How much rates vary
Facilitymedian $1,413 · 10th to 90th $389 to $2,239Professionalmedian $631 · 10th to 90th $389 to $1,148
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 $83.18 Median $83.18 Typical High $147.91 | Professional | 26 · Professional part | $83.18 | $83.18 | $147.91 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $302.00 Typical High $389.05 | Professional | TC · Technical part | $302.00 | $302.00 | $389.05 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $138.04 Median $218.78 Typical High $257.04 | Professional | 26 · Professional part | $138.04 | $218.78 | $257.04 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $630.96 Median $794.33 Typical High $1,122.02 | Professional | TC · Technical part | $630.96 | $794.33 | $1,122.02 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $112.20 Typical High $234.42 | Professional | 26 · Professional part | $81.28 | $112.20 | $234.42 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $407.38 Median $537.03 Typical High $977.24 | Professional | TC · Technical part | $407.38 | $537.03 | $977.24 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $123.03 Typical High $251.19 | Professional | 26 · Professional part | $102.33 | $123.03 | $251.19 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $398.11 Median $588.84 Typical High $870.96 | Professional | TC · Technical part | $398.11 | $588.84 | $870.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $102.33 Typical High $213.80 | Professional | 26 · Professional part | $81.28 | $102.33 | $213.80 |
United Setting Professional Modifier TC · Technical part Typical Low $331.13 Median $524.81 Typical High $891.25 | Professional | TC · Technical part | $331.13 | $524.81 | $891.25 |
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 $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 $676.08 | Professional | None (both parts) | $389.05 | $389.05 | $676.08 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $194.98 Median $194.98 Typical High $234.42 | Professional | 52 · Reduced service | $194.98 | $194.98 | $234.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $77.62 Median $77.62 Typical High $95.50 | Professional | 53 · Discontinued | $77.62 | $77.62 | $95.50 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $309.03 Median $309.03 Typical High $331.13 | Professional | FX · Film X-ray | $309.03 | $309.03 | $331.13 |
BCBS North Carolina Setting Facility Modifier None Typical Low $2,884.03 Median $3,090.30 Typical High $3,467.37 | Facility | None | $2,884.03 | $3,090.30 | $3,467.37 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | None (both parts) | $213.80 | $213.80 | $213.80 |
Cigna Setting Facility Modifier None Typical Low $1,148.15 Median $1,819.70 Typical High $2,238.72 | Facility | None | $1,148.15 | $1,819.70 | $2,238.72 |
Cigna Setting Professional Modifier None (both parts) Typical Low $501.19 Median $660.69 Typical High $1,202.26 | Professional | None (both parts) | $501.19 | $660.69 | $1,202.26 |
Medcost Setting Professional Modifier None Typical Low $933.25 Median $933.25 Typical High $933.25 | Professional | None | $933.25 | $933.25 | $933.25 |
Medcost Setting Facility Modifier None Typical Low $346.74 Median $389.05 Typical High $416.87 | Facility | None | $346.74 | $389.05 | $416.87 |
Medcost Setting Professional Modifier None (both parts) Typical Low $501.19 Median $707.95 Typical High $1,000.00 | Professional | None (both parts) | $501.19 | $707.95 | $1,000.00 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $316.23 Median $371.54 Typical High $602.56 | Professional | 51 · Multiple procedures | $316.23 | $371.54 | $602.56 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $131.83 Median $147.91 Typical High $239.88 | Professional | 80 · Assistant surgeon | $131.83 | $147.91 | $239.88 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $91.20 Median $104.71 Typical High $165.96 | Professional | 81 · Minimal assistant surgeon | $91.20 | $104.71 | $165.96 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $91.20 Median $104.71 Typical High $165.96 | Professional | 82 · Assistant surgeon, no resident | $91.20 | $104.71 | $165.96 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $91.20 Median $104.71 Typical High $165.96 | Professional | AS · PA/NP assist | $91.20 | $104.71 | $165.96 |
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 $416.87 Median $616.60 Typical High $1,096.48 | Professional | None (both parts) | $416.87 | $616.60 | $1,096.48 |
Where North Carolina sits
The same service costs 5.5 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· 19th of 51
$631
WY $1,514UT $275
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.