How much rates vary
Facilitymedian $427 · 10th to 90th $234 to $1,820Professionalmedian $501 · 10th to 90th $234 to $832
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 $69.18 Median $83.18 Typical High $120.23 | Facility | 26 · Professional part | $69.18 | $83.18 | $120.23 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $165.96 Median $199.53 Typical High $524.81 | Facility | TC · Technical part | $165.96 | $199.53 | $524.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $85.11 Typical High $162.18 | Professional | 26 · Professional part | $69.18 | $85.11 | $162.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $204.17 Typical High $457.09 | Professional | TC · Technical part | $165.96 | $204.17 | $457.09 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $107.15 Typical High $128.82 | Professional | 26 · Professional part | $70.79 | $107.15 | $128.82 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $162.18 Typical High $218.78 | Professional | 26 · Professional part | $114.82 | $162.18 | $218.78 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $446.68 Median $660.69 Typical High $912.01 | Professional | TC · Technical part | $446.68 | $660.69 | $912.01 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $95.50 Typical High $199.53 | Professional | 26 · Professional part | $69.18 | $95.50 | $199.53 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $446.68 Typical High $758.58 | Professional | TC · Technical part | $245.47 | $446.68 | $758.58 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $120.23 Typical High $213.80 | Professional | 26 · Professional part | $87.10 | $120.23 | $213.80 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $501.19 Typical High $691.83 | Professional | TC · Technical part | $218.78 | $501.19 | $691.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $87.10 Typical High $181.97 | Professional | 26 · Professional part | $69.18 | $87.10 | $181.97 |
United Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $346.74 Typical High $616.60 | Professional | TC · Technical part | $181.97 | $346.74 | $616.60 |
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 $234.42 Median $309.03 Typical High $1,445.44 | Facility | None | $234.42 | $309.03 | $1,445.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $234.42 Median $309.03 Typical High $676.08 | Professional | None (both parts) | $234.42 | $309.03 | $676.08 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $117.49 Median $117.49 Typical High $213.80 | Professional | 52 · Reduced service | $117.49 | $117.49 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $46.77 Typical High $85.11 | Professional | 53 · Discontinued | $46.77 | $46.77 | $85.11 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $190.55 Median $190.55 Typical High $309.03 | Professional | FX · Film X-ray | $190.55 | $190.55 | $309.03 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $229.09 Median $426.58 Typical High $426.58 | Professional | None (both parts) | $229.09 | $426.58 | $426.58 |
BCBS North Carolina Setting Facility Modifier None Typical Low $891.25 Median $1,862.09 Typical High $1,995.26 | Facility | None | $891.25 | $1,862.09 | $1,995.26 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | None (both parts) | $181.97 | $181.97 | $181.97 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $977.24 Typical High $1,862.09 | Facility | None | $630.96 | $977.24 | $1,862.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $346.74 Median $524.81 Typical High $977.24 | Professional | None (both parts) | $346.74 | $524.81 | $977.24 |
Medcost Setting Professional Modifier None Typical Low $776.25 Median $776.25 Typical High $776.25 | Professional | None | $776.25 | $776.25 | $776.25 |
Medcost Setting Facility Modifier None Typical Low $213.80 Median $234.42 Typical High $257.04 | Facility | None | $213.80 | $234.42 | $257.04 |
Medcost Setting Professional Modifier None (both parts) Typical Low $302.00 Median $588.84 Typical High $870.96 | Professional | None (both parts) | $302.00 | $588.84 | $870.96 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $181.97 Median $295.12 Typical High $436.52 | Professional | 51 · Multiple procedures | $181.97 | $295.12 | $436.52 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $72.44 Median $117.49 Typical High $173.78 | Professional | 80 · Assistant surgeon | $72.44 | $117.49 | $173.78 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $50.12 Median $83.18 Typical High $123.03 | Professional | 81 · Minimal assistant surgeon | $50.12 | $83.18 | $123.03 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $50.12 Median $83.18 Typical High $123.03 | Professional | 82 · Assistant surgeon, no resident | $50.12 | $83.18 | $123.03 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $50.12 Median $83.18 Typical High $123.03 | Professional | AS · PA/NP assist | $50.12 | $83.18 | $123.03 |
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 $72.44 Median $208.93 Typical High $416.87 | Professional | None (both parts) | $72.44 | $208.93 | $416.87 |
United Setting Professional Modifier None (both parts) Typical Low $257.04 Median $457.09 Typical High $758.58 | Professional | None (both parts) | $257.04 | $457.09 | $758.58 |
Where North Carolina sits
The same service costs 6.0 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
$501
WY $912UT $151
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.