How much rates vary
Facilitymedian $186 · 10th to 90th $95 to $724Professionalmedian $178 · 10th to 90th $95 to $309
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 $33.88 Median $35.48 Typical High $44.67 | Professional | 26 · Professional part | $33.88 | $35.48 | $44.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $60.26 Typical High $102.33 | Professional | TC · Technical part | $57.54 | $60.26 | $102.33 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $102.33 Typical High $117.49 | Professional | 26 · Professional part | $66.07 | $102.33 | $117.49 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $190.55 Typical High $363.08 | Professional | TC · Technical part | $141.25 | $190.55 | $363.08 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $52.48 Typical High $109.65 | Professional | 26 · Professional part | $39.81 | $52.48 | $109.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $151.36 Typical High $208.93 | Professional | TC · Technical part | $64.57 | $151.36 | $208.93 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $67.61 Typical High $104.71 | Professional | 26 · Professional part | $48.98 | $67.61 | $104.71 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $151.36 Typical High $223.87 | Professional | TC · Technical part | $79.43 | $151.36 | $223.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $48.98 Typical High $87.10 | Professional | 26 · Professional part | $38.90 | $48.98 | $87.10 |
United Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $97.72 Typical High $177.83 | Professional | TC · Technical part | $58.88 | $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 $95.50 Median $95.50 Typical High $95.50 | Facility | None | $95.50 | $95.50 | $95.50 |
Aetna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $95.50 Typical High $144.54 | Professional | None (both parts) | $91.20 | $95.50 | $144.54 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $45.71 Median $47.86 Typical High $52.48 | Professional | 52 · Reduced service | $45.71 | $47.86 | $52.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $19.50 Typical High $20.89 | Professional | 53 · Discontinued | $18.20 | $19.50 | $20.89 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $75.86 Median $77.62 Typical High $77.62 | Professional | FX · Film X-ray | $75.86 | $77.62 | $77.62 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | None (both parts) | $102.33 | $102.33 | $102.33 |
Cigna Setting Facility Modifier None Typical Low $104.71 Median $346.74 Typical High $741.31 | Facility | None | $104.71 | $346.74 | $741.31 |
Cigna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $208.93 Typical High $309.03 | Professional | None (both parts) | $112.20 | $208.93 | $309.03 |
Medcost Setting Professional Modifier None Typical Low $316.23 Median $316.23 Typical High $316.23 | Professional | None | $316.23 | $316.23 | $316.23 |
Medcost Setting Facility Modifier None Typical Low $87.10 Median $95.50 Typical High $123.03 | Facility | None | $87.10 | $95.50 | $123.03 |
Medcost Setting Professional Modifier None (both parts) Typical Low $114.82 Median $213.80 Typical High $309.03 | Professional | None (both parts) | $114.82 | $213.80 | $309.03 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $87.10 Median $141.25 Typical High $162.18 | Professional | 51 · Multiple procedures | $87.10 | $141.25 | $162.18 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $34.67 Median $56.23 Typical High $64.57 | Professional | 80 · Assistant surgeon | $34.67 | $56.23 | $64.57 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $24.55 Median $39.81 Typical High $44.67 | Professional | 81 · Minimal assistant surgeon | $24.55 | $39.81 | $44.67 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $24.55 Median $39.81 Typical High $44.67 | Professional | 82 · Assistant surgeon, no resident | $24.55 | $39.81 | $44.67 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $24.55 Median $39.81 Typical High $44.67 | Professional | AS · PA/NP assist | $24.55 | $39.81 | $44.67 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $43.65 Median $102.33 Typical High $204.17 | Professional | None (both parts) | $43.65 | $102.33 | $204.17 |
United Setting Professional Modifier None (both parts) Typical Low $100.00 Median $158.49 Typical High $257.04 | Professional | None (both parts) | $100.00 | $158.49 | $257.04 |
Where North Carolina sits
The same service costs 4.3 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
$178
AK $324UT $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.