How much rates vary
Facilitymedian $427 · 10th to 90th $234 to $1,698Professionalmedian $501 · 10th to 90th $234 to $776
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 $64.57 Median $75.86 Typical High $107.15 | Facility | 26 · Professional part | $64.57 | $75.86 | $107.15 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $169.82 Median $199.53 Typical High $524.81 | Facility | TC · Technical part | $169.82 | $199.53 | $524.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $64.57 Typical High $158.49 | Professional | 26 · Professional part | $64.57 | $64.57 | $158.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $177.83 Typical High $436.52 | Professional | TC · Technical part | $169.82 | $177.83 | $436.52 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $151.36 Typical High $204.17 | Professional | 26 · Professional part | $109.65 | $151.36 | $204.17 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $446.68 Median $660.69 Typical High $912.01 | Professional | TC · Technical part | $446.68 | $660.69 | $912.01 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $87.10 Typical High $181.97 | Professional | 26 · Professional part | $63.10 | $87.10 | $181.97 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $446.68 Typical High $724.44 | Professional | TC · Technical part | $251.19 | $446.68 | $724.44 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $112.20 Typical High $199.53 | Professional | 26 · Professional part | $79.43 | $112.20 | $199.53 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $501.19 Typical High $676.08 | Professional | TC · Technical part | $218.78 | $501.19 | $676.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $79.43 Typical High $165.96 | Professional | 26 · Professional part | $63.10 | $79.43 | $165.96 |
United Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $346.74 Typical High $616.60 | Professional | TC · Technical part | $181.97 | $346.74 | $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 $234.42 Median $309.03 Typical High $1,513.56 | Facility | None | $234.42 | $309.03 | $1,513.56 |
Aetna Setting Professional Modifier None (both parts) Typical Low $234.42 Median $251.19 Typical High $676.08 | Professional | None (both parts) | $234.42 | $251.19 | $676.08 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $117.49 Median $117.49 Typical High $213.80 | Professional | 52 · Reduced service | $117.49 | $117.49 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $46.77 Typical High $85.11 | Professional | 53 · Discontinued | $46.77 | $46.77 | $85.11 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $186.21 Median $186.21 Typical High $309.03 | Professional | FX · Film X-ray | $186.21 | $186.21 | $309.03 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $229.09 Median $229.09 Typical High $229.09 | Professional | None (both parts) | $229.09 | $229.09 | $229.09 |
BCBS North Carolina Setting Facility Modifier None Typical Low $891.25 Median $1,071.52 Typical High $1,698.24 | Facility | None | $891.25 | $1,071.52 | $1,698.24 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | None (both parts) | $165.96 | $165.96 | $165.96 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $1,000.00 Typical High $1,862.09 | Facility | None | $645.65 | $1,000.00 | $1,862.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $346.74 Median $512.86 Typical High $851.14 | Professional | None (both parts) | $346.74 | $512.86 | $851.14 |
Medcost Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $758.58 | Professional | None | $758.58 | $758.58 | $758.58 |
Medcost Setting Facility Modifier None Typical Low $208.93 Median $234.42 Typical High $251.19 | Facility | None | $208.93 | $234.42 | $251.19 |
Medcost Setting Professional Modifier None (both parts) Typical Low $302.00 Median $588.84 Typical High $812.83 | Professional | None (both parts) | $302.00 | $588.84 | $812.83 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $218.78 Median $346.74 Typical High $407.38 | Professional | 51 · Multiple procedures | $218.78 | $346.74 | $407.38 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $91.20 Median $141.25 Typical High $165.96 | Professional | 80 · Assistant surgeon | $91.20 | $141.25 | $165.96 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $64.57 Median $100.00 Typical High $114.82 | Professional | 81 · Minimal assistant surgeon | $64.57 | $100.00 | $114.82 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $64.57 Median $100.00 Typical High $114.82 | Professional | 82 · Assistant surgeon, no resident | $64.57 | $100.00 | $114.82 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $64.57 Median $100.00 Typical High $114.82 | Professional | AS · PA/NP assist | $64.57 | $100.00 | $114.82 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $67.61 Median $208.93 Typical High $407.38 | Professional | None (both parts) | $67.61 | $208.93 | $407.38 |
United Setting Professional Modifier None (both parts) Typical Low $251.19 Median $446.68 Typical High $724.44 | Professional | None (both parts) | $251.19 | $446.68 | $724.44 |
Where North Carolina sits
The same service costs 5.8 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· 12th of 51
$490
WY $912UT $158
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.