How much rates vary
Facilitymedian $891 · 10th to 90th $661 to $3,467Professionalmedian $832 · 10th to 90th $589 to $1,698
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 $112.20 Median $120.23 Typical High $147.91 | Professional | 26 · Professional part | $112.20 | $120.23 | $147.91 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $549.54 Typical High $549.54 | Professional | TC · Technical part | $281.84 | $549.54 | $549.54 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $204.17 Median $323.59 Typical High $371.54 | Professional | 26 · Professional part | $204.17 | $323.59 | $371.54 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $416.87 Median $1,479.11 Typical High $1,698.24 | Professional | TC · Technical part | $416.87 | $1,479.11 | $1,698.24 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $158.49 Typical High $346.74 | Professional | 26 · Professional part | $117.49 | $158.49 | $346.74 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $588.84 Median $794.33 Typical High $1,584.89 | Professional | TC · Technical part | $588.84 | $794.33 | $1,584.89 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | 26 · Professional part | $199.53 | $199.53 | $199.53 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $147.91 Median $186.21 Typical High $281.84 | Professional | 26 · Professional part | $147.91 | $186.21 | $281.84 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $691.83 Median $977.24 Typical High $1,318.26 | Professional | TC · Technical part | $691.83 | $977.24 | $1,318.26 |
United Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $154.88 Typical High $309.03 | Professional | 26 · Professional part | $117.49 | $154.88 | $309.03 |
United Setting Professional Modifier TC · Technical part Typical Low $457.09 Median $616.60 Typical High $1,258.93 | Professional | TC · Technical part | $457.09 | $616.60 | $1,258.93 |
17 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 $602.56 Median $660.69 Typical High $1,905.46 | Facility | None | $602.56 | $660.69 | $1,905.46 |
Aetna Setting Professional Modifier None (both parts) Typical Low $398.11 Median $660.69 Typical High $812.83 | Professional | None (both parts) | $398.11 | $660.69 | $812.83 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $416.87 Median $537.03 Typical High $537.03 | Professional | FX · Film X-ray | $416.87 | $537.03 | $537.03 |
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 $288.40 Median $288.40 Typical High $288.40 | Professional | None (both parts) | $288.40 | $288.40 | $288.40 |
Cigna Setting Facility Modifier None Typical Low $2,238.72 Median $3,467.37 Typical High $3,467.37 | Facility | None | $2,238.72 | $3,467.37 | $3,467.37 |
Cigna Setting Professional Modifier None (both parts) Typical Low $707.95 Median $933.25 Typical High $1,905.46 | Professional | None (both parts) | $707.95 | $933.25 | $1,905.46 |
Medcost Setting Facility Modifier None Typical Low $602.56 Median $660.69 Typical High $707.95 | Facility | None | $602.56 | $660.69 | $707.95 |
Medcost Setting Professional Modifier None (both parts) Typical Low $741.31 Median $1,096.48 Typical High $1,621.81 | Professional | None (both parts) | $741.31 | $1,096.48 | $1,621.81 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $1,584.89 Median $1,737.80 Typical High $3,019.95 | Professional | 50 · Both sides | $1,584.89 | $1,737.80 | $3,019.95 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $537.03 Median $575.44 Typical High $1,000.00 | Professional | 51 · Multiple procedures | $537.03 | $575.44 | $1,000.00 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $213.80 Median $234.42 Typical High $407.38 | Professional | 80 · Assistant surgeon | $213.80 | $234.42 | $407.38 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $147.91 Median $162.18 Typical High $281.84 | Professional | 81 · Minimal assistant surgeon | $147.91 | $162.18 | $281.84 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $147.91 Median $162.18 Typical High $281.84 | Professional | 82 · Assistant surgeon, no resident | $147.91 | $162.18 | $281.84 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $147.91 Median $162.18 Typical High $281.84 | Professional | AS · PA/NP assist | $147.91 | $162.18 | $281.84 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $117.49 Median $257.04 Typical High $1,288.25 | Professional | None (both parts) | $117.49 | $257.04 | $1,288.25 |
United Setting Professional Modifier None (both parts) Typical Low $588.84 Median $794.33 Typical High $1,621.81 | Professional | None (both parts) | $588.84 | $794.33 | $1,621.81 |
Where North Carolina sits
The same service costs 7.4 times more in Alaska than in Washington. 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· 21st of 51
$832
AK $2,754WA $372
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.