How much rates vary
Facilitymedian $39 · 10th to 90th $30 to $155Professionalmedian $37 · 10th to 90th $27 to $71
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 $13.18 | Facility | 26 · Professional part | $7.24 | $7.76 | $13.18 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $22.39 Median $23.44 Typical High $36.31 | Facility | TC · Technical part | $22.39 | $23.44 | $36.31 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $7.41 Typical High $14.79 | Professional | 26 · Professional part | $7.24 | $7.41 | $14.79 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $22.39 Typical High $43.65 | Professional | TC · Technical part | $19.95 | $22.39 | $43.65 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $13.18 Typical High $16.22 | Professional | 26 · Professional part | $8.13 | $13.18 | $16.22 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $14.45 Median $31.62 Typical High $42.66 | Professional | TC · Technical part | $14.45 | $31.62 | $42.66 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $17.78 Typical High $24.55 | Professional | 26 · Professional part | $12.88 | $17.78 | $24.55 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $42.66 Typical High $63.10 | Professional | TC · Technical part | $31.62 | $42.66 | $63.10 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $10.47 Typical High $22.39 | Professional | 26 · Professional part | $7.59 | $10.47 | $22.39 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $25.70 Typical High $60.26 | Professional | TC · Technical part | $19.05 | $25.70 | $60.26 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $14.13 Typical High $22.39 | Professional | 26 · Professional part | $10.00 | $14.13 | $22.39 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $30.20 Typical High $47.86 | Professional | TC · Technical part | $27.54 | $30.20 | $47.86 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $10.00 Typical High $18.20 | Professional | 26 · Professional part | $7.76 | $10.00 | $18.20 |
United Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $27.54 Typical High $52.48 | Professional | TC · Technical part | $19.05 | $27.54 | $52.48 |
21 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 $29.51 Median $30.90 Typical High $45.71 | Facility | None | $29.51 | $30.90 | $45.71 |
Aetna Setting Professional Modifier None (both parts) Typical Low $27.54 Median $29.51 Typical High $58.88 | Professional | None (both parts) | $27.54 | $29.51 | $58.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $13.80 Median $14.79 Typical High $16.22 | Professional | 52 · Reduced service | $13.80 | $14.79 | $16.22 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.50 Median $5.89 Typical High $6.46 | Professional | 53 · Discontinued | $5.50 | $5.89 | $6.46 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $22.91 Median $23.44 Typical High $23.44 | Professional | FX · Film X-ray | $22.91 | $23.44 | $23.44 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $25.70 Median $47.86 Typical High $64.57 | Professional | None (both parts) | $25.70 | $47.86 | $64.57 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $21.38 Median $21.38 Typical High $21.38 | Professional | None (both parts) | $21.38 | $21.38 | $21.38 |
Cigna Setting Facility Modifier None Typical Low $38.90 Median $100.00 Typical High $154.88 | Facility | None | $38.90 | $100.00 | $154.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $26.30 Median $37.15 Typical High $83.18 | Professional | None (both parts) | $26.30 | $37.15 | $83.18 |
Medcost Setting Professional Modifier None Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | None | $42.66 | $42.66 | $42.66 |
Medcost Setting Facility Modifier None Typical Low $29.51 Median $29.51 Typical High $38.02 | Facility | None | $29.51 | $29.51 | $38.02 |
Medcost Setting Professional Modifier None (both parts) Typical Low $31.62 Median $39.81 Typical High $66.07 | Professional | None (both parts) | $31.62 | $39.81 | $66.07 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $58.88 Median $60.26 Typical High $134.90 | Professional | 50 · Both sides | $58.88 | $60.26 | $134.90 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $19.95 Median $19.95 Typical High $44.67 | Professional | 51 · Multiple procedures | $19.95 | $19.95 | $44.67 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $7.94 Median $7.94 Typical High $17.78 | Professional | 80 · Assistant surgeon | $7.94 | $7.94 | $17.78 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $5.50 Median $5.62 Typical High $12.59 | Professional | 81 · Minimal assistant surgeon | $5.50 | $5.62 | $12.59 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $5.50 Median $5.62 Typical High $12.59 | Professional | 82 · Assistant surgeon, no resident | $5.50 | $5.62 | $12.59 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $5.50 Median $5.62 Typical High $12.59 | Professional | AS · PA/NP assist | $5.50 | $5.62 | $12.59 |
Oscar Health Setting Facility Modifier None Typical Low $2,187.76 Median $2,187.76 Typical High $2,187.76 | Facility | None | $2,187.76 | $2,187.76 | $2,187.76 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $8.91 Median $31.62 Typical High $63.10 | Professional | None (both parts) | $8.91 | $31.62 | $63.10 |
United Setting Professional Modifier None (both parts) Typical Low $26.92 Median $37.15 Typical High $69.18 | Professional | None (both parts) | $26.92 | $37.15 | $69.18 |
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· 31st of 51
$37.15
AK $100FL $26.92
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.