How much rates vary
Facilitymedian $59 · 10th to 90th $37 to $182Professionalmedian $48 · 10th to 90th $36 to $91
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 $10.23 Median $10.96 Typical High $19.95 | Professional | 26 · Professional part | $10.23 | $10.96 | $19.95 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $25.70 Typical High $54.95 | Professional | TC · Technical part | $25.70 | $25.70 | $54.95 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $13.80 Typical High $23.99 | Professional | 26 · Professional part | $9.55 | $13.80 | $23.99 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $23.99 Typical High $32.36 | Professional | 26 · Professional part | $16.98 | $23.99 | $32.36 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $58.88 Typical High $83.18 | Professional | TC · Technical part | $43.65 | $58.88 | $83.18 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $14.45 Typical High $31.62 | Professional | 26 · Professional part | $10.47 | $14.45 | $31.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $33.88 Typical High $75.86 | Professional | TC · Technical part | $26.30 | $33.88 | $75.86 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $18.20 Typical High $28.84 | Professional | 26 · Professional part | $15.14 | $18.20 | $28.84 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $42.66 Typical High $60.26 | Professional | TC · Technical part | $33.88 | $42.66 | $60.26 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $13.80 Typical High $25.70 | Professional | 26 · Professional part | $10.47 | $13.80 | $25.70 |
United Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $33.88 Typical High $61.66 | Professional | TC · Technical part | $25.70 | $33.88 | $61.66 |
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 $37.15 Median $37.15 Typical High $60.26 | Facility | None | $37.15 | $37.15 | $60.26 |
Aetna Setting Professional Modifier None (both parts) Typical Low $35.48 Median $37.15 Typical High $74.13 | Professional | None (both parts) | $35.48 | $37.15 | $74.13 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $17.38 Median $18.62 Typical High $20.42 | Professional | 52 · Reduced service | $17.38 | $18.62 | $20.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.92 Median $7.41 Typical High $8.13 | Professional | 53 · Discontinued | $6.92 | $7.41 | $8.13 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $28.18 Median $29.51 Typical High $29.51 | Professional | FX · Film X-ray | $28.18 | $29.51 | $29.51 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $54.95 Median $63.10 Typical High $81.28 | Professional | None (both parts) | $54.95 | $63.10 | $81.28 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $26.30 Median $26.30 Typical High $26.30 | Professional | None (both parts) | $26.30 | $26.30 | $26.30 |
Cigna Setting Facility Modifier None Typical Low $45.71 Median $117.49 Typical High $181.97 | Facility | None | $45.71 | $117.49 | $181.97 |
Cigna Setting Professional Modifier None (both parts) Typical Low $36.31 Median $48.98 Typical High $109.65 | Professional | None (both parts) | $36.31 | $48.98 | $109.65 |
Medcost Setting Professional Modifier None Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | None | $58.88 | $58.88 | $58.88 |
Medcost Setting Facility Modifier None Typical Low $37.15 Median $37.15 Typical High $48.98 | Facility | None | $37.15 | $37.15 | $48.98 |
Medcost Setting Professional Modifier None (both parts) Typical Low $39.81 Median $57.54 Typical High $87.10 | Professional | None (both parts) | $39.81 | $57.54 | $87.10 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $26.92 Median $28.84 Typical High $54.95 | Professional | 51 · Multiple procedures | $26.92 | $28.84 | $54.95 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $10.72 Median $11.48 Typical High $22.39 | Professional | 80 · Assistant surgeon | $10.72 | $11.48 | $22.39 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $7.59 Median $8.13 Typical High $15.49 | Professional | 81 · Minimal assistant surgeon | $7.59 | $8.13 | $15.49 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $7.59 Median $8.13 Typical High $15.49 | Professional | 82 · Assistant surgeon, no resident | $7.59 | $8.13 | $15.49 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $7.59 Median $8.13 Typical High $15.49 | Professional | AS · PA/NP assist | $7.59 | $8.13 | $15.49 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $13.49 Median $39.81 Typical High $79.43 | Professional | None (both parts) | $13.49 | $39.81 | $79.43 |
United Setting Professional Modifier None (both parts) Typical Low $36.31 Median $47.86 Typical High $87.10 | Professional | None (both parts) | $36.31 | $47.86 | $87.10 |
Where North Carolina sits
The same service costs 3.7 times more in Alaska 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· 29th of 51
$47.86
AK $123UT $33.11
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.