How much rates vary
Facilitymedian $39 · 10th to 90th $28 to $138Professionalmedian $35 · 10th to 90th $25 to $66
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 $7.94 Median $8.32 Typical High $13.80 | Facility | 26 · Professional part | $7.94 | $8.32 | $13.80 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $19.50 Median $20.42 Typical High $32.36 | Facility | TC · Technical part | $19.50 | $20.42 | $32.36 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $7.94 Typical High $15.85 | Professional | 26 · Professional part | $7.41 | $7.94 | $15.85 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $19.50 Typical High $38.02 | Professional | TC · Technical part | $17.38 | $19.50 | $38.02 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $13.80 Typical High $16.98 | Professional | 26 · Professional part | $8.32 | $13.80 | $16.98 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $19.50 Typical High $25.12 | Professional | 26 · Professional part | $13.80 | $19.50 | $25.12 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $37.15 Typical High $57.54 | Professional | TC · Technical part | $28.18 | $37.15 | $57.54 |
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 $16.60 Median $22.91 Typical High $53.70 | Professional | TC · Technical part | $16.60 | $22.91 | $53.70 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $15.14 Typical High $22.39 | Professional | 26 · Professional part | $10.96 | $15.14 | $22.39 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $26.92 Typical High $43.65 | Professional | TC · Technical part | $24.55 | $26.92 | $43.65 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $10.72 Typical High $18.62 | Professional | 26 · Professional part | $8.32 | $10.72 | $18.62 |
United Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $23.99 Typical High $45.71 | Professional | TC · Technical part | $16.98 | $23.99 | $45.71 |
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 $27.54 Median $28.18 Typical High $43.65 | Facility | None | $27.54 | $28.18 | $43.65 |
Aetna Setting Professional Modifier None (both parts) Typical Low $25.12 Median $27.54 Typical High $54.95 | Professional | None (both parts) | $25.12 | $27.54 | $54.95 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $12.88 Median $13.80 Typical High $15.14 | Professional | 52 · Reduced service | $12.88 | $13.80 | $15.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.13 Median $5.50 Typical High $6.17 | Professional | 53 · Discontinued | $5.13 | $5.50 | $6.17 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $20.89 Median $21.88 Typical High $21.88 | Professional | FX · Film X-ray | $20.89 | $21.88 | $21.88 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $17.78 Median $38.90 Typical High $45.71 | Professional | None (both parts) | $17.78 | $38.90 | $45.71 |
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 $34.67 Median $87.10 Typical High $138.04 | Facility | None | $34.67 | $87.10 | $138.04 |
Cigna Setting Professional Modifier None (both parts) Typical Low $25.12 Median $34.67 Typical High $77.62 | Professional | None (both parts) | $25.12 | $34.67 | $77.62 |
Medcost Setting Professional Modifier None Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | None | $39.81 | $39.81 | $39.81 |
Medcost Setting Facility Modifier None Typical Low $27.54 Median $27.54 Typical High $34.67 | Facility | None | $27.54 | $27.54 | $34.67 |
Medcost Setting Professional Modifier None (both parts) Typical Low $30.20 Median $39.81 Typical High $64.57 | Professional | None (both parts) | $30.20 | $39.81 | $64.57 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $18.20 Median $19.95 Typical High $41.69 | Professional | 51 · Multiple procedures | $18.20 | $19.95 | $41.69 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $7.41 Median $7.94 Typical High $16.60 | Professional | 80 · Assistant surgeon | $7.41 | $7.94 | $16.60 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $5.13 Median $5.62 Typical High $11.75 | Professional | 81 · Minimal assistant surgeon | $5.13 | $5.62 | $11.75 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $5.13 Median $5.62 Typical High $11.75 | Professional | 82 · Assistant surgeon, no resident | $5.13 | $5.62 | $11.75 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $5.13 Median $5.62 Typical High $11.75 | Professional | AS · PA/NP assist | $5.13 | $5.62 | $11.75 |
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 $25.12 Median $34.67 Typical High $64.57 | Professional | None (both parts) | $25.12 | $34.67 | $64.57 |
Where North Carolina sits
The same service costs 4.3 times more in Alaska than in New York. 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· 31st of 51
$34.67
AK $93.33NY $21.88
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.