How much rates vary
Facilitymedian $45 · 10th to 90th $32 to $138Professionalmedian $40 · 10th to 90th $29 to $74
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 $7.59 Median $8.32 Typical High $13.80 | Facility | 26 · Professional part | $7.59 | $8.32 | $13.80 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $23.99 Median $25.12 Typical High $39.81 | Facility | TC · Technical part | $23.99 | $25.12 | $39.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $7.76 Typical High $15.14 | Professional | 26 · Professional part | $7.41 | $7.76 | $15.14 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $23.99 Typical High $46.77 | Professional | TC · Technical part | $21.88 | $23.99 | $46.77 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $12.59 Typical High $16.60 | Professional | 26 · Professional part | $6.76 | $12.59 | $16.60 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $32.36 Typical High $43.65 | Professional | TC · Technical part | $21.88 | $32.36 | $43.65 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $19.50 Typical High $25.70 | Professional | 26 · Professional part | $13.80 | $19.50 | $25.70 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $45.71 Typical High $67.61 | Professional | TC · Technical part | $34.67 | $45.71 | $67.61 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $11.48 Typical High $22.91 | Professional | 26 · Professional part | $8.51 | $11.48 | $22.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $27.54 Typical High $64.57 | Professional | TC · Technical part | $20.42 | $27.54 | $64.57 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $15.14 Typical High $25.70 | Professional | 26 · Professional part | $10.47 | $15.14 | $25.70 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $33.11 Typical High $50.12 | Professional | TC · Technical part | $30.20 | $33.11 | $50.12 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $10.47 Typical High $18.62 | Professional | 26 · Professional part | $8.32 | $10.47 | $18.62 |
United Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $29.51 Typical High $57.54 | Professional | TC · Technical part | $20.42 | $29.51 | $57.54 |
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 $31.62 Median $33.11 Typical High $48.98 | Facility | None | $31.62 | $33.11 | $48.98 |
Aetna Setting Professional Modifier None (both parts) Typical Low $29.51 Median $31.62 Typical High $64.57 | Professional | None (both parts) | $29.51 | $31.62 | $64.57 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $14.79 Median $15.85 Typical High $16.98 | Professional | 52 · Reduced service | $14.79 | $15.85 | $16.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.89 Median $6.31 Typical High $6.92 | Professional | 53 · Discontinued | $5.89 | $6.31 | $6.92 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $23.99 Median $25.70 Typical High $25.70 | Professional | FX · Film X-ray | $23.99 | $25.70 | $25.70 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $25.70 Median $38.90 Typical High $70.79 | Professional | None (both parts) | $25.70 | $38.90 | $70.79 |
Ambetter Setting Professional Modifier 50 · Both sides Typical Low $51.29 Median $75.86 Typical High $89.13 | Professional | 50 · Both sides | $51.29 | $75.86 | $89.13 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $21.88 Median $21.88 Typical High $21.88 | Professional | None (both parts) | $21.88 | $21.88 | $21.88 |
Cigna Setting Facility Modifier None Typical Low $44.67 Median $107.15 Typical High $177.83 | Facility | None | $44.67 | $107.15 | $177.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $28.84 Median $39.81 Typical High $91.20 | Professional | None (both parts) | $28.84 | $39.81 | $91.20 |
Medcost Setting Professional Modifier None Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | None | $45.71 | $45.71 | $45.71 |
Medcost Setting Facility Modifier None Typical Low $31.62 Median $31.62 Typical High $42.66 | Facility | None | $31.62 | $31.62 | $42.66 |
Medcost Setting Professional Modifier None (both parts) Typical Low $37.15 Median $52.48 Typical High $72.44 | Professional | None (both parts) | $37.15 | $52.48 | $72.44 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $63.10 Median $81.28 Typical High $141.25 | Professional | 50 · Both sides | $63.10 | $81.28 | $141.25 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $20.89 Median $26.92 Typical High $47.86 | Professional | 51 · Multiple procedures | $20.89 | $26.92 | $47.86 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $8.51 Median $10.72 Typical High $19.05 | Professional | 80 · Assistant surgeon | $8.51 | $10.72 | $19.05 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $5.89 Median $7.59 Typical High $13.18 | Professional | 81 · Minimal assistant surgeon | $5.89 | $7.59 | $13.18 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $5.89 Median $7.59 Typical High $13.18 | Professional | 82 · Assistant surgeon, no resident | $5.89 | $7.59 | $13.18 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $5.89 Median $7.59 Typical High $13.18 | Professional | AS · PA/NP assist | $5.89 | $7.59 | $13.18 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $9.33 Median $34.67 Typical High $69.18 | Professional | None (both parts) | $9.33 | $34.67 | $69.18 |
United Setting Professional Modifier None (both parts) Typical Low $28.84 Median $39.81 Typical High $74.13 | Professional | None (both parts) | $28.84 | $39.81 | $74.13 |
Where North Carolina sits
The same service costs 13.5 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· 31st of 51
$39.81
VT $389FL $28.84
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.