How much rates vary
Facilitymedian $200 · 10th to 90th $98 to $759Professionalmedian $186 · 10th to 90th $105 to $331
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 Professional Modifier 26 · Professional part Typical Low $38.90 Median $40.74 Typical High $44.67 | Professional | 26 · Professional part | $38.90 | $40.74 | $44.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $63.10 Typical High $70.79 | Professional | TC · Technical part | $58.88 | $63.10 | $70.79 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $109.65 Typical High $128.82 | Professional | 26 · Professional part | $72.44 | $109.65 | $128.82 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $177.83 Typical High $363.08 | Professional | TC · Technical part | $134.90 | $177.83 | $363.08 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $58.88 Typical High $120.23 | Professional | 26 · Professional part | $43.65 | $58.88 | $120.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $151.36 Typical High $213.80 | Professional | TC · Technical part | $64.57 | $151.36 | $213.80 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $72.44 Typical High $104.71 | Professional | 26 · Professional part | $56.23 | $72.44 | $104.71 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $141.25 Typical High $229.09 | Professional | TC · Technical part | $83.18 | $141.25 | $229.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $56.23 Typical High $97.72 | Professional | 26 · Professional part | $42.66 | $56.23 | $97.72 |
United Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $97.72 Typical High $177.83 | Professional | TC · Technical part | $60.26 | $97.72 | $177.83 |
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 $104.71 Median $104.71 Typical High $104.71 | Facility | None | $104.71 | $104.71 | $104.71 |
Aetna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $104.71 Typical High $114.82 | Professional | None (both parts) | $97.72 | $104.71 | $114.82 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $48.98 Median $52.48 Typical High $57.54 | Professional | 52 · Reduced service | $48.98 | $52.48 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $20.89 Typical High $22.91 | Professional | 53 · Discontinued | $19.50 | $20.89 | $22.91 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | FX · Film X-ray | $83.18 | $83.18 | $83.18 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | None (both parts) | $112.20 | $112.20 | $112.20 |
Cigna Setting Facility Modifier None Typical Low $97.72 Median $323.59 Typical High $794.33 | Facility | None | $97.72 | $323.59 | $794.33 |
Cigna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $223.87 Typical High $331.13 | Professional | None (both parts) | $120.23 | $223.87 | $331.13 |
Medcost Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $331.13 | Professional | None | $331.13 | $331.13 | $331.13 |
Medcost Setting Facility Modifier None Typical Low $93.33 Median $104.71 Typical High $117.49 | Facility | None | $93.33 | $104.71 | $117.49 |
Medcost Setting Professional Modifier None (both parts) Typical Low $131.83 Median $229.09 Typical High $331.13 | Professional | None (both parts) | $131.83 | $229.09 | $331.13 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $89.13 Median $154.88 Typical High $165.96 | Professional | 51 · Multiple procedures | $89.13 | $154.88 | $165.96 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $35.48 Median $61.66 Typical High $66.07 | Professional | 80 · Assistant surgeon | $35.48 | $61.66 | $66.07 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $25.12 Median $43.65 Typical High $46.77 | Professional | 81 · Minimal assistant surgeon | $25.12 | $43.65 | $46.77 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $25.12 Median $43.65 Typical High $46.77 | Professional | 82 · Assistant surgeon, no resident | $25.12 | $43.65 | $46.77 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $25.12 Median $43.65 Typical High $46.77 | Professional | AS · PA/NP assist | $25.12 | $43.65 | $46.77 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $45.71 Median $97.72 Typical High $190.55 | Professional | None (both parts) | $45.71 | $97.72 | $190.55 |
United Setting Professional Modifier None (both parts) Typical Low $104.71 Median $169.82 Typical High $263.03 | Professional | None (both parts) | $104.71 | $169.82 | $263.03 |
Where North Carolina sits
The same service costs 4.6 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· 13th of 51
$186
AK $347UT $75.86
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.