How much rates vary
Facilitymedian $1,514 · 10th to 90th $339 to $2,951Professionalmedian $617 · 10th to 90th $339 to $1,023
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 $77.62 Median $77.62 Typical High $125.89 | Professional | 26 · Professional part | $77.62 | $77.62 | $125.89 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $263.03 Typical High $371.54 | Professional | TC · Technical part | $263.03 | $263.03 | $371.54 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $162.18 Typical High $245.47 | Professional | 26 · Professional part | $128.82 | $162.18 | $245.47 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $602.56 Median $776.25 Typical High $1,071.52 | Professional | TC · Technical part | $602.56 | $776.25 | $1,071.52 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $104.71 Typical High $223.87 | Professional | 26 · Professional part | $75.86 | $104.71 | $223.87 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $363.08 Median $524.81 Typical High $870.96 | Professional | TC · Technical part | $363.08 | $524.81 | $870.96 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $117.49 Typical High $223.87 | Professional | 26 · Professional part | $97.72 | $117.49 | $223.87 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $346.74 Median $588.84 Typical High $870.96 | Professional | TC · Technical part | $346.74 | $588.84 | $870.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $97.72 Typical High $204.17 | Professional | 26 · Professional part | $77.62 | $97.72 | $204.17 |
United Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $478.63 Typical High $794.33 | Professional | TC · Technical part | $288.40 | $478.63 | $794.33 |
20 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 $338.84 Median $338.84 Typical High $1,905.46 | Facility | None | $338.84 | $338.84 | $1,905.46 |
Aetna Setting Professional Modifier None (both parts) Typical Low $338.84 Median $338.84 Typical High $616.60 | Professional | None (both parts) | $338.84 | $338.84 | $616.60 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $169.82 Median $169.82 Typical High $213.80 | Professional | 52 · Reduced service | $169.82 | $169.82 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $67.61 Median $67.61 Typical High $85.11 | Professional | 53 · Discontinued | $67.61 | $67.61 | $85.11 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $275.42 Median $275.42 Typical High $323.59 | Professional | FX · Film X-ray | $275.42 | $275.42 | $323.59 |
BCBS North Carolina Setting Facility Modifier None Typical Low $1,380.38 Median $2,691.53 Typical High $3,388.44 | Facility | None | $1,380.38 | $2,691.53 | $3,388.44 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | None (both parts) | $199.53 | $199.53 | $199.53 |
Cigna Setting Facility Modifier None Typical Low $1,000.00 Median $1,584.89 Typical High $2,238.72 | Facility | None | $1,000.00 | $1,584.89 | $2,238.72 |
Cigna Setting Professional Modifier None (both parts) Typical Low $446.68 Median $616.60 Typical High $1,071.52 | Professional | None (both parts) | $446.68 | $616.60 | $1,071.52 |
Medcost Setting Professional Modifier None Typical Low $912.01 Median $912.01 Typical High $912.01 | Professional | None | $912.01 | $912.01 | $912.01 |
Medcost Setting Facility Modifier None Typical Low $309.03 Median $338.84 Typical High $371.54 | Facility | None | $309.03 | $338.84 | $371.54 |
Medcost Setting Professional Modifier None (both parts) Typical Low $446.68 Median $707.95 Typical High $977.24 | Professional | None (both parts) | $446.68 | $707.95 | $977.24 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $851.14 Median $1,096.48 Typical High $1,584.89 | Professional | 50 · Both sides | $851.14 | $1,096.48 | $1,584.89 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $281.84 Median $371.54 Typical High $537.03 | Professional | 51 · Multiple procedures | $281.84 | $371.54 | $537.03 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $117.49 Median $147.91 Typical High $213.80 | Professional | 80 · Assistant surgeon | $117.49 | $147.91 | $213.80 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $83.18 Median $102.33 Typical High $147.91 | Professional | 81 · Minimal assistant surgeon | $83.18 | $102.33 | $147.91 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $83.18 Median $102.33 Typical High $147.91 | Professional | 82 · Assistant surgeon, no resident | $83.18 | $102.33 | $147.91 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $83.18 Median $102.33 Typical High $147.91 | Professional | AS · PA/NP assist | $83.18 | $102.33 | $147.91 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $81.28 Median $302.00 Typical High $602.56 | Professional | None (both parts) | $81.28 | $302.00 | $602.56 |
United Setting Professional Modifier None (both parts) Typical Low $371.54 Median $588.84 Typical High $1,023.29 | Professional | None (both parts) | $371.54 | $588.84 | $1,023.29 |
Where North Carolina sits
The same service costs 5.4 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· 15th of 51
$617
WY $1,318UT $245
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.