How much rates vary
Facilitymedian $63 · 10th to 90th $47 to $251Professionalmedian $60 · 10th to 90th $46 to $115
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 $11.75 Median $13.49 Typical High $22.91 | Facility | 26 · Professional part | $11.75 | $13.49 | $22.91 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $34.67 Median $37.15 Typical High $58.88 | Facility | TC · Technical part | $34.67 | $37.15 | $58.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $12.30 Typical High $26.30 | Professional | 26 · Professional part | $11.75 | $12.30 | $26.30 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $34.67 Typical High $66.07 | Professional | TC · Technical part | $32.36 | $34.67 | $66.07 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $16.98 Typical High $25.12 | Professional | 26 · Professional part | $10.00 | $16.98 | $25.12 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $46.77 Typical High $52.48 | Professional | TC · Technical part | $31.62 | $46.77 | $52.48 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $34.67 Typical High $44.67 | Professional | 26 · Professional part | $24.55 | $34.67 | $44.67 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $70.79 Typical High $97.72 | Professional | TC · Technical part | $56.23 | $70.79 | $97.72 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $18.62 Typical High $38.90 | Professional | 26 · Professional part | $14.45 | $18.62 | $38.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $43.65 Typical High $97.72 | Professional | TC · Technical part | $33.11 | $43.65 | $97.72 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $30.90 Typical High $45.71 | Professional | 26 · Professional part | $16.60 | $30.90 | $45.71 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $56.23 Typical High $72.44 | Professional | TC · Technical part | $44.67 | $56.23 | $72.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $18.20 Typical High $32.36 | Professional | 26 · Professional part | $13.49 | $18.20 | $32.36 |
United Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $42.66 Typical High $81.28 | Professional | TC · Technical part | $32.36 | $42.66 | $81.28 |
20 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 $46.77 Median $48.98 Typical High $79.43 | Facility | None | $46.77 | $48.98 | $79.43 |
Aetna Setting Professional Modifier None (both parts) Typical Low $44.67 Median $47.86 Typical High $93.33 | Professional | None (both parts) | $44.67 | $47.86 | $93.33 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $21.88 Median $23.44 Typical High $25.12 | Professional | 52 · Reduced service | $21.88 | $23.44 | $25.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.71 Median $9.33 Typical High $10.23 | Professional | 53 · Discontinued | $8.71 | $9.33 | $10.23 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $36.31 Median $37.15 Typical High $37.15 | Professional | FX · Film X-ray | $36.31 | $37.15 | $37.15 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $41.69 Median $56.23 Typical High $102.33 | Professional | None (both parts) | $41.69 | $56.23 | $102.33 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $38.90 Median $38.90 Typical High $38.90 | Professional | None (both parts) | $38.90 | $38.90 | $38.90 |
Cigna Setting Facility Modifier None Typical Low $63.10 Median $147.91 Typical High $251.19 | Facility | None | $63.10 | $147.91 | $251.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $50.12 Median $64.57 Typical High $134.90 | Professional | None (both parts) | $50.12 | $64.57 | $134.90 |
Medcost Setting Professional Modifier None Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | None | $81.28 | $81.28 | $81.28 |
Medcost Setting Facility Modifier None Typical Low $46.77 Median $46.77 Typical High $61.66 | Facility | None | $46.77 | $46.77 | $61.66 |
Medcost Setting Professional Modifier None (both parts) Typical Low $53.70 Median $81.28 Typical High $123.03 | Professional | None (both parts) | $53.70 | $81.28 | $123.03 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $34.67 Median $40.74 Typical High $69.18 | Professional | 51 · Multiple procedures | $34.67 | $40.74 | $69.18 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $14.13 Median $16.22 Typical High $27.54 | Professional | 80 · Assistant surgeon | $14.13 | $16.22 | $27.54 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $9.77 Median $11.48 Typical High $19.50 | Professional | 81 · Minimal assistant surgeon | $9.77 | $11.48 | $19.50 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $9.77 Median $11.48 Typical High $19.50 | Professional | 82 · Assistant surgeon, no resident | $9.77 | $11.48 | $19.50 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $9.77 Median $11.48 Typical High $19.50 | Professional | AS · PA/NP assist | $9.77 | $11.48 | $19.50 |
Oscar Health Setting Facility Modifier None Typical Low $302.00 Median $302.00 Typical High $302.00 | Facility | None | $302.00 | $302.00 | $302.00 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $14.13 Median $50.12 Typical High $100.00 | Professional | None (both parts) | $14.13 | $50.12 | $100.00 |
United Setting Professional Modifier None (both parts) Typical Low $46.77 Median $60.26 Typical High $107.15 | Professional | None (both parts) | $46.77 | $60.26 | $107.15 |
Where North Carolina sits
The same service costs 4.8 times more in Alaska 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· 25th of 51
$60.26
AK $158UT $33.11
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.