How much rates vary
Facilitymedian $38 · 10th to 90th $27 to $141Professionalmedian $35 · 10th to 90th $25 to $66
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 $8.32 Typical High $12.88 | Facility | 26 · Professional part | $7.24 | $8.32 | $12.88 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $19.95 Median $21.38 Typical High $33.11 | Facility | TC · Technical part | $19.95 | $21.38 | $33.11 |
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 $18.20 Median $19.95 Typical High $39.81 | Professional | TC · Technical part | $18.20 | $19.95 | $39.81 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $18.62 Typical High $23.44 | Professional | 26 · Professional part | $12.88 | $18.62 | $23.44 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $38.90 Typical High $57.54 | Professional | TC · Technical part | $30.20 | $38.90 | $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 $18.62 Median $23.99 Typical High $56.23 | Professional | TC · Technical part | $18.62 | $23.99 | $56.23 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $14.13 Typical High $20.42 | Professional | 26 · Professional part | $10.00 | $14.13 | $20.42 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $30.20 Typical High $41.69 | Professional | TC · Technical part | $25.12 | $30.20 | $41.69 |
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 $18.20 Median $24.55 Typical High $46.77 | Professional | TC · Technical part | $18.20 | $24.55 | $46.77 |
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 $26.92 Median $29.51 Typical High $44.67 | Facility | None | $26.92 | $29.51 | $44.67 |
Aetna Setting Professional Modifier None (both parts) Typical Low $25.70 Median $26.92 Typical High $54.95 | Professional | None (both parts) | $25.70 | $26.92 | $54.95 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $12.88 Median $13.49 Typical High $14.45 | Professional | 52 · Reduced service | $12.88 | $13.49 | $14.45 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.13 Median $5.37 Typical High $5.89 | Professional | 53 · Discontinued | $5.13 | $5.37 | $5.89 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $20.89 Median $21.88 Typical High $21.88 | Professional | FX · Film X-ray | $20.89 | $21.88 | $21.88 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $23.44 Median $30.20 Typical High $58.88 | Professional | None (both parts) | $23.44 | $30.20 | $58.88 |
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 $35.48 Median $104.71 Typical High $141.25 | Facility | None | $35.48 | $104.71 | $141.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $26.30 Median $35.48 Typical High $77.62 | Professional | None (both parts) | $26.30 | $35.48 | $77.62 |
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 $26.92 Median $26.92 Typical High $34.67 | Facility | None | $26.92 | $26.92 | $34.67 |
Medcost Setting Professional Modifier None (both parts) Typical Low $32.36 Median $39.81 Typical High $61.66 | Professional | None (both parts) | $32.36 | $39.81 | $61.66 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $53.70 Median $60.26 Typical High $123.03 | Professional | 50 · Both sides | $53.70 | $60.26 | $123.03 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $18.20 Median $19.95 Typical High $40.74 | Professional | 51 · Multiple procedures | $18.20 | $19.95 | $40.74 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $7.24 Median $7.94 Typical High $16.60 | Professional | 80 · Assistant surgeon | $7.24 | $7.94 | $16.60 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $5.01 Median $5.62 Typical High $11.48 | Professional | 81 · Minimal assistant surgeon | $5.01 | $5.62 | $11.48 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $5.01 Median $5.62 Typical High $11.48 | Professional | 82 · Assistant surgeon, no resident | $5.01 | $5.62 | $11.48 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $5.01 Median $5.62 Typical High $11.48 | Professional | AS · PA/NP assist | $5.01 | $5.62 | $11.48 |
Oscar Health Setting Facility Modifier None Typical Low $302.00 Median $302.00 Typical High $302.00 | Facility | None | $302.00 | $302.00 | $302.00 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $8.71 Median $28.84 Typical High $57.54 | Professional | None (both parts) | $8.71 | $28.84 | $57.54 |
United Setting Professional Modifier None (both parts) Typical Low $26.30 Median $34.67 Typical High $63.10 | Professional | None (both parts) | $26.30 | $34.67 | $63.10 |
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· 29th of 51
$34.67
AK $91.20FL $24.55
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.