How much rates vary
Facilitymedian $1,023 · 10th to 90th $355 to $2,042Professionalmedian $589 · 10th to 90th $339 to $1,000
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 $120.23 | Professional | 26 · Professional part | $85.11 | $85.11 | $120.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $269.15 Typical High $338.84 | Professional | TC · Technical part | $269.15 | $269.15 | $338.84 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $144.54 Median $199.53 Typical High $269.15 | Professional | 26 · Professional part | $144.54 | $199.53 | $269.15 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $691.83 Median $1,000.00 Typical High $1,380.38 | Professional | TC · Technical part | $691.83 | $1,000.00 | $1,380.38 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $117.49 Typical High $245.47 | Professional | 26 · Professional part | $85.11 | $117.49 | $245.47 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $354.81 Median $489.78 Typical High $851.14 | Professional | TC · Technical part | $354.81 | $489.78 | $851.14 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $128.82 Typical High $239.88 | Professional | 26 · Professional part | $107.15 | $128.82 | $239.88 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $346.74 Median $758.58 Typical High $794.33 | Professional | TC · Technical part | $346.74 | $758.58 | $794.33 |
United Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $107.15 Typical High $218.78 | Professional | 26 · Professional part | $81.28 | $107.15 | $218.78 |
United Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $457.09 Typical High $794.33 | Professional | TC · Technical part | $288.40 | $457.09 | $794.33 |
18 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 $354.81 Median $354.81 Typical High $1,905.46 | Facility | None | $354.81 | $354.81 | $1,905.46 |
Aetna Setting Professional Modifier None (both parts) Typical Low $354.81 Median $354.81 Typical High $588.84 | Professional | None (both parts) | $354.81 | $354.81 | $588.84 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $177.83 Median $177.83 Typical High $218.78 | Professional | 52 · Reduced service | $177.83 | $177.83 | $218.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $70.79 Median $70.79 Typical High $87.10 | Professional | 53 · Discontinued | $70.79 | $70.79 | $87.10 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $281.84 Median $281.84 Typical High $323.59 | Professional | FX · Film X-ray | $281.84 | $281.84 | $323.59 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $234.42 Median $234.42 Typical High $234.42 | Professional | None (both parts) | $234.42 | $234.42 | $234.42 |
Cigna Setting Facility Modifier None Typical Low $1,023.29 Median $1,584.89 Typical High $2,137.96 | Facility | None | $1,023.29 | $1,584.89 | $2,137.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $467.74 Median $616.60 Typical High $1,096.48 | Professional | None (both parts) | $467.74 | $616.60 | $1,096.48 |
Medcost Setting Professional Modifier None Typical Low $891.25 Median $891.25 Typical High $891.25 | Professional | None | $891.25 | $891.25 | $891.25 |
Medcost Setting Facility Modifier None Typical Low $316.23 Median $354.81 Typical High $380.19 | Facility | None | $316.23 | $354.81 | $380.19 |
Medcost Setting Professional Modifier None (both parts) Typical Low $446.68 Median $891.25 Typical High $977.24 | Professional | None (both parts) | $446.68 | $891.25 | $977.24 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $323.59 Median $446.68 Typical High $549.54 | Professional | 51 · Multiple procedures | $323.59 | $446.68 | $549.54 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $128.82 Median $177.83 Typical High $218.78 | Professional | 80 · Assistant surgeon | $128.82 | $177.83 | $218.78 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $91.20 Median $123.03 Typical High $151.36 | Professional | 81 · Minimal assistant surgeon | $91.20 | $123.03 | $151.36 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $91.20 Median $123.03 Typical High $151.36 | Professional | 82 · Assistant surgeon, no resident | $91.20 | $123.03 | $151.36 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $91.20 Median $123.03 Typical High $151.36 | Professional | AS · PA/NP assist | $91.20 | $123.03 | $151.36 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $87.10 Median $281.84 Typical High $616.60 | Professional | None (both parts) | $87.10 | $281.84 | $616.60 |
United Setting Professional Modifier None (both parts) Typical Low $380.19 Median $562.34 Typical High $1,000.00 | Professional | None (both parts) | $380.19 | $562.34 | $1,000.00 |
Where North Carolina sits
The same service costs 5.4 times more in Wyoming 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· 19th of 51
$589
WY $1,380TX $257
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.