How much rates vary
Facilitymedian $105 · 10th to 90th $69 to $380Professionalmedian $89 · 10th to 90th $65 to $170
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 $15.14 Median $15.49 Typical High $28.84 | Professional | 26 · Professional part | $15.14 | $15.49 | $28.84 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $53.70 Typical High $102.33 | Professional | TC · Technical part | $45.71 | $53.70 | $102.33 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $41.69 Typical High $53.70 | Professional | 26 · Professional part | $29.51 | $41.69 | $53.70 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $100.00 Typical High $165.96 | Professional | TC · Technical part | $81.28 | $100.00 | $165.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $23.44 Typical High $46.77 | Professional | 26 · Professional part | $18.20 | $23.44 | $46.77 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $66.07 Typical High $151.36 | Professional | TC · Technical part | $51.29 | $66.07 | $151.36 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $26.30 Typical High $38.90 | Professional | 26 · Professional part | $21.88 | $26.30 | $38.90 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $69.18 Typical High $117.49 | Professional | TC · Technical part | $69.18 | $69.18 | $117.49 |
United Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $22.91 Typical High $38.02 | Professional | 26 · Professional part | $16.98 | $22.91 | $38.02 |
United Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $67.61 Typical High $123.03 | Professional | TC · Technical part | $48.98 | $67.61 | $123.03 |
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 $69.18 Median $69.18 Typical High $104.71 | Facility | None | $69.18 | $69.18 | $104.71 |
Aetna Setting Professional Modifier None (both parts) Typical Low $61.66 Median $69.18 Typical High $138.04 | Professional | None (both parts) | $61.66 | $69.18 | $138.04 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | FX · Film X-ray | $54.95 | $54.95 | $54.95 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | None (both parts) | $131.83 | $131.83 | $131.83 |
BCBS North Carolina 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 |
Cigna Setting Facility Modifier None Typical Low $95.50 Median $245.47 Typical High $380.19 | Facility | None | $95.50 | $245.47 | $380.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $67.61 Median $89.13 Typical High $199.53 | Professional | None (both parts) | $67.61 | $89.13 | $199.53 |
Medcost Setting Facility Modifier None Typical Low $69.18 Median $69.18 Typical High $89.13 | Facility | None | $69.18 | $69.18 | $89.13 |
Medcost Setting Professional Modifier None (both parts) Typical Low $74.13 Median $95.50 Typical High $151.36 | Professional | None (both parts) | $74.13 | $95.50 | $151.36 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $47.86 Median $47.86 Typical High $107.15 | Professional | 51 · Multiple procedures | $47.86 | $47.86 | $107.15 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $19.05 Median $19.05 Typical High $42.66 | Professional | 80 · Assistant surgeon | $19.05 | $19.05 | $42.66 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $13.49 Median $13.49 Typical High $30.20 | Professional | 81 · Minimal assistant surgeon | $13.49 | $13.49 | $30.20 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $13.49 Median $13.49 Typical High $30.20 | Professional | 82 · Assistant surgeon, no resident | $13.49 | $13.49 | $30.20 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $13.49 Median $13.49 Typical High $30.20 | Professional | AS · PA/NP assist | $13.49 | $13.49 | $30.20 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $18.20 Median $70.79 Typical High $144.54 | Professional | None (both parts) | $18.20 | $70.79 | $144.54 |
United Setting Professional Modifier None (both parts) Typical Low $66.07 Median $89.13 Typical High $162.18 | Professional | None (both parts) | $66.07 | $89.13 | $162.18 |
Where North Carolina sits
The same service costs 3.9 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· 25th of 51
$89.13
AK $234FL $60.26
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.