How much rates vary
Facilitymedian $214 · 10th to 90th $120 to $631Professionalmedian $135 · 10th to 90th $93 to $275
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $23.44 Median $24.55 Typical High $28.84 | Professional | 26 · Professional part | $23.44 | $24.55 | $28.84 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $95.50 Typical High $107.15 | Professional | TC · Technical part | $74.13 | $95.50 | $107.15 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $57.54 Typical High $79.43 | Professional | 26 · Professional part | $43.65 | $57.54 | $79.43 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $173.78 Typical High $229.09 | Professional | TC · Technical part | $112.20 | $173.78 | $229.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $35.48 Typical High $74.13 | Professional | 26 · Professional part | $26.30 | $35.48 | $74.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $95.50 Typical High $245.47 | Professional | TC · Technical part | $63.10 | $95.50 | $245.47 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $44.67 Typical High $63.10 | Professional | 26 · Professional part | $33.88 | $44.67 | $63.10 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $104.71 Typical High $181.97 | Professional | TC · Technical part | $100.00 | $104.71 | $181.97 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $33.88 Typical High $58.88 | Professional | 26 · Professional part | $26.30 | $33.88 | $58.88 |
United Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $104.71 Typical High $218.78 | Professional | TC · Technical part | $70.79 | $104.71 | $218.78 |
19 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 $79.43 Median $120.23 Typical High $120.23 | Facility | None | $79.43 | $120.23 | $120.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $120.23 Typical High $141.25 | Professional | None (both parts) | $97.72 | $120.23 | $141.25 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $52.48 Median $60.26 Typical High $61.66 | Professional | 52 · Reduced service | $52.48 | $60.26 | $61.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $23.99 Typical High $24.55 | Professional | 53 · Discontinued | $20.89 | $23.99 | $24.55 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $89.13 Median $95.50 Typical High $95.50 | Professional | FX · Film X-ray | $89.13 | $95.50 | $95.50 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | None (both parts) | $69.18 | $69.18 | $69.18 |
Cigna Setting Facility Modifier None Typical Low $158.49 Median $407.38 Typical High $630.96 | Facility | None | $158.49 | $407.38 | $630.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $131.83 Typical High $316.23 | Professional | None (both parts) | $93.33 | $131.83 | $316.23 |
Medcost Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | None | $141.25 | $141.25 | $141.25 |
Medcost Setting Facility Modifier None Typical Low $120.23 Median $120.23 Typical High $147.91 | Facility | None | $120.23 | $120.23 | $147.91 |
Medcost Setting Professional Modifier None (both parts) Typical Low $125.89 Median $141.25 Typical High $251.19 | Professional | None (both parts) | $125.89 | $141.25 | $251.19 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $204.17 Median $208.93 Typical High $512.86 | Professional | 50 · Both sides | $204.17 | $208.93 | $512.86 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $69.18 Median $70.79 Typical High $173.78 | Professional | 51 · Multiple procedures | $69.18 | $70.79 | $173.78 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $27.54 Median $28.18 Typical High $69.18 | Professional | 80 · Assistant surgeon | $27.54 | $28.18 | $69.18 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $19.05 Median $19.50 Typical High $47.86 | Professional | 81 · Minimal assistant surgeon | $19.05 | $19.50 | $47.86 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $19.05 Median $19.50 Typical High $47.86 | Professional | 82 · Assistant surgeon, no resident | $19.05 | $19.50 | $47.86 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $19.05 Median $19.50 Typical High $47.86 | Professional | AS · PA/NP assist | $19.05 | $19.50 | $47.86 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $29.51 Median $117.49 Typical High $239.88 | Professional | None (both parts) | $29.51 | $117.49 | $239.88 |
United Setting Professional Modifier None (both parts) Typical Low $93.33 Median $141.25 Typical High $275.42 | Professional | None (both parts) | $93.33 | $141.25 | $275.42 |
Where North Carolina sits
The same service costs 4.2 times more in Alaska than in New York. 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· 30th of 51
$138
AK $398NY $95.50
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.