How much rates vary
Facilitymedian $550 · 10th to 90th $282 to $1,995Professionalmedian $513 · 10th to 90th $282 to $891
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 $64.57 Median $69.18 Typical High $109.65 | Facility | 26 · Professional part | $64.57 | $69.18 | $109.65 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $218.78 Median $257.04 Typical High $524.81 | Facility | TC · Technical part | $218.78 | $257.04 | $524.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $77.62 Typical High $158.49 | Professional | 26 · Professional part | $64.57 | $77.62 | $158.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $257.04 Typical High $512.86 | Professional | TC · Technical part | $218.78 | $257.04 | $512.86 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $147.91 Typical High $204.17 | Professional | 26 · Professional part | $107.15 | $147.91 | $204.17 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $524.81 Median $660.69 Typical High $912.01 | Professional | TC · Technical part | $524.81 | $660.69 | $912.01 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $87.10 Typical High $186.21 | Professional | 26 · Professional part | $63.10 | $87.10 | $186.21 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $446.68 Typical High $776.25 | Professional | TC · Technical part | $323.59 | $446.68 | $776.25 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $112.20 Typical High $199.53 | Professional | 26 · Professional part | $81.28 | $112.20 | $199.53 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $524.81 Typical High $741.31 | Professional | TC · Technical part | $263.03 | $524.81 | $741.31 |
United Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $81.28 Typical High $169.82 | Professional | 26 · Professional part | $63.10 | $81.28 | $169.82 |
United Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $436.52 Typical High $741.31 | Professional | TC · Technical part | $269.15 | $436.52 | $741.31 |
22 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 $281.84 Median $398.11 Typical High $1,445.44 | Facility | None | $281.84 | $398.11 | $1,445.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $281.84 Median $371.54 Typical High $707.95 | Professional | None (both parts) | $281.84 | $371.54 | $707.95 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $141.25 Median $141.25 Typical High $213.80 | Professional | 52 · Reduced service | $141.25 | $141.25 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $56.23 Typical High $85.11 | Professional | 53 · Discontinued | $56.23 | $56.23 | $85.11 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $223.87 Median $223.87 Typical High $323.59 | Professional | FX · Film X-ray | $223.87 | $223.87 | $323.59 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $154.88 Median $309.03 Typical High $575.44 | Professional | None (both parts) | $154.88 | $309.03 | $575.44 |
BCBS North Carolina Setting Facility Modifier None Typical Low $1,071.52 Median $2,187.76 Typical High $2,511.89 | Facility | None | $1,071.52 | $2,187.76 | $2,511.89 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | None (both parts) | $165.96 | $165.96 | $165.96 |
Cigna Setting Facility Modifier None Typical Low $933.25 Median $1,479.11 Typical High $1,862.09 | Facility | None | $933.25 | $1,479.11 | $1,862.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $398.11 Median $537.03 Typical High $977.24 | Professional | None (both parts) | $398.11 | $537.03 | $977.24 |
Medcost Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $758.58 | Professional | None | $758.58 | $758.58 | $758.58 |
Medcost Setting Facility Modifier None Typical Low $257.04 Median $281.84 Typical High $338.84 | Facility | None | $257.04 | $281.84 | $338.84 |
Medcost Setting Professional Modifier None (both parts) Typical Low $338.84 Median $602.56 Typical High $870.96 | Professional | None (both parts) | $338.84 | $602.56 | $870.96 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $741.31 Median $1,148.15 Typical High $1,318.26 | Professional | 50 · Both sides | $741.31 | $1,148.15 | $1,318.26 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $251.19 Median $389.05 Typical High $436.52 | Professional | 51 · Multiple procedures | $251.19 | $389.05 | $436.52 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $100.00 Median $154.88 Typical High $177.83 | Professional | 80 · Assistant surgeon | $100.00 | $154.88 | $177.83 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $69.18 Median $107.15 Typical High $123.03 | Professional | 81 · Minimal assistant surgeon | $69.18 | $107.15 | $123.03 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $69.18 Median $107.15 Typical High $123.03 | Professional | 82 · Assistant surgeon, no resident | $69.18 | $107.15 | $123.03 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $69.18 Median $107.15 Typical High $123.03 | Professional | AS · PA/NP assist | $69.18 | $107.15 | $123.03 |
Oscar Health Setting Facility Modifier None Typical Low $912.01 Median $912.01 Typical High $912.01 | Facility | None | $912.01 | $912.01 | $912.01 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $67.61 Median $281.84 Typical High $562.34 | Professional | None (both parts) | $67.61 | $281.84 | $562.34 |
United Setting Professional Modifier None (both parts) Typical Low $338.84 Median $501.19 Typical High $912.01 | Professional | None (both parts) | $338.84 | $501.19 | $912.01 |
Where North Carolina sits
The same service costs 5.1 times more in Wyoming than in Utah. 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· 17th of 51
$513
WY $1,202UT $234
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.