How much rates vary
Facilitymedian $26 · 10th to 90th $19 to $87Professionalmedian $28 · 10th to 90th $19 to $54
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 $6.61 Median $7.24 Typical High $11.22 | Facility | 26 · Professional part | $6.61 | $7.24 | $11.22 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $12.02 Median $13.18 Typical High $25.70 | Facility | TC · Technical part | $12.02 | $13.18 | $25.70 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.46 Median $6.61 Typical High $13.80 | Professional | 26 · Professional part | $6.46 | $6.61 | $13.80 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $12.02 Median $12.59 Typical High $27.54 | Professional | TC · Technical part | $12.02 | $12.59 | $27.54 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $16.98 Typical High $21.88 | Professional | 26 · Professional part | $12.02 | $16.98 | $21.88 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $32.36 Typical High $44.67 | Professional | TC · Technical part | $26.30 | $32.36 | $44.67 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $9.55 Typical High $20.42 | Professional | 26 · Professional part | $7.24 | $9.55 | $20.42 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $15.14 Median $19.95 Typical High $38.02 | Professional | TC · Technical part | $15.14 | $19.95 | $38.02 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $12.88 Typical High $20.89 | Professional | 26 · Professional part | $9.33 | $12.88 | $20.89 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $27.54 Typical High $31.62 | Professional | TC · Technical part | $15.85 | $27.54 | $31.62 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $9.33 Typical High $16.60 | Professional | 26 · Professional part | $7.24 | $9.33 | $16.60 |
United Setting Professional Modifier TC · Technical part Typical Low $12.59 Median $18.62 Typical High $31.62 | Professional | TC · Technical part | $12.59 | $18.62 | $31.62 |
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 $18.62 Median $20.42 Typical High $33.88 | Facility | None | $18.62 | $20.42 | $33.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $18.62 Median $19.50 Typical High $39.81 | Professional | None (both parts) | $18.62 | $19.50 | $39.81 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $8.91 Median $9.33 Typical High $10.72 | Professional | 52 · Reduced service | $8.91 | $9.33 | $10.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.63 Median $3.72 Typical High $4.37 | Professional | 53 · Discontinued | $3.63 | $3.72 | $4.37 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $15.14 Median $15.14 Typical High $15.14 | Professional | FX · Film X-ray | $15.14 | $15.14 | $15.14 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $13.80 Median $16.22 Typical High $28.18 | Professional | None (both parts) | $13.80 | $16.22 | $28.18 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $19.05 Median $19.05 Typical High $19.05 | Professional | None (both parts) | $19.05 | $19.05 | $19.05 |
Cigna Setting Facility Modifier None Typical Low $21.88 Median $64.57 Typical High $97.72 | Facility | None | $21.88 | $64.57 | $97.72 |
Cigna Setting Professional Modifier None (both parts) Typical Low $22.39 Median $30.20 Typical High $58.88 | Professional | None (both parts) | $22.39 | $30.20 | $58.88 |
Medcost Setting Professional Modifier None Typical Low $40.74 Median $40.74 Typical High $40.74 | Professional | None | $40.74 | $40.74 | $40.74 |
Medcost Setting Facility Modifier None Typical Low $18.62 Median $18.62 Typical High $24.55 | Facility | None | $18.62 | $18.62 | $24.55 |
Medcost Setting Professional Modifier None (both parts) Typical Low $24.55 Median $34.67 Typical High $51.29 | Professional | None (both parts) | $24.55 | $34.67 | $51.29 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $47.86 Median $61.66 Typical High $93.33 | Professional | 50 · Both sides | $47.86 | $61.66 | $93.33 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $15.85 Median $20.42 Typical High $30.90 | Professional | 51 · Multiple procedures | $15.85 | $20.42 | $30.90 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $6.31 Median $8.13 Typical High $12.30 | Professional | 80 · Assistant surgeon | $6.31 | $8.13 | $12.30 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $4.47 Median $5.75 Typical High $8.71 | Professional | 81 · Minimal assistant surgeon | $4.47 | $5.75 | $8.71 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $4.47 Median $5.75 Typical High $8.71 | Professional | 82 · Assistant surgeon, no resident | $4.47 | $5.75 | $8.71 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $4.47 Median $5.75 Typical High $8.71 | Professional | AS · PA/NP assist | $4.47 | $5.75 | $8.71 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $7.76 Median $16.60 Typical High $37.15 | Professional | None (both parts) | $7.76 | $16.60 | $37.15 |
United Setting Professional Modifier None (both parts) Typical Low $20.42 Median $28.84 Typical High $47.86 | Professional | None (both parts) | $20.42 | $28.84 | $47.86 |
Where North Carolina sits
The same service costs 3.7 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· 26th of 51
$28.18
AK $64.57FL $17.38
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.