How much rates vary
Facilitymedian $76 · 10th to 90th $54 to $282Professionalmedian $78 · 10th to 90th $54 to $145
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 $13.18 Median $14.13 Typical High $22.91 | Facility | 26 · Professional part | $13.18 | $14.13 | $22.91 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $40.74 Median $44.67 Typical High $74.13 | Facility | TC · Technical part | $40.74 | $44.67 | $74.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $13.49 Typical High $28.84 | Professional | 26 · Professional part | $13.18 | $13.49 | $28.84 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $40.74 Typical High $83.18 | Professional | TC · Technical part | $40.74 | $40.74 | $83.18 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $40.74 Typical High $50.12 | Professional | 26 · Professional part | $28.84 | $40.74 | $50.12 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $95.50 Typical High $134.90 | Professional | TC · Technical part | $77.62 | $95.50 | $134.90 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $21.88 Typical High $42.66 | Professional | 26 · Professional part | $16.60 | $21.88 | $42.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $57.54 Typical High $120.23 | Professional | TC · Technical part | $45.71 | $57.54 | $120.23 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $30.20 Typical High $44.67 | Professional | 26 · Professional part | $18.20 | $30.20 | $44.67 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $75.86 Typical High $104.71 | Professional | TC · Technical part | $52.48 | $75.86 | $104.71 |
United Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $20.42 Typical High $34.67 | Professional | 26 · Professional part | $14.79 | $20.42 | $34.67 |
United Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $56.23 Typical High $95.50 | Professional | TC · Technical part | $41.69 | $56.23 | $95.50 |
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 $53.70 Median $58.88 Typical High $91.20 | Facility | None | $53.70 | $58.88 | $91.20 |
Aetna Setting Professional Modifier None (both parts) Typical Low $53.70 Median $53.70 Typical High $114.82 | Professional | None (both parts) | $53.70 | $53.70 | $114.82 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $25.70 Median $26.92 Typical High $30.90 | Professional | 52 · Reduced service | $25.70 | $26.92 | $30.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.23 Median $10.72 Typical High $12.30 | Professional | 53 · Discontinued | $10.23 | $10.72 | $12.30 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $42.66 Median $43.65 Typical High $43.65 | Professional | FX · Film X-ray | $42.66 | $43.65 | $43.65 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $63.10 Median $74.13 Typical High $114.82 | Professional | None (both parts) | $63.10 | $74.13 | $114.82 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $46.77 Median $46.77 Typical High $46.77 | Professional | None (both parts) | $46.77 | $46.77 | $46.77 |
Cigna Setting Facility Modifier None Typical Low $70.79 Median $181.97 Typical High $281.84 | Facility | None | $70.79 | $181.97 | $281.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $63.10 Median $81.28 Typical High $162.18 | Professional | None (both parts) | $63.10 | $81.28 | $162.18 |
Medcost Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | None | $102.33 | $102.33 | $102.33 |
Medcost Setting Facility Modifier None Typical Low $53.70 Median $53.70 Typical High $69.18 | Facility | None | $53.70 | $53.70 | $69.18 |
Medcost Setting Professional Modifier None (both parts) Typical Low $63.10 Median $97.72 Typical High $141.25 | Professional | None (both parts) | $63.10 | $97.72 | $141.25 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $42.66 Median $50.12 Typical High $81.28 | Professional | 51 · Multiple procedures | $42.66 | $50.12 | $81.28 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $16.98 Median $20.42 Typical High $32.36 | Professional | 80 · Assistant surgeon | $16.98 | $20.42 | $32.36 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $12.02 Median $14.13 Typical High $22.91 | Professional | 81 · Minimal assistant surgeon | $12.02 | $14.13 | $22.91 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $12.02 Median $14.13 Typical High $22.91 | Professional | 82 · Assistant surgeon, no resident | $12.02 | $14.13 | $22.91 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $12.02 Median $14.13 Typical High $22.91 | Professional | AS · PA/NP assist | $12.02 | $14.13 | $22.91 |
Oscar Health Setting Facility Modifier None Typical Low $602.56 Median $602.56 Typical High $602.56 | Facility | None | $602.56 | $602.56 | $602.56 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $15.49 Median $56.23 Typical High $112.20 | Professional | None (both parts) | $15.49 | $56.23 | $112.20 |
United Setting Professional Modifier None (both parts) Typical Low $56.23 Median $77.62 Typical High $128.82 | Professional | None (both parts) | $56.23 | $77.62 | $128.82 |
Where North Carolina sits
The same service costs 3.6 times more in Alaska than in Texas. 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· 26th of 51
$77.62
AK $182TX $50.12
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.