How much rates vary
Facilitymedian $427 · 10th to 90th $195 to $1,585Professionalmedian $417 · 10th to 90th $195 to $794
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 $70.79 Median $75.86 Typical High $123.03 | Facility | 26 · Professional part | $70.79 | $75.86 | $123.03 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $125.89 Median $147.91 Typical High $524.81 | Facility | TC · Technical part | $125.89 | $147.91 | $524.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $85.11 Typical High $162.18 | Professional | 26 · Professional part | $70.79 | $85.11 | $162.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $165.96 Typical High $436.52 | Professional | TC · Technical part | $125.89 | $165.96 | $436.52 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $93.33 Typical High $131.83 | Professional | 26 · Professional part | $52.48 | $93.33 | $131.83 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $158.49 Typical High $204.17 | Professional | TC · Technical part | $114.82 | $158.49 | $204.17 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $169.82 Typical High $223.87 | Professional | 26 · Professional part | $117.49 | $169.82 | $223.87 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $346.74 Median $616.60 Typical High $912.01 | Professional | TC · Technical part | $346.74 | $616.60 | $912.01 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $95.50 Typical High $204.17 | Professional | 26 · Professional part | $70.79 | $95.50 | $204.17 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $467.74 Typical High $676.08 | Professional | TC · Technical part | $169.82 | $467.74 | $676.08 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $144.54 Typical High $234.42 | Professional | 26 · Professional part | $89.13 | $144.54 | $234.42 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $489.78 Typical High $645.65 | Professional | TC · Technical part | $162.18 | $489.78 | $645.65 |
United Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $89.13 Typical High $186.21 | Professional | 26 · Professional part | $69.18 | $89.13 | $186.21 |
United Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $239.88 Typical High $549.54 | Professional | TC · Technical part | $134.90 | $239.88 | $549.54 |
21 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 $194.98 Median $245.47 Typical High $1,445.44 | Facility | None | $194.98 | $245.47 | $1,445.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $263.03 Typical High $660.69 | Professional | None (both parts) | $194.98 | $263.03 | $660.69 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $97.72 Median $97.72 Typical High $213.80 | Professional | 52 · Reduced service | $97.72 | $97.72 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $38.90 Typical High $85.11 | Professional | 53 · Discontinued | $38.90 | $38.90 | $85.11 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $158.49 Median $158.49 Typical High $302.00 | Professional | FX · Film X-ray | $158.49 | $158.49 | $302.00 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $194.98 Median $316.23 Typical High $371.54 | Professional | None (both parts) | $194.98 | $316.23 | $371.54 |
BCBS North Carolina Setting Facility Modifier None Typical Low $891.25 Median $1,412.54 Typical High $1,584.89 | Facility | None | $891.25 | $1,412.54 | $1,584.89 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $186.21 Median $186.21 Typical High $186.21 | Professional | None (both parts) | $186.21 | $186.21 | $186.21 |
Cigna Setting Facility Modifier None Typical Low $478.63 Median $758.58 Typical High $2,089.30 | Facility | None | $478.63 | $758.58 | $2,089.30 |
Cigna Setting Professional Modifier None (both parts) Typical Low $263.03 Median $575.44 Typical High $891.25 | Professional | None (both parts) | $263.03 | $575.44 | $891.25 |
Medcost Setting Professional Modifier None Typical Low $870.96 Median $870.96 Typical High $870.96 | Professional | None | $870.96 | $870.96 | $870.96 |
Medcost Setting Facility Modifier None Typical Low $177.83 Median $194.98 Typical High $213.80 | Facility | None | $177.83 | $194.98 | $213.80 |
Medcost Setting Professional Modifier None (both parts) Typical Low $251.19 Median $588.84 Typical High $812.83 | Professional | None (both parts) | $251.19 | $588.84 | $812.83 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $169.82 Median $295.12 Typical High $407.38 | Professional | 51 · Multiple procedures | $169.82 | $295.12 | $407.38 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $72.44 Median $120.23 Typical High $165.96 | Professional | 80 · Assistant surgeon | $72.44 | $120.23 | $165.96 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $51.29 Median $83.18 Typical High $114.82 | Professional | 81 · Minimal assistant surgeon | $51.29 | $83.18 | $114.82 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $51.29 Median $83.18 Typical High $114.82 | Professional | 82 · Assistant surgeon, no resident | $51.29 | $83.18 | $114.82 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $51.29 Median $83.18 Typical High $114.82 | Professional | AS · PA/NP assist | $51.29 | $83.18 | $114.82 |
Oscar Health Setting Facility Modifier None Typical Low $912.01 Median $912.01 Typical High $912.01 | Facility | None | $912.01 | $912.01 | $912.01 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $74.13 Median $177.83 Typical High $354.81 | Professional | None (both parts) | $74.13 | $177.83 | $354.81 |
United Setting Professional Modifier None (both parts) Typical Low $208.93 Median $380.19 Typical High $660.69 | Professional | None (both parts) | $208.93 | $380.19 | $660.69 |
Where North Carolina sits
The same service costs 24.0 times more in Vermont 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· 15th of 51
$417
VT $2,951UT $123
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.