How much rates vary
Facilitymedian $49 · 10th to 90th $29 to $155Professionalmedian $37 · 10th to 90th $28 to $71
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 $7.24 Median $7.24 Typical High $13.80 | Professional | 26 · Professional part | $7.24 | $7.24 | $13.80 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $21.38 Typical High $41.69 | Professional | TC · Technical part | $19.50 | $21.38 | $41.69 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $19.50 Typical High $25.70 | Professional | 26 · Professional part | $13.80 | $19.50 | $25.70 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $42.66 Typical High $60.26 | Professional | TC · Technical part | $31.62 | $42.66 | $60.26 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $10.96 Typical High $22.39 | Professional | 26 · Professional part | $8.51 | $10.96 | $22.39 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $25.70 Typical High $60.26 | Professional | TC · Technical part | $19.50 | $25.70 | $60.26 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $15.14 Typical High $20.89 | Professional | 26 · Professional part | $10.47 | $15.14 | $20.89 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $31.62 Typical High $44.67 | Professional | TC · Technical part | $26.92 | $31.62 | $44.67 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $10.47 Typical High $18.20 | Professional | 26 · Professional part | $8.13 | $10.47 | $18.20 |
United Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $26.30 Typical High $50.12 | Professional | TC · Technical part | $19.95 | $26.30 | $50.12 |
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 $28.84 Median $28.84 Typical High $47.86 | Facility | None | $28.84 | $28.84 | $47.86 |
Aetna Setting Professional Modifier None (both parts) Typical Low $26.92 Median $28.84 Typical High $57.54 | Professional | None (both parts) | $26.92 | $28.84 | $57.54 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $13.49 Median $14.45 Typical High $15.85 | Professional | 52 · Reduced service | $13.49 | $14.45 | $15.85 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.37 Median $5.75 Typical High $6.31 | Professional | 53 · Discontinued | $5.37 | $5.75 | $6.31 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $21.88 Median $22.91 Typical High $22.91 | Professional | FX · Film X-ray | $21.88 | $22.91 | $22.91 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $31.62 Median $53.70 Typical High $53.70 | Professional | None (both parts) | $31.62 | $53.70 | $53.70 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $21.88 Median $21.88 Typical High $21.88 | Professional | None (both parts) | $21.88 | $21.88 | $21.88 |
Cigna Setting Facility Modifier None Typical Low $38.90 Median $109.65 Typical High $154.88 | Facility | None | $38.90 | $109.65 | $154.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $28.18 Median $38.02 Typical High $81.28 | Professional | None (both parts) | $28.18 | $38.02 | $81.28 |
Medcost Setting Professional Modifier None Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | None | $45.71 | $45.71 | $45.71 |
Medcost Setting Facility Modifier None Typical Low $28.84 Median $28.84 Typical High $38.02 | Facility | None | $28.84 | $28.84 | $38.02 |
Medcost Setting Professional Modifier None (both parts) Typical Low $36.31 Median $45.71 Typical High $67.61 | Professional | None (both parts) | $36.31 | $45.71 | $67.61 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $19.50 Median $22.91 Typical High $43.65 | Professional | 51 · Multiple procedures | $19.50 | $22.91 | $43.65 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $7.76 Median $9.12 Typical High $17.38 | Professional | 80 · Assistant surgeon | $7.76 | $9.12 | $17.38 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $5.50 Median $6.46 Typical High $12.30 | Professional | 81 · Minimal assistant surgeon | $5.50 | $6.46 | $12.30 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $5.50 Median $6.46 Typical High $12.30 | Professional | 82 · Assistant surgeon, no resident | $5.50 | $6.46 | $12.30 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $5.50 Median $6.46 Typical High $12.30 | Professional | AS · PA/NP assist | $5.50 | $6.46 | $12.30 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $8.91 Median $30.90 Typical High $61.66 | Professional | None (both parts) | $8.91 | $30.90 | $61.66 |
United Setting Professional Modifier None (both parts) Typical Low $27.54 Median $36.31 Typical High $67.61 | Professional | None (both parts) | $27.54 | $36.31 | $67.61 |
Where North Carolina sits
The same service costs 3.7 times more in Alaska than in Florida. 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· 28th of 51
$37.15
AK $95.50FL $25.70
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.