How much rates vary
Facilitymedian $263 · 10th to 90th $132 to $977Professionalmedian $269 · 10th to 90th $138 to $468
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 $56.23 Median $60.26 Typical High $66.07 | Professional | 26 · Professional part | $56.23 | $60.26 | $66.07 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $87.10 Typical High $97.72 | Professional | TC · Technical part | $70.79 | $87.10 | $97.72 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $165.96 Typical High $194.98 | Professional | 26 · Professional part | $104.71 | $165.96 | $194.98 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $263.03 Typical High $549.54 | Professional | TC · Technical part | $165.96 | $263.03 | $549.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $87.10 Typical High $177.83 | Professional | 26 · Professional part | $64.57 | $87.10 | $177.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $208.93 Typical High $309.03 | Professional | TC · Technical part | $79.43 | $208.93 | $309.03 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $109.65 Typical High $169.82 | Professional | 26 · Professional part | $81.28 | $109.65 | $169.82 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $199.53 Typical High $239.88 | Professional | TC · Technical part | $112.20 | $199.53 | $239.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $81.28 Typical High $141.25 | Professional | 26 · Professional part | $63.10 | $81.28 | $141.25 |
United Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $125.89 Typical High $257.04 | Professional | TC · Technical part | $69.18 | $125.89 | $257.04 |
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 $147.91 Median $147.91 Typical High $147.91 | Facility | None | $147.91 | $147.91 | $147.91 |
Aetna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $147.91 Typical High $169.82 | Professional | None (both parts) | $134.90 | $147.91 | $169.82 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $67.61 Median $74.13 Typical High $77.62 | Professional | 52 · Reduced service | $67.61 | $74.13 | $77.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $29.51 Typical High $31.62 | Professional | 53 · Discontinued | $26.92 | $29.51 | $31.62 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $112.20 Median $117.49 Typical High $117.49 | Professional | FX · Film X-ray | $112.20 | $117.49 | $117.49 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | None (both parts) | $165.96 | $165.96 | $165.96 |
Cigna Setting Facility Modifier None Typical Low $131.83 Median $524.81 Typical High $1,096.48 | Facility | None | $131.83 | $524.81 | $1,096.48 |
Cigna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $316.23 Typical High $426.58 | Professional | None (both parts) | $154.88 | $316.23 | $426.58 |
Medcost Setting Professional Modifier None Typical Low $478.63 Median $478.63 Typical High $478.63 | Professional | None | $478.63 | $478.63 | $478.63 |
Medcost Setting Facility Modifier None Typical Low $131.83 Median $147.91 Typical High $151.36 | Facility | None | $131.83 | $147.91 | $151.36 |
Medcost Setting Professional Modifier None (both parts) Typical Low $165.96 Median $323.59 Typical High $467.74 | Professional | None (both parts) | $165.96 | $323.59 | $467.74 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $131.83 Median $194.98 Typical High $234.42 | Professional | 51 · Multiple procedures | $131.83 | $194.98 | $234.42 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $52.48 Median $77.62 Typical High $93.33 | Professional | 80 · Assistant surgeon | $52.48 | $77.62 | $93.33 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $37.15 Median $54.95 Typical High $66.07 | Professional | 81 · Minimal assistant surgeon | $37.15 | $54.95 | $66.07 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $37.15 Median $54.95 Typical High $66.07 | Professional | 82 · Assistant surgeon, no resident | $37.15 | $54.95 | $66.07 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $37.15 Median $54.95 Typical High $66.07 | Professional | AS · PA/NP assist | $37.15 | $54.95 | $66.07 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $64.57 Median $128.82 Typical High $245.47 | Professional | None (both parts) | $64.57 | $128.82 | $245.47 |
United Setting Professional Modifier None (both parts) Typical Low $138.04 Median $229.09 Typical High $371.54 | Professional | None (both parts) | $138.04 | $229.09 | $371.54 |
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· 12th of 51
$269
AK $447UT $97.72
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.