How much rates vary
Facilitymedian $1,288 · 10th to 90th $288 to $2,512Professionalmedian $537 · 10th to 90th $288 to $1,023
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 $69.18 Median $69.18 Typical High $162.18 | Professional | 26 · Professional part | $69.18 | $69.18 | $162.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $218.78 Typical High $524.81 | Professional | TC · Technical part | $218.78 | $218.78 | $524.81 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $51.29 Typical High $91.20 | Professional | 26 · Professional part | $51.29 | $51.29 | $91.20 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $165.96 Typical High $218.78 | Professional | 26 · Professional part | $117.49 | $165.96 | $218.78 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $524.81 Median $676.08 Typical High $912.01 | Professional | TC · Technical part | $524.81 | $676.08 | $912.01 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $95.50 Typical High $199.53 | Professional | 26 · Professional part | $69.18 | $95.50 | $199.53 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $371.54 Median $467.74 Typical High $891.25 | Professional | TC · Technical part | $371.54 | $467.74 | $891.25 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $120.23 Typical High $208.93 | Professional | 26 · Professional part | $87.10 | $120.23 | $208.93 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $537.03 Typical High $741.31 | Professional | TC · Technical part | $257.04 | $537.03 | $741.31 |
United Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $87.10 Typical High $181.97 | Professional | 26 · Professional part | $69.18 | $87.10 | $181.97 |
United Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $457.09 Typical High $831.76 | Professional | TC · Technical part | $302.00 | $457.09 | $831.76 |
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 $288.40 Median $426.58 Typical High $1,698.24 | Facility | None | $288.40 | $426.58 | $1,698.24 |
Aetna Setting Professional Modifier None (both parts) Typical Low $288.40 Median $346.74 Typical High $758.58 | Professional | None (both parts) | $288.40 | $346.74 | $758.58 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $144.54 Median $144.54 Typical High $213.80 | Professional | 52 · Reduced service | $144.54 | $144.54 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $57.54 Median $57.54 Typical High $85.11 | Professional | 53 · Discontinued | $57.54 | $57.54 | $85.11 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $229.09 Median $229.09 Typical High $323.59 | Professional | FX · Film X-ray | $229.09 | $229.09 | $323.59 |
BCBS North Carolina Setting Facility Modifier None Typical Low $1,862.09 Median $2,511.89 Typical High $2,511.89 | Facility | None | $1,862.09 | $2,511.89 | $2,511.89 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | None (both parts) | $181.97 | $181.97 | $181.97 |
Cigna Setting Facility Modifier None Typical Low $1,047.13 Median $1,659.59 Typical High $1,862.09 | Facility | None | $1,047.13 | $1,659.59 | $1,862.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $457.09 Median $575.44 Typical High $1,096.48 | Professional | None (both parts) | $457.09 | $575.44 | $1,096.48 |
Medcost Setting Professional Modifier None Typical Low $776.25 Median $776.25 Typical High $776.25 | Professional | None | $776.25 | $776.25 | $776.25 |
Medcost Setting Facility Modifier None Typical Low $257.04 Median $288.40 Typical High $346.74 | Facility | None | $257.04 | $288.40 | $346.74 |
Medcost Setting Professional Modifier None (both parts) Typical Low $346.74 Median $645.65 Typical High $954.99 | Professional | None (both parts) | $346.74 | $645.65 | $954.99 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $251.19 Median $389.05 Typical High $478.63 | Professional | 51 · Multiple procedures | $251.19 | $389.05 | $478.63 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $102.33 Median $154.88 Typical High $190.55 | Professional | 80 · Assistant surgeon | $102.33 | $154.88 | $190.55 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $70.79 Median $109.65 Typical High $131.83 | Professional | 81 · Minimal assistant surgeon | $70.79 | $109.65 | $131.83 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $70.79 Median $109.65 Typical High $131.83 | Professional | 82 · Assistant surgeon, no resident | $70.79 | $109.65 | $131.83 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $70.79 Median $109.65 Typical High $131.83 | Professional | AS · PA/NP assist | $70.79 | $109.65 | $131.83 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $707.95 Median $707.95 Typical High $707.95 | Professional | None (both parts) | $707.95 | $707.95 | $707.95 |
United Setting Professional Modifier None (both parts) Typical Low $380.19 Median $537.03 Typical High $977.24 | Professional | None (both parts) | $380.19 | $537.03 | $977.24 |
Where North Carolina sits
The same service costs 6.3 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· 21st of 51
$537
WY $1,349UT $214
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.