $8.71 | $9.33 | $10.23 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $35.48 Median $37.15 Typical High $37.15 | Professional | FX · Film X-ray | $35.48 | $37.15 | $37.15 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | None (both parts) | $100.00 | $100.00 | $100.00 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None (both parts) | $30.20 | $30.20 | $30.20 |
Cigna Setting Facility Modifier None Typical Low $64.57 Median $147.91 Typical High $251.19 | Facility | None | $64.57 | $147.91 | $251.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $44.67 Median $60.26 Typical High $131.83 | Professional | None (both parts) | $44.67 | $60.26 | $131.83 |
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 $46.77 Median $46.77 Typical High $60.26 | Facility | None | $46.77 | $46.77 | $60.26 |
Medcost Setting Professional Modifier None (both parts) Typical Low $50.12 Median $70.79 Typical High $107.15 | Professional | None (both parts) | $50.12 | $70.79 | $107.15 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $31.62 Median $34.67 Typical High $70.79 | Professional | 51 · Multiple procedures | $31.62 | $34.67 | $70.79 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $12.59 Median $14.13 Typical High $28.18 | Professional | 80 · Assistant surgeon | $12.59 | $14.13 | $28.18 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $8.71 Median $9.77 Typical High $19.50 | Professional | 81 · Minimal assistant surgeon | $8.71 | $9.77 | $19.50 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $8.71 Median $9.77 Typical High $19.50 | Professional | 82 · Assistant surgeon, no resident | $8.71 | $9.77 | $19.50 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $8.71 Median $9.77 Typical High $19.50 | Professional | AS · PA/NP assist | $8.71 | $9.77 | $19.50 |
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 $44.67 Median $58.88 Typical High $107.15 | Professional | None (both parts) | $44.67 | $58.88 | $107.15 |
Where North Carolina sits
The same service costs 4.5 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· 26th of 51
$60.26
AK $148UT $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.