How much rates vary
Facilitymedian $85 · 10th to 90th $62 to $339Professionalmedian $78 · 10th to 90th $59 to $148
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 $13.49 Median $14.13 Typical High $25.12 | Facility | 26 · Professional part | $13.49 | $14.13 | $25.12 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $47.86 Median $48.98 Typical High $87.10 | Facility | TC · Technical part | $47.86 | $48.98 | $87.10 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $13.49 Typical High $26.92 | Professional | 26 · Professional part | $13.49 | $13.49 | $26.92 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $47.86 Typical High $95.50 | Professional | TC · Technical part | $43.65 | $47.86 | $95.50 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $15.49 Typical High $26.30 | Professional | 26 · Professional part | $14.45 | $15.49 | $26.30 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $36.31 Typical High $48.98 | Professional | 26 · Professional part | $26.92 | $36.31 | $48.98 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $93.33 Typical High $134.90 | Professional | TC · Technical part | $75.86 | $93.33 | $134.90 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $20.89 Typical High $41.69 | Professional | 26 · Professional part | $16.60 | $20.89 | $41.69 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $60.26 Typical High $138.04 | Professional | TC · Technical part | $44.67 | $60.26 | $138.04 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $23.99 Typical High $34.67 | Professional | 26 · Professional part | $19.50 | $23.99 | $34.67 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $64.57 Typical High $100.00 | Professional | TC · Technical part | $61.66 | $64.57 | $100.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $20.89 Typical High $33.88 | Professional | 26 · Professional part | $15.14 | $20.89 | $33.88 |
United Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $58.88 Typical High $112.20 | Professional | TC · Technical part | $44.67 | $58.88 | $112.20 |
16 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 $61.66 Median $63.10 Typical High $112.20 | Facility | None | $61.66 | $63.10 | $112.20 |
Aetna Setting Professional Modifier None (both parts) Typical Low $57.54 Median $61.66 Typical High $125.89 | Professional | None (both parts) | $57.54 | $61.66 | $125.89 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $46.77 Median $48.98 Typical High $48.98 | Professional | FX · Film X-ray | $46.77 | $48.98 | $48.98 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $53.70 Median $72.44 Typical High $117.49 | Professional | None (both parts) | $53.70 | $72.44 | $117.49 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | None (both parts) | $39.81 | $39.81 | $39.81 |
Cigna Setting Facility Modifier None Typical Low $85.11 Median $213.80 Typical High $338.84 | Facility | None | $85.11 | $213.80 | $338.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $61.66 Median $83.18 Typical High $177.83 | Professional | None (both parts) | $61.66 | $83.18 | $177.83 |
Medcost Setting Facility Modifier None Typical Low $61.66 Median $61.66 Typical High $79.43 | Facility | None | $61.66 | $61.66 | $79.43 |
Medcost Setting Professional Modifier None (both parts) Typical Low $66.07 Median $89.13 Typical High $138.04 | Professional | None (both parts) | $66.07 | $89.13 | $138.04 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $43.65 Median $43.65 Typical High $91.20 | Professional | 51 · Multiple procedures | $43.65 | $43.65 | $91.20 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $17.78 Median $17.78 Typical High $37.15 | Professional | 80 · Assistant surgeon | $17.78 | $17.78 | $37.15 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $12.30 Median $12.30 Typical High $25.70 | Professional | 81 · Minimal assistant surgeon | $12.30 | $12.30 | $25.70 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $12.30 Median $12.30 Typical High $25.70 | Professional | 82 · Assistant surgeon, no resident | $12.30 | $12.30 | $25.70 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $12.30 Median $12.30 Typical High $25.70 | Professional | AS · PA/NP assist | $12.30 | $12.30 | $25.70 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $16.22 Median $66.07 Typical High $131.83 | Professional | None (both parts) | $16.22 | $66.07 | $131.83 |
United Setting Professional Modifier None (both parts) Typical Low $58.88 Median $79.43 Typical High $141.25 | Professional | None (both parts) | $58.88 | $79.43 | $141.25 |
Where North Carolina sits
The same service costs 3.6 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· 30th of 51
$77.62
AK $204FL $56.23
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.