How much rates vary
Facilitymedian $38 · 10th to 90th $28 to $148Professionalmedian $37 · 10th to 90th $28 to $69
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 $7.59 Median $8.32 Typical High $13.18 | Facility | 26 · Professional part | $7.59 | $8.32 | $13.18 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $20.89 Median $22.39 Typical High $34.67 | Facility | TC · Technical part | $20.89 | $22.39 | $34.67 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $7.76 Typical High $15.49 | Professional | 26 · Professional part | $7.41 | $7.76 | $15.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $20.89 Typical High $41.69 | Professional | TC · Technical part | $19.50 | $20.89 | $41.69 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $6.46 Median $8.71 Typical High $16.98 | Professional | 26 · Professional part | $6.46 | $8.71 | $16.98 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $26.30 Typical High $30.90 | Professional | TC · Technical part | $21.88 | $26.30 | $30.90 |
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 $33.88 Median $41.69 Typical High $60.26 | Professional | TC · Technical part | $33.88 | $41.69 | $60.26 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $10.96 Typical High $22.91 | Professional | 26 · Professional part | $8.51 | $10.96 | $22.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $26.92 Typical High $60.26 | Professional | TC · Technical part | $20.89 | $26.92 | $60.26 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $15.14 Typical High $23.99 | Professional | 26 · Professional part | $10.47 | $15.14 | $23.99 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $34.67 Typical High $51.29 | Professional | TC · Technical part | $26.92 | $34.67 | $51.29 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $10.47 Typical High $18.62 | Professional | 26 · Professional part | $8.13 | $10.47 | $18.62 |
United Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $26.30 Typical High $48.98 | Professional | TC · Technical part | $19.50 | $26.30 | $48.98 |
20 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 $28.18 Median $30.20 Typical High $47.86 | Facility | None | $28.18 | $30.20 | $47.86 |
Aetna Setting Professional Modifier None (both parts) Typical Low $26.92 Median $28.18 Typical High $57.54 | Professional | None (both parts) | $26.92 | $28.18 | $57.54 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $13.18 Median $14.13 Typical High $15.49 | Professional | 52 · Reduced service | $13.18 | $14.13 | $15.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.37 Median $5.62 Typical High $6.31 | Professional | 53 · Discontinued | $5.37 | $5.62 | $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 $23.99 Median $52.48 Typical High $60.26 | Professional | None (both parts) | $23.99 | $52.48 | $60.26 |
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 $37.15 Median $95.50 Typical High $147.91 | Facility | None | $37.15 | $95.50 | $147.91 |
Cigna Setting Professional Modifier None (both parts) Typical Low $29.51 Median $38.90 Typical High $81.28 | Professional | None (both parts) | $29.51 | $38.90 | $81.28 |
Medcost Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | None | $50.12 | $50.12 | $50.12 |
Medcost Setting Facility Modifier None Typical Low $28.18 Median $28.18 Typical High $35.48 | Facility | None | $28.18 | $28.18 | $35.48 |
Medcost Setting Professional Modifier None (both parts) Typical Low $33.11 Median $48.98 Typical High $75.86 | Professional | None (both parts) | $33.11 | $48.98 | $75.86 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $19.50 Median $24.55 Typical High $42.66 | Professional | 51 · Multiple procedures | $19.50 | $24.55 | $42.66 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $7.76 Median $9.77 Typical High $16.98 | Professional | 80 · Assistant surgeon | $7.76 | $9.77 | $16.98 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $5.50 Median $6.92 Typical High $12.02 | Professional | 81 · Minimal assistant surgeon | $5.50 | $6.92 | $12.02 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $5.50 Median $6.92 Typical High $12.02 | Professional | 82 · Assistant surgeon, no resident | $5.50 | $6.92 | $12.02 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $5.50 Median $6.92 Typical High $12.02 | Professional | AS · PA/NP assist | $5.50 | $6.92 | $12.02 |
Oscar Health Setting Facility Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $1,513.56 | Facility | None | $1,513.56 | $1,513.56 | $1,513.56 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $8.91 Median $29.51 Typical High $58.88 | Professional | None (both parts) | $8.91 | $29.51 | $58.88 |
United Setting Professional Modifier None (both parts) Typical Low $27.54 Median $36.31 Typical High $66.07 | Professional | None (both parts) | $27.54 | $36.31 | $66.07 |
Where North Carolina sits
The same service costs 3.8 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· 27th of 51
$37.15
AK $95.50FL $25.12
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.