How much rates vary
Facilitymedian $537 · 10th to 90th $355 to $1,905Professionalmedian $776 · 10th to 90th $355 to $1,479
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 $85.11 Median $93.33 Typical High $141.25 | Facility | 26 · Professional part | $85.11 | $93.33 | $141.25 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $263.03 Median $302.00 Typical High $831.76 | Facility | TC · Technical part | $263.03 | $302.00 | $831.76 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $87.10 Typical High $186.21 | Professional | 26 · Professional part | $85.11 | $87.10 | $186.21 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $275.42 Typical High $724.44 | Professional | TC · Technical part | $269.15 | $275.42 | $724.44 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $114.82 Typical High $158.49 | Professional | 26 · Professional part | $64.57 | $114.82 | $158.49 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $147.91 Median $223.87 Typical High $269.15 | Professional | 26 · Professional part | $147.91 | $223.87 | $269.15 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $707.95 Median $1,288.25 Typical High $1,445.44 | Professional | TC · Technical part | $707.95 | $1,288.25 | $1,445.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $117.49 Typical High $245.47 | Professional | 26 · Professional part | $85.11 | $117.49 | $245.47 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $398.11 Median $870.96 Typical High $1,318.26 | Professional | TC · Technical part | $398.11 | $870.96 | $1,318.26 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $147.91 Typical High $263.03 | Professional | 26 · Professional part | $107.15 | $147.91 | $263.03 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $776.25 Typical High $977.24 | Professional | TC · Technical part | $338.84 | $776.25 | $977.24 |
United Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $107.15 Typical High $218.78 | Professional | 26 · Professional part | $79.43 | $107.15 | $218.78 |
United Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $562.34 Typical High $1,202.26 | Professional | TC · Technical part | $281.84 | $562.34 | $1,202.26 |
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 $354.81 Median $426.58 Typical High $1,513.56 | Facility | None | $354.81 | $426.58 | $1,513.56 |
Aetna Setting Professional Modifier None (both parts) Typical Low $354.81 Median $398.11 Typical High $977.24 | Professional | None (both parts) | $354.81 | $398.11 | $977.24 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $177.83 Median $177.83 Typical High $218.78 | Professional | 52 · Reduced service | $177.83 | $177.83 | $218.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $70.79 Median $70.79 Typical High $87.10 | Professional | 53 · Discontinued | $70.79 | $70.79 | $87.10 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $281.84 Median $281.84 Typical High $323.59 | Professional | FX · Film X-ray | $281.84 | $281.84 | $323.59 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $645.65 Median $645.65 Typical High $645.65 | Professional | None (both parts) | $645.65 | $645.65 | $645.65 |
BCBS North Carolina Setting Facility Modifier None Typical Low $1,412.54 Median $1,698.24 Typical High $3,467.37 | Facility | None | $1,412.54 | $1,698.24 | $3,467.37 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $223.87 Median $223.87 Typical High $223.87 | Professional | None (both parts) | $223.87 | $223.87 | $223.87 |
Cigna Setting Facility Modifier None Typical Low $1,023.29 Median $1,621.81 Typical High $3,548.13 | Facility | None | $1,023.29 | $1,621.81 | $3,548.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $524.81 Median $977.24 Typical High $1,584.89 | Professional | None (both parts) | $524.81 | $977.24 | $1,584.89 |
Medcost Setting Professional Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $1,412.54 | Professional | None | $1,412.54 | $1,412.54 | $1,412.54 |
Medcost Setting Facility Modifier None Typical Low $316.23 Median $354.81 Typical High $380.19 | Facility | None | $316.23 | $354.81 | $380.19 |
Medcost Setting Professional Modifier None (both parts) Typical Low $446.68 Median $870.96 Typical High $1,479.11 | Professional | None (both parts) | $446.68 | $870.96 | $1,479.11 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $323.59 Median $537.03 Typical High $741.31 | Professional | 51 · Multiple procedures | $323.59 | $537.03 | $741.31 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $138.04 Median $213.80 Typical High $295.12 | Professional | 80 · Assistant surgeon | $138.04 | $213.80 | $295.12 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $97.72 Median $147.91 Typical High $204.17 | Professional | 81 · Minimal assistant surgeon | $97.72 | $147.91 | $204.17 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $97.72 Median $147.91 Typical High $204.17 | Professional | 82 · Assistant surgeon, no resident | $97.72 | $147.91 | $204.17 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $97.72 Median $147.91 Typical High $204.17 | Professional | AS · PA/NP assist | $97.72 | $147.91 | $204.17 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $89.13 Median $316.23 Typical High $630.96 | Professional | None (both parts) | $89.13 | $316.23 | $630.96 |
United Setting Professional Modifier None (both parts) Typical Low $371.54 Median $724.44 Typical High $1,348.96 | Professional | None (both parts) | $371.54 | $724.44 | $1,348.96 |
Where North Carolina sits
The same service costs 5.6 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· 10th of 51
$776
WY $1,380UT $245
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.