How much rates vary
Facilitymedian $44 · 10th to 90th $28 to $148Professionalmedian $36 · 10th to 90th $28 to $71
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 $8.13 Median $8.13 Typical High $14.45 | Facility | 26 · Professional part | $8.13 | $8.13 | $14.45 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $20.42 Median $20.42 Typical High $37.15 | Facility | TC · Technical part | $20.42 | $20.42 | $37.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $8.13 Typical High $15.85 | Professional | 26 · Professional part | $8.13 | $8.13 | $15.85 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $20.42 Typical High $40.74 | Professional | TC · Technical part | $19.05 | $20.42 | $40.74 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $21.88 Typical High $28.18 | Professional | 26 · Professional part | $15.85 | $21.88 | $28.18 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $40.74 Typical High $60.26 | Professional | TC · Technical part | $33.11 | $40.74 | $60.26 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $12.59 Typical High $25.12 | Professional | 26 · Professional part | $9.77 | $12.59 | $25.12 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $26.30 Typical High $58.88 | Professional | TC · Technical part | $19.95 | $26.30 | $58.88 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $14.13 Typical High $20.42 | Professional | 26 · Professional part | $11.22 | $14.13 | $20.42 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $28.18 Typical High $43.65 | Professional | TC · Technical part | $26.92 | $28.18 | $43.65 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $12.30 Typical High $19.95 | Professional | 26 · Professional part | $8.91 | $12.30 | $19.95 |
United Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $25.70 Typical High $47.86 | Professional | TC · Technical part | $19.05 | $25.70 | $47.86 |
16 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 $28.18 Median $28.18 Typical High $52.48 | Facility | None | $28.18 | $28.18 | $52.48 |
Aetna Setting Professional Modifier None (both parts) Typical Low $26.92 Median $28.18 Typical High $57.54 | Professional | None (both parts) | $26.92 | $28.18 | $57.54 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $21.88 Median $22.91 Typical High $22.91 | Professional | FX · Film X-ray | $21.88 | $22.91 | $22.91 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $19.50 Median $19.50 Typical High $52.48 | Professional | None (both parts) | $19.50 | $19.50 | $52.48 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $23.44 Median $23.44 Typical High $23.44 | Professional | None (both parts) | $23.44 | $23.44 | $23.44 |
Cigna Setting Facility Modifier None Typical Low $37.15 Median $100.00 Typical High $147.91 | Facility | None | $37.15 | $100.00 | $147.91 |
Cigna Setting Professional Modifier None (both parts) Typical Low $29.51 Median $38.90 Typical High $83.18 | Professional | None (both parts) | $29.51 | $38.90 | $83.18 |
Medcost Setting Facility Modifier None Typical Low $28.18 Median $28.18 Typical High $38.02 | Facility | None | $28.18 | $28.18 | $38.02 |
Medcost Setting Professional Modifier None (both parts) Typical Low $30.90 Median $41.69 Typical High $63.10 | Professional | None (both parts) | $30.90 | $41.69 | $63.10 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $16.22 Median $20.89 Typical High $43.65 | Professional | 51 · Multiple procedures | $16.22 | $20.89 | $43.65 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $6.46 Median $8.32 Typical High $17.38 | Professional | 80 · Assistant surgeon | $6.46 | $8.32 | $17.38 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $4.57 Median $5.89 Typical High $12.02 | Professional | 81 · Minimal assistant surgeon | $4.57 | $5.89 | $12.02 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $4.57 Median $5.89 Typical High $12.02 | Professional | 82 · Assistant surgeon, no resident | $4.57 | $5.89 | $12.02 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $4.57 Median $5.89 Typical High $12.02 | Professional | AS · PA/NP assist | $4.57 | $5.89 | $12.02 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $9.77 Median $30.90 Typical High $61.66 | Professional | None (both parts) | $9.77 | $30.90 | $61.66 |
United Setting Professional Modifier None (both parts) Typical Low $28.18 Median $37.15 Typical High $67.61 | Professional | None (both parts) | $28.18 | $37.15 | $67.61 |
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· 28th of 51
$37.15
AK $97.72FL $26.30
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.