How much rates vary
Facilitymedian $955 · 10th to 90th $282 to $2,239Professionalmedian $575 · 10th to 90th $275 to $955
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 $85.11 Median $85.11 Typical High $186.21 | Professional | 26 · Professional part | $85.11 | $85.11 | $186.21 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $199.53 Typical High $467.74 | Professional | TC · Technical part | $199.53 | $199.53 | $467.74 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | 26 · Professional part | $87.10 | $87.10 | $87.10 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $154.88 Median $239.88 Typical High $281.84 | Professional | 26 · Professional part | $154.88 | $239.88 | $281.84 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $436.52 Median $741.31 Typical High $1,071.52 | Professional | TC · Technical part | $436.52 | $741.31 | $1,071.52 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $120.23 Typical High $245.47 | Professional | 26 · Professional part | $87.10 | $120.23 | $245.47 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $537.03 Typical High $812.83 | Professional | TC · Technical part | $263.03 | $537.03 | $812.83 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $158.49 Typical High $263.03 | Professional | 26 · Professional part | $107.15 | $158.49 | $263.03 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $575.44 Typical High $794.33 | Professional | TC · Technical part | $257.04 | $575.44 | $794.33 |
United Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $109.65 Typical High $223.87 | Professional | 26 · Professional part | $87.10 | $109.65 | $223.87 |
United Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $380.19 Typical High $660.69 | Professional | TC · Technical part | $213.80 | $380.19 | $660.69 |
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 $281.84 Median $426.58 Typical High $1,698.24 | Facility | None | $281.84 | $426.58 | $1,698.24 |
Aetna Setting Professional Modifier None (both parts) Typical Low $281.84 Median $288.40 Typical High $724.44 | Professional | None (both parts) | $281.84 | $288.40 | $724.44 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $141.25 Median $141.25 Typical High $213.80 | Professional | 52 · Reduced service | $141.25 | $141.25 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $56.23 Typical High $85.11 | Professional | 53 · Discontinued | $56.23 | $56.23 | $85.11 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $223.87 Median $223.87 Typical High $323.59 | Professional | FX · Film X-ray | $223.87 | $223.87 | $323.59 |
BCBS North Carolina 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 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | None (both parts) | $239.88 | $239.88 | $239.88 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $1,174.90 Typical High $2,290.87 | Facility | None | $758.58 | $1,174.90 | $2,290.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $371.54 Median $645.65 Typical High $1,047.13 | Professional | None (both parts) | $371.54 | $645.65 | $1,047.13 |
Medcost Setting Professional Modifier None Typical Low $954.99 Median $954.99 Typical High $954.99 | Professional | None | $954.99 | $954.99 | $954.99 |
Medcost Setting Facility Modifier None Typical Low $257.04 Median $281.84 Typical High $309.03 | Facility | None | $257.04 | $281.84 | $309.03 |
Medcost Setting Professional Modifier None (both parts) Typical Low $363.08 Median $724.44 Typical High $1,047.13 | Professional | None (both parts) | $363.08 | $724.44 | $1,047.13 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $257.04 Median $436.52 Typical High $524.81 | Professional | 51 · Multiple procedures | $257.04 | $436.52 | $524.81 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $104.71 Median $173.78 Typical High $208.93 | Professional | 80 · Assistant surgeon | $104.71 | $173.78 | $208.93 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $74.13 Median $120.23 Typical High $144.54 | Professional | 81 · Minimal assistant surgeon | $74.13 | $120.23 | $144.54 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $74.13 Median $120.23 Typical High $144.54 | Professional | 82 · Assistant surgeon, no resident | $74.13 | $120.23 | $144.54 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $74.13 Median $120.23 Typical High $144.54 | Professional | AS · PA/NP assist | $74.13 | $120.23 | $144.54 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $89.13 Median $251.19 Typical High $501.19 | Professional | None (both parts) | $89.13 | $251.19 | $501.19 |
United Setting Professional Modifier None (both parts) Typical Low $302.00 Median $524.81 Typical High $851.14 | Professional | None (both parts) | $302.00 | $524.81 | $851.14 |
Where North Carolina sits
The same service costs 5.9 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· 12th of 51
$575
WY $1,122UT $191
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.