How much rates vary
Facilitymedian $182 · 10th to 90th $91 to $427Professionalmedian $132 · 10th to 90th $91 to $240
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 $34.67 Median $36.31 Typical High $40.74 | Professional | 26 · Professional part | $34.67 | $36.31 | $40.74 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $56.23 Typical High $66.07 | Professional | TC · Technical part | $48.98 | $56.23 | $66.07 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $83.18 Typical High $123.03 | Professional | 26 · Professional part | $67.61 | $83.18 | $123.03 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $120.23 Typical High $173.78 | Professional | TC · Technical part | $102.33 | $120.23 | $173.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $53.70 Typical High $112.20 | Professional | 26 · Professional part | $40.74 | $53.70 | $112.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $85.11 Typical High $169.82 | Professional | TC · Technical part | $58.88 | $85.11 | $169.82 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $70.79 Typical High $91.20 | Professional | 26 · Professional part | $51.29 | $70.79 | $91.20 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $112.20 Typical High $117.49 | Professional | TC · Technical part | $69.18 | $112.20 | $117.49 |
United Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $51.29 Typical High $89.13 | Professional | 26 · Professional part | $39.81 | $51.29 | $89.13 |
United Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $75.86 Typical High $134.90 | Professional | TC · Technical part | $52.48 | $75.86 | $134.90 |
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 $91.20 Median $91.20 Typical High $91.20 | Facility | None | $91.20 | $91.20 | $91.20 |
Aetna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $91.20 Typical High $104.71 | Professional | None (both parts) | $85.11 | $91.20 | $104.71 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $43.65 Median $45.71 Typical High $51.29 | Professional | 52 · Reduced service | $43.65 | $45.71 | $51.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $18.62 Typical High $20.89 | Professional | 53 · Discontinued | $17.38 | $18.62 | $20.89 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | FX · Film X-ray | $74.13 | $74.13 | $74.13 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | None (both parts) | $104.71 | $104.71 | $104.71 |
Cigna Setting Facility Modifier None Typical Low $107.15 Median $269.15 Typical High $426.58 | Facility | None | $107.15 | $269.15 | $426.58 |
Cigna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $141.25 Typical High $281.84 | Professional | None (both parts) | $97.72 | $141.25 | $281.84 |
Medcost Setting Professional Modifier None Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | None | $199.53 | $199.53 | $199.53 |
Medcost Setting Facility Modifier None Typical Low $91.20 Median $91.20 Typical High $125.89 | Facility | None | $91.20 | $91.20 | $125.89 |
Medcost Setting Professional Modifier None (both parts) Typical Low $123.03 Median $177.83 Typical High $213.80 | Professional | None (both parts) | $123.03 | $177.83 | $213.80 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $64.57 Median $97.72 Typical High $147.91 | Professional | 51 · Multiple procedures | $64.57 | $97.72 | $147.91 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $25.70 Median $38.90 Typical High $58.88 | Professional | 80 · Assistant surgeon | $25.70 | $38.90 | $58.88 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $18.20 Median $27.54 Typical High $41.69 | Professional | 81 · Minimal assistant surgeon | $18.20 | $27.54 | $41.69 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $18.20 Median $27.54 Typical High $41.69 | Professional | 82 · Assistant surgeon, no resident | $18.20 | $27.54 | $41.69 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $18.20 Median $27.54 Typical High $41.69 | Professional | AS · PA/NP assist | $18.20 | $27.54 | $41.69 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | None (both parts) | $154.88 | $154.88 | $154.88 |
United Setting Professional Modifier None (both parts) Typical Low $93.33 Median $128.82 Typical High $223.87 | Professional | None (both parts) | $93.33 | $128.82 | $223.87 |
Where North Carolina sits
The same service costs 4.4 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· 24th of 51
$132
AK $324UT $74.13
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.