How much rates vary
Facilitymedian $38 · 10th to 90th $28 to $151Professionalmedian $36 · 10th to 90th $27 to $68
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 $7.24 Median $7.76 Typical High $12.88 | Facility | 26 · Professional part | $7.24 | $7.76 | $12.88 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $20.89 Median $21.88 Typical High $33.88 | Facility | TC · Technical part | $20.89 | $21.88 | $33.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $7.24 Typical High $14.79 | Professional | 26 · Professional part | $7.08 | $7.24 | $14.79 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $20.89 Typical High $41.69 | Professional | TC · Technical part | $18.62 | $20.89 | $41.69 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $6.17 Median $14.79 Typical High $16.22 | Professional | 26 · Professional part | $6.17 | $14.79 | $16.22 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $18.20 Typical High $23.44 | Professional | 26 · Professional part | $12.88 | $18.20 | $23.44 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $40.74 Typical High $57.54 | Professional | TC · Technical part | $30.90 | $40.74 | $57.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $10.47 Typical High $21.88 | Professional | 26 · Professional part | $7.59 | $10.47 | $21.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $25.12 Typical High $58.88 | Professional | TC · Technical part | $19.05 | $25.12 | $58.88 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $12.88 Typical High $22.91 | Professional | 26 · Professional part | $10.00 | $12.88 | $22.91 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $30.90 Typical High $51.29 | Professional | TC · Technical part | $25.70 | $30.90 | $51.29 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $10.00 Typical High $17.78 | Professional | 26 · Professional part | $7.76 | $10.00 | $17.78 |
United Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $25.70 Typical High $48.98 | Professional | TC · Technical part | $19.50 | $25.70 | $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 $29.51 Typical High $46.77 | Facility | None | $28.18 | $29.51 | $46.77 |
Aetna Setting Professional Modifier None (both parts) Typical Low $26.30 Median $28.18 Typical High $56.23 | Professional | None (both parts) | $26.30 | $28.18 | $56.23 |
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 $5.25 Median $5.62 Typical High $6.17 | Professional | 53 · Discontinued | $5.25 | $5.62 | $6.17 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $21.38 Median $22.39 Typical High $22.39 | Professional | FX · Film X-ray | $21.38 | $22.39 | $22.39 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $41.69 Median $46.77 Typical High $52.48 | Professional | None (both parts) | $41.69 | $46.77 | $52.48 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $19.95 Median $19.95 Typical High $19.95 | Professional | None (both parts) | $19.95 | $19.95 | $19.95 |
Cigna Setting Facility Modifier None Typical Low $38.02 Median $95.50 Typical High $151.36 | Facility | None | $38.02 | $95.50 | $151.36 |
Cigna Setting Professional Modifier None (both parts) Typical Low $26.92 Median $37.15 Typical High $79.43 | Professional | None (both parts) | $26.92 | $37.15 | $79.43 |
Medcost Setting Professional Modifier None Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | None | $44.67 | $44.67 | $44.67 |
Medcost Setting Facility Modifier None Typical Low $28.18 Median $28.18 Typical High $37.15 | Facility | None | $28.18 | $28.18 | $37.15 |
Medcost Setting Professional Modifier None (both parts) Typical Low $30.20 Median $44.67 Typical High $69.18 | Professional | None (both parts) | $30.20 | $44.67 | $69.18 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $57.54 Median $67.61 Typical High $128.82 | Professional | 50 · Both sides | $57.54 | $67.61 | $128.82 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $19.05 Median $22.39 Typical High $42.66 | Professional | 51 · Multiple procedures | $19.05 | $22.39 | $42.66 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $7.59 Median $8.91 Typical High $16.98 | Professional | 80 · Assistant surgeon | $7.59 | $8.91 | $16.98 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $5.37 Median $6.31 Typical High $12.02 | Professional | 81 · Minimal assistant surgeon | $5.37 | $6.31 | $12.02 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $5.37 Median $6.31 Typical High $12.02 | Professional | 82 · Assistant surgeon, no resident | $5.37 | $6.31 | $12.02 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $5.37 Median $6.31 Typical High $12.02 | Professional | AS · PA/NP assist | $5.37 | $6.31 | $12.02 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $8.71 Median $30.90 Typical High $61.66 | Professional | None (both parts) | $8.71 | $30.90 | $61.66 |
United Setting Professional Modifier None (both parts) Typical Low $26.92 Median $35.48 Typical High $66.07 | Professional | None (both parts) | $26.92 | $35.48 | $66.07 |
Where North Carolina sits
The same service costs 6.0 times more in Vermont 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· 29th of 51
$36.31
VT $155FL $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.