How much rates vary
Facilitymedian $759 · 10th to 90th $275 to $1,905Professionalmedian $525 · 10th to 90th $275 to $851
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 $70.79 Median $70.79 Typical High $162.18 | Professional | 26 · Professional part | $70.79 | $70.79 | $162.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $204.17 Typical High $446.68 | Professional | TC · Technical part | $204.17 | $204.17 | $446.68 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $173.78 Typical High $223.87 | Professional | 26 · Professional part | $117.49 | $173.78 | $223.87 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $467.74 Median $616.60 Typical High $831.76 | Professional | TC · Technical part | $467.74 | $616.60 | $831.76 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $95.50 Typical High $199.53 | Professional | 26 · Professional part | $69.18 | $95.50 | $199.53 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $446.68 Typical High $691.83 | Professional | TC · Technical part | $269.15 | $446.68 | $691.83 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $123.03 Typical High $218.78 | Professional | 26 · Professional part | $89.13 | $123.03 | $218.78 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $457.09 Typical High $741.31 | Professional | TC · Technical part | $263.03 | $457.09 | $741.31 |
United Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $87.10 Typical High $181.97 | Professional | 26 · Professional part | $69.18 | $87.10 | $181.97 |
United Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $371.54 Typical High $616.60 | Professional | TC · Technical part | $218.78 | $371.54 | $616.60 |
20 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 $275.42 Median $407.38 Typical High $1,698.24 | Facility | None | $275.42 | $407.38 | $1,698.24 |
Aetna Setting Professional Modifier None (both parts) Typical Low $275.42 Median $275.42 Typical High $676.08 | Professional | None (both parts) | $275.42 | $275.42 | $676.08 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $138.04 Median $138.04 Typical High $213.80 | Professional | 52 · Reduced service | $138.04 | $138.04 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $54.95 Typical High $85.11 | Professional | 53 · Discontinued | $54.95 | $54.95 | $85.11 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $218.78 Median $218.78 Typical High $323.59 | Professional | FX · Film X-ray | $218.78 | $218.78 | $323.59 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $676.08 Median $676.08 Typical High $676.08 | Professional | None (both parts) | $676.08 | $676.08 | $676.08 |
BCBS North Carolina Setting Facility Modifier None Typical Low $1,995.26 Median $2,187.76 Typical High $2,290.87 | Facility | None | $1,995.26 | $2,187.76 | $2,290.87 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $186.21 Median $186.21 Typical High $186.21 | Professional | None (both parts) | $186.21 | $186.21 | $186.21 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $1,202.26 Typical High $1,905.46 | Facility | None | $758.58 | $1,202.26 | $1,905.46 |
Cigna Setting Professional Modifier None (both parts) Typical Low $354.81 Median $524.81 Typical High $870.96 | Professional | None (both parts) | $354.81 | $524.81 | $870.96 |
Medcost Setting Professional Modifier None Typical Low $794.33 Median $794.33 Typical High $794.33 | Professional | None | $794.33 | $794.33 | $794.33 |
Medcost Setting Facility Modifier None Typical Low $245.47 Median $275.42 Typical High $288.40 | Facility | None | $245.47 | $275.42 | $288.40 |
Medcost Setting Professional Modifier None (both parts) Typical Low $346.74 Median $616.60 Typical High $870.96 | Professional | None (both parts) | $346.74 | $616.60 | $870.96 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $223.87 Median $371.54 Typical High $436.52 | Professional | 51 · Multiple procedures | $223.87 | $371.54 | $436.52 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $93.33 Median $151.36 Typical High $173.78 | Professional | 80 · Assistant surgeon | $93.33 | $151.36 | $173.78 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $66.07 Median $107.15 Typical High $120.23 | Professional | 81 · Minimal assistant surgeon | $66.07 | $107.15 | $120.23 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $66.07 Median $107.15 Typical High $120.23 | Professional | 82 · Assistant surgeon, no resident | $66.07 | $107.15 | $120.23 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $66.07 Median $107.15 Typical High $120.23 | Professional | AS · PA/NP assist | $66.07 | $107.15 | $120.23 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $707.95 Median $707.95 Typical High $707.95 | Professional | None (both parts) | $707.95 | $707.95 | $707.95 |
United Setting Professional Modifier None (both parts) Typical Low $295.12 Median $478.63 Typical High $812.83 | Professional | None (both parts) | $295.12 | $478.63 | $812.83 |
Where North Carolina sits
The same service costs 5.5 times more in Wyoming 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· 14th of 51
$525
WY $1,047UT $191
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.