How much rates vary
Facilitymedian $56 · 10th to 90th $41 to $224Professionalmedian $51 · 10th to 90th $38 to $98
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 $9.77 Median $10.23 Typical High $16.98 | Facility | 26 · Professional part | $9.77 | $10.23 | $16.98 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $30.90 Median $32.36 Typical High $57.54 | Facility | TC · Technical part | $30.90 | $32.36 | $57.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $10.00 Typical High $19.50 | Professional | 26 · Professional part | $9.77 | $10.00 | $19.50 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $30.90 Typical High $61.66 | Professional | TC · Technical part | $28.18 | $30.90 | $61.66 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $14.13 Typical High $20.89 | Professional | 26 · Professional part | $8.32 | $14.13 | $20.89 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $47.86 Typical High $61.66 | Professional | TC · Technical part | $30.20 | $47.86 | $61.66 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $25.70 Typical High $33.88 | Professional | 26 · Professional part | $19.05 | $25.70 | $33.88 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $60.26 Typical High $87.10 | Professional | TC · Technical part | $48.98 | $60.26 | $87.10 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $14.79 Typical High $29.51 | Professional | 26 · Professional part | $11.75 | $14.79 | $29.51 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $38.90 Typical High $89.13 | Professional | TC · Technical part | $29.51 | $38.90 | $89.13 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $16.60 Typical High $26.92 | Professional | 26 · Professional part | $13.49 | $16.60 | $26.92 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $41.69 Typical High $64.57 | Professional | TC · Technical part | $40.74 | $41.69 | $64.57 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $14.45 Typical High $23.44 | Professional | 26 · Professional part | $10.72 | $14.45 | $23.44 |
United Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $38.90 Typical High $72.44 | Professional | TC · Technical part | $28.84 | $38.90 | $72.44 |
17 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 $40.74 Median $41.69 Typical High $74.13 | Facility | None | $40.74 | $41.69 | $74.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $38.02 Median $40.74 Typical High $85.11 | Professional | None (both parts) | $38.02 | $40.74 | $85.11 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $30.90 Median $32.36 Typical High $32.36 | Professional | FX · Film X-ray | $30.90 | $32.36 | $32.36 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $30.90 Median $48.98 Typical High $79.43 | Professional | None (both parts) | $30.90 | $48.98 | $79.43 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $28.18 Median $28.18 Typical High $28.18 | Professional | None (both parts) | $28.18 | $28.18 | $28.18 |
Cigna Setting Facility Modifier None Typical Low $56.23 Median $144.54 Typical High $223.87 | Facility | None | $56.23 | $144.54 | $223.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $40.74 Median $54.95 Typical High $120.23 | Professional | None (both parts) | $40.74 | $54.95 | $120.23 |
Medcost Setting Facility Modifier None Typical Low $40.74 Median $40.74 Typical High $54.95 | Facility | None | $40.74 | $40.74 | $54.95 |
Medcost Setting Professional Modifier None (both parts) Typical Low $47.86 Median $58.88 Typical High $91.20 | Professional | None (both parts) | $47.86 | $58.88 | $91.20 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $29.51 Median $29.51 Typical High $61.66 | Professional | 51 · Multiple procedures | $29.51 | $29.51 | $61.66 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $11.75 Median $11.75 Typical High $24.55 | Professional | 80 · Assistant surgeon | $11.75 | $11.75 | $24.55 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $8.13 Median $8.13 Typical High $17.38 | Professional | 81 · Minimal assistant surgeon | $8.13 | $8.13 | $17.38 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $8.13 Median $8.13 Typical High $17.38 | Professional | 82 · Assistant surgeon, no resident | $8.13 | $8.13 | $17.38 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $8.13 Median $8.13 Typical High $17.38 | Professional | AS · PA/NP assist | $8.13 | $8.13 | $17.38 |
Oscar Health Setting Facility Modifier None Typical Low $2,951.21 Median $2,951.21 Typical High $2,951.21 | Facility | None | $2,951.21 | $2,951.21 | $2,951.21 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $11.48 Median $42.66 Typical High $89.13 | Professional | None (both parts) | $11.48 | $42.66 | $89.13 |
United Setting Professional Modifier None (both parts) Typical Low $38.90 Median $52.48 Typical High $95.50 | Professional | None (both parts) | $38.90 | $52.48 | $95.50 |
Where North Carolina sits
The same service costs 11.7 times more in Vermont 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· 29th of 51
$51.29
VT $389UT $33.11
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.