How much rates vary
Facilitymedian $525 · 10th to 90th $331 to $2,042Professionalmedian $646 · 10th to 90th $324 to $1,514
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 $109.65 Median $123.03 Typical High $181.97 | Facility | 26 · Professional part | $109.65 | $123.03 | $181.97 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $218.78 Median $263.03 Typical High $831.76 | Facility | TC · Technical part | $218.78 | $263.03 | $831.76 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $117.49 Typical High $223.87 | Professional | 26 · Professional part | $109.65 | $117.49 | $223.87 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $263.03 Typical High $602.56 | Professional | TC · Technical part | $218.78 | $263.03 | $602.56 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $109.65 Typical High $218.78 | Professional | 26 · Professional part | $97.72 | $109.65 | $218.78 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $190.55 Median $275.42 Typical High $354.81 | Professional | 26 · Professional part | $190.55 | $275.42 | $354.81 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $602.56 Median $1,000.00 Typical High $1,479.11 | Professional | TC · Technical part | $602.56 | $1,000.00 | $1,479.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $151.36 Typical High $316.23 | Professional | 26 · Professional part | $109.65 | $151.36 | $316.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $870.96 Typical High $1,258.93 | Professional | TC · Technical part | $295.12 | $870.96 | $1,258.93 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $138.04 Median $229.09 Typical High $398.11 | Professional | 26 · Professional part | $138.04 | $229.09 | $398.11 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $741.31 Typical High $977.24 | Professional | TC · Technical part | $281.84 | $741.31 | $977.24 |
United Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $138.04 Typical High $288.40 | Professional | 26 · Professional part | $109.65 | $138.04 | $288.40 |
United Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $426.58 Typical High $1,000.00 | Professional | TC · Technical part | $239.88 | $426.58 | $1,000.00 |
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 $331.13 Median $426.58 Typical High $1,513.56 | Facility | None | $331.13 | $426.58 | $1,513.56 |
Aetna Setting Professional Modifier None (both parts) Typical Low $331.13 Median $389.05 Typical High $933.25 | Professional | None (both parts) | $331.13 | $389.05 | $933.25 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $162.18 Median $162.18 Typical High $213.80 | Professional | 52 · Reduced service | $162.18 | $162.18 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $66.07 Typical High $85.11 | Professional | 53 · Discontinued | $66.07 | $66.07 | $85.11 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $263.03 Median $263.03 Typical High $323.59 | Professional | FX · Film X-ray | $263.03 | $263.03 | $323.59 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $602.56 Median $602.56 Typical High $602.56 | Professional | None (both parts) | $602.56 | $602.56 | $602.56 |
BCBS North Carolina Setting Facility Modifier None Typical Low $1,412.54 Median $2,041.74 Typical High $2,398.83 | Facility | None | $1,412.54 | $2,041.74 | $2,398.83 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | None (both parts) | $295.12 | $295.12 | $295.12 |
Cigna Setting Facility Modifier None Typical Low $831.76 Median $1,318.26 Typical High $4,073.80 | Facility | None | $831.76 | $1,318.26 | $4,073.80 |
Cigna Setting Professional Modifier None (both parts) Typical Low $426.58 Median $1,023.29 Typical High $1,479.11 | Professional | None (both parts) | $426.58 | $1,023.29 | $1,479.11 |
Medcost Setting Professional Modifier None Typical Low $1,698.24 Median $1,698.24 Typical High $1,698.24 | Professional | None | $1,698.24 | $1,698.24 | $1,698.24 |
Medcost Setting Facility Modifier None Typical Low $295.12 Median $331.13 Typical High $354.81 | Facility | None | $295.12 | $331.13 | $354.81 |
Medcost Setting Professional Modifier None (both parts) Typical Low $426.58 Median $912.01 Typical High $1,584.89 | Professional | None (both parts) | $426.58 | $912.01 | $1,584.89 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $281.84 Median $501.19 Typical High $812.83 | Professional | 51 · Multiple procedures | $281.84 | $501.19 | $812.83 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $123.03 Median $199.53 Typical High $323.59 | Professional | 80 · Assistant surgeon | $123.03 | $199.53 | $323.59 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $87.10 Median $141.25 Typical High $223.87 | Professional | 81 · Minimal assistant surgeon | $87.10 | $141.25 | $223.87 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $87.10 Median $141.25 Typical High $223.87 | Professional | 82 · Assistant surgeon, no resident | $87.10 | $141.25 | $223.87 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $87.10 Median $141.25 Typical High $223.87 | Professional | AS · PA/NP assist | $87.10 | $141.25 | $223.87 |
Oscar Health Setting Facility Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $1,819.70 | Facility | None | $1,819.70 | $1,819.70 | $1,819.70 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $114.82 Median $295.12 Typical High $588.84 | Professional | None (both parts) | $114.82 | $295.12 | $588.84 |
United Setting Professional Modifier None (both parts) Typical Low $354.81 Median $616.60 Typical High $1,148.15 | Professional | None (both parts) | $354.81 | $616.60 | $1,148.15 |
Where North Carolina sits
The same service costs 6.3 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· 13th of 51
$631
WY $1,288UT $204
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.