How much rates vary
Facilitymedian $1,514 · 10th to 90th $513 to $7,413Professionalmedian $794 · 10th to 90th $407 to $2,570
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 $117.49 Median $154.88 Typical High $165.96 | Professional | 26 · Professional part | $117.49 | $154.88 | $165.96 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $457.09 Typical High $457.09 | Professional | TC · Technical part | $281.84 | $457.09 | $457.09 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $245.47 Median $371.54 Typical High $446.68 | Professional | 26 · Professional part | $245.47 | $371.54 | $446.68 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $588.84 Median $758.58 Typical High $1,258.93 | Professional | TC · Technical part | $588.84 | $758.58 | $1,258.93 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $144.54 Median $199.53 Typical High $398.11 | Professional | 26 · Professional part | $144.54 | $199.53 | $398.11 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $630.96 Median $1,348.96 Typical High $3,162.28 | Professional | TC · Technical part | $630.96 | $1,348.96 | $3,162.28 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | 26 · Professional part | $257.04 | $257.04 | $257.04 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $177.83 Median $239.88 Typical High $363.08 | Professional | 26 · Professional part | $177.83 | $239.88 | $363.08 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $467.74 Median $524.81 Typical High $1,071.52 | Professional | TC · Technical part | $467.74 | $524.81 | $1,071.52 |
United Setting Professional Modifier 26 · Professional part Typical Low $144.54 Median $186.21 Typical High $389.05 | Professional | 26 · Professional part | $144.54 | $186.21 | $389.05 |
United Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $478.63 Typical High $1,174.90 | Professional | TC · Technical part | $234.42 | $478.63 | $1,174.90 |
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 $512.86 Median $512.86 Typical High $1,905.46 | Facility | None | $512.86 | $512.86 | $1,905.46 |
Aetna Setting Professional Modifier None (both parts) Typical Low $426.58 Median $512.86 Typical High $676.08 | Professional | None (both parts) | $426.58 | $512.86 | $676.08 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $199.53 Median $257.04 Typical High $302.00 | Professional | 52 · Reduced service | $199.53 | $257.04 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $81.28 Median $102.33 Typical High $120.23 | Professional | 53 · Discontinued | $81.28 | $102.33 | $120.23 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $407.38 Median $407.38 Typical High $407.38 | Professional | FX · Film X-ray | $407.38 | $407.38 | $407.38 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $363.08 Median $363.08 Typical High $363.08 | Professional | None (both parts) | $363.08 | $363.08 | $363.08 |
Cigna Setting Facility Modifier None Typical Low $2,754.23 Median $7,413.10 Typical High $7,413.10 | Facility | None | $2,754.23 | $7,413.10 | $7,413.10 |
Cigna Setting Professional Modifier None (both parts) Typical Low $794.33 Median $1,513.56 Typical High $3,548.13 | Professional | None (both parts) | $794.33 | $1,513.56 | $3,548.13 |
Medcost Setting Facility Modifier None Typical Low $457.09 Median $512.86 Typical High $549.54 | Facility | None | $457.09 | $512.86 | $549.54 |
Medcost Setting Professional Modifier None (both parts) Typical Low $512.86 Median $933.25 Typical High $2,137.96 | Professional | None (both parts) | $512.86 | $933.25 | $2,137.96 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $281.84 Median $724.44 Typical High $1,071.52 | Professional | 51 · Multiple procedures | $281.84 | $724.44 | $1,071.52 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $112.20 Median $288.40 Typical High $426.58 | Professional | 80 · Assistant surgeon | $112.20 | $288.40 | $426.58 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $77.62 Median $199.53 Typical High $302.00 | Professional | 81 · Minimal assistant surgeon | $77.62 | $199.53 | $302.00 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $77.62 Median $199.53 Typical High $302.00 | Professional | 82 · Assistant surgeon, no resident | $77.62 | $199.53 | $302.00 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $77.62 Median $199.53 Typical High $302.00 | Professional | AS · PA/NP assist | $77.62 | $199.53 | $302.00 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $154.88 Median $275.42 Typical High $338.84 | Professional | None (both parts) | $154.88 | $275.42 | $338.84 |
United Setting Professional Modifier None (both parts) Typical Low $380.19 Median $645.65 Typical High $1,548.82 | Professional | None (both parts) | $380.19 | $645.65 | $1,548.82 |
Where North Carolina sits
The same service costs 12.3 times more in Wyoming than in Hawaii. 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· 23rd of 51
$794
WY $3,467HI $282
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.