How much rates vary
Facilitymedian $955 · 10th to 90th $389 to $1,738Professionalmedian $631 · 10th to 90th $389 to $1,122
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 $100.00 Median $100.00 Typical High $162.18 | Professional | 26 · Professional part | $100.00 | $100.00 | $162.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $288.40 Typical High $436.52 | Professional | TC · Technical part | $288.40 | $288.40 | $436.52 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $165.96 Median $234.42 Typical High $309.03 | Professional | 26 · Professional part | $165.96 | $234.42 | $309.03 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $724.44 Median $870.96 Typical High $1,548.82 | Professional | TC · Technical part | $724.44 | $870.96 | $1,548.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $131.83 Typical High $288.40 | Professional | 26 · Professional part | $100.00 | $131.83 | $288.40 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $371.54 Median $524.81 Typical High $891.25 | Professional | TC · Technical part | $371.54 | $524.81 | $891.25 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $154.88 Typical High $239.88 | Professional | 26 · Professional part | $123.03 | $154.88 | $239.88 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $371.54 Median $676.08 Typical High $851.14 | Professional | TC · Technical part | $371.54 | $676.08 | $851.14 |
United Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $123.03 Typical High $257.04 | Professional | 26 · Professional part | $97.72 | $123.03 | $257.04 |
United Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $489.78 Typical High $851.14 | Professional | TC · Technical part | $309.03 | $489.78 | $851.14 |
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 $389.05 Median $389.05 Typical High $1,905.46 | Facility | None | $389.05 | $389.05 | $1,905.46 |
Aetna Setting Professional Modifier None (both parts) Typical Low $389.05 Median $389.05 Typical High $707.95 | Professional | None (both parts) | $389.05 | $389.05 | $707.95 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $309.03 Median $309.03 Typical High $323.59 | Professional | FX · Film X-ray | $309.03 | $309.03 | $323.59 |
BCBS North Carolina Setting Facility Modifier None Typical Low $891.25 Median $891.25 Typical High $1,071.52 | Facility | None | $891.25 | $891.25 | $1,071.52 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | None (both parts) | $239.88 | $239.88 | $239.88 |
Cigna Setting Facility Modifier None Typical Low $1,096.48 Median $1,737.80 Typical High $1,737.80 | Facility | None | $1,096.48 | $1,737.80 | $1,737.80 |
Cigna Setting Professional Modifier None (both parts) Typical Low $489.78 Median $645.65 Typical High $1,202.26 | Professional | None (both parts) | $489.78 | $645.65 | $1,202.26 |
Medcost Setting Professional Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Professional | None | $1,071.52 | $1,071.52 | $1,071.52 |
Medcost Setting Facility Modifier None Typical Low $346.74 Median $389.05 Typical High $426.58 | Facility | None | $346.74 | $389.05 | $426.58 |
Medcost Setting Professional Modifier None (both parts) Typical Low $489.78 Median $741.31 Typical High $954.99 | Professional | None (both parts) | $489.78 | $741.31 | $954.99 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $1,023.29 Median $1,148.15 Typical High $1,778.28 | Professional | 50 · Both sides | $1,023.29 | $1,148.15 | $1,778.28 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $338.84 Median $380.19 Typical High $588.84 | Professional | 51 · Multiple procedures | $338.84 | $380.19 | $588.84 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $144.54 Median $154.88 Typical High $234.42 | Professional | 80 · Assistant surgeon | $144.54 | $154.88 | $234.42 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $100.00 Median $107.15 Typical High $165.96 | Professional | 81 · Minimal assistant surgeon | $100.00 | $107.15 | $165.96 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $100.00 Median $107.15 Typical High $165.96 | Professional | 82 · Assistant surgeon, no resident | $100.00 | $107.15 | $165.96 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $100.00 Median $107.15 Typical High $165.96 | Professional | AS · PA/NP assist | $100.00 | $107.15 | $165.96 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $104.71 Median $309.03 Typical High $691.83 | Professional | None (both parts) | $104.71 | $309.03 | $691.83 |
United Setting Professional Modifier None (both parts) Typical Low $416.87 Median $602.56 Typical High $1,122.02 | Professional | None (both parts) | $416.87 | $602.56 | $1,122.02 |
Where North Carolina sits
The same service costs 6.2 times more in Wyoming than in Texas. 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· 18th of 51
$631
WY $1,549TX $251
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.