How much rates vary
Facilitymedian $42 · 10th to 90th $30 to $145Professionalmedian $42 · 10th to 90th $30 to $74
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 $8.51 Median $9.12 Typical High $15.14 | Facility | 26 · Professional part | $8.51 | $9.12 | $15.14 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $20.89 Median $22.39 Typical High $38.02 | Facility | TC · Technical part | $20.89 | $22.39 | $38.02 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $8.51 Typical High $17.78 | Professional | 26 · Professional part | $8.51 | $8.51 | $17.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $20.89 Typical High $42.66 | Professional | TC · Technical part | $20.42 | $20.89 | $42.66 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $23.44 Typical High $30.20 | Professional | 26 · Professional part | $16.22 | $23.44 | $30.20 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $45.71 Typical High $64.57 | Professional | TC · Technical part | $38.02 | $45.71 | $64.57 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $12.88 Typical High $26.30 | Professional | 26 · Professional part | $10.00 | $12.88 | $26.30 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $28.84 Typical High $61.66 | Professional | TC · Technical part | $21.88 | $28.84 | $61.66 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $16.98 Typical High $26.30 | Professional | 26 · Professional part | $12.30 | $16.98 | $26.30 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $38.02 Typical High $47.86 | Professional | TC · Technical part | $26.92 | $38.02 | $47.86 |
United Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $12.30 Typical High $20.89 | Professional | 26 · Professional part | $9.55 | $12.30 | $20.89 |
United Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $27.54 Typical High $48.98 | Professional | TC · Technical part | $20.42 | $27.54 | $48.98 |
19 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 $29.51 Median $31.62 Typical High $51.29 | Facility | None | $29.51 | $31.62 | $51.29 |
Aetna Setting Professional Modifier None (both parts) Typical Low $28.84 Median $29.51 Typical High $61.66 | Professional | None (both parts) | $28.84 | $29.51 | $61.66 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $13.80 Median $14.79 Typical High $16.22 | Professional | 52 · Reduced service | $13.80 | $14.79 | $16.22 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.50 Median $5.89 Typical High $6.46 | Professional | 53 · Discontinued | $5.50 | $5.89 | $6.46 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $22.91 Median $23.44 Typical High $23.44 | Professional | FX · Film X-ray | $22.91 | $23.44 | $23.44 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | None (both parts) | $30.90 | $30.90 | $30.90 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $25.12 Median $64.57 Typical High $64.57 | Professional | None (both parts) | $25.12 | $64.57 | $64.57 |
Cigna Setting Facility Modifier None Typical Low $36.31 Median $93.33 Typical High $144.54 | Facility | None | $36.31 | $93.33 | $144.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $31.62 Median $43.65 Typical High $85.11 | Professional | None (both parts) | $31.62 | $43.65 | $85.11 |
Medcost Setting Professional Modifier None Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | None | $57.54 | $57.54 | $57.54 |
Medcost Setting Facility Modifier None Typical Low $29.51 Median $29.51 Typical High $37.15 | Facility | None | $29.51 | $29.51 | $37.15 |
Medcost Setting Professional Modifier None (both parts) Typical Low $34.67 Median $53.70 Typical High $70.79 | Professional | None (both parts) | $34.67 | $53.70 | $70.79 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $21.38 Median $28.18 Typical High $44.67 | Professional | 51 · Multiple procedures | $21.38 | $28.18 | $44.67 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $8.71 Median $11.22 Typical High $17.78 | Professional | 80 · Assistant surgeon | $8.71 | $11.22 | $17.78 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $6.03 Median $7.76 Typical High $12.59 | Professional | 81 · Minimal assistant surgeon | $6.03 | $7.76 | $12.59 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $6.03 Median $7.76 Typical High $12.59 | Professional | 82 · Assistant surgeon, no resident | $6.03 | $7.76 | $12.59 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $6.03 Median $7.76 Typical High $12.59 | Professional | AS · PA/NP assist | $6.03 | $7.76 | $12.59 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $43.65 Median $43.65 Typical High $43.65 | Professional | None (both parts) | $43.65 | $43.65 | $43.65 |
United Setting Professional Modifier None (both parts) Typical Low $30.20 Median $39.81 Typical High $69.18 | Professional | None (both parts) | $30.20 | $39.81 | $69.18 |
Where North Carolina sits
The same service costs 3.5 times more in Alaska than in Florida. 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
$41.69
AK $95.50FL $26.92
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.