How much rates vary
Facilitymedian $98 · 10th to 90th $51 to $288Professionalmedian $65 · 10th to 90th $49 to $126
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 $11.75 Median $11.75 Typical High $21.38 | Professional | 26 · Professional part | $11.75 | $11.75 | $21.38 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $39.81 Typical High $75.86 | Professional | TC · Technical part | $34.67 | $39.81 | $75.86 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $33.11 Typical High $42.66 | Professional | 26 · Professional part | $23.99 | $33.11 | $42.66 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $74.13 Typical High $109.65 | Professional | TC · Technical part | $60.26 | $74.13 | $109.65 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $18.62 Typical High $37.15 | Professional | 26 · Professional part | $14.45 | $18.62 | $37.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $48.98 Typical High $112.20 | Professional | TC · Technical part | $38.02 | $48.98 | $112.20 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $21.38 Typical High $30.20 | Professional | 26 · Professional part | $16.60 | $21.38 | $30.20 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $51.29 Typical High $79.43 | Professional | TC · Technical part | $51.29 | $51.29 | $79.43 |
United Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $18.20 Typical High $29.51 | Professional | 26 · Professional part | $13.49 | $18.20 | $29.51 |
United Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $47.86 Typical High $93.33 | Professional | TC · Technical part | $36.31 | $47.86 | $93.33 |
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 $51.29 Median $51.29 Typical High $112.20 | Facility | None | $51.29 | $51.29 | $112.20 |
Aetna Setting Professional Modifier None (both parts) Typical Low $47.86 Median $51.29 Typical High $104.71 | Professional | None (both parts) | $47.86 | $51.29 | $104.71 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $38.90 Median $40.74 Typical High $40.74 | Professional | FX · Film X-ray | $38.90 | $40.74 | $40.74 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $74.13 Median $74.13 Typical High $95.50 | Professional | None (both parts) | $74.13 | $74.13 | $95.50 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | None (both parts) | $35.48 | $35.48 | $35.48 |
Cigna Setting Facility Modifier None Typical Low $72.44 Median $181.97 Typical High $288.40 | Facility | None | $72.44 | $181.97 | $288.40 |
Cigna Setting Professional Modifier None (both parts) Typical Low $51.29 Median $67.61 Typical High $151.36 | Professional | None (both parts) | $51.29 | $67.61 | $151.36 |
Medcost Setting Facility Modifier None Typical Low $51.29 Median $51.29 Typical High $70.79 | Facility | None | $51.29 | $51.29 | $70.79 |
Medcost Setting Professional Modifier None (both parts) Typical Low $54.95 Median $72.44 Typical High $112.20 | Professional | None (both parts) | $54.95 | $72.44 | $112.20 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $36.31 Median $36.31 Typical High $75.86 | Professional | 51 · Multiple procedures | $36.31 | $36.31 | $75.86 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $14.79 Median $14.79 Typical High $30.20 | Professional | 80 · Assistant surgeon | $14.79 | $14.79 | $30.20 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $10.23 Median $10.23 Typical High $21.38 | Professional | 81 · Minimal assistant surgeon | $10.23 | $10.23 | $21.38 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $10.23 Median $10.23 Typical High $21.38 | Professional | 82 · Assistant surgeon, no resident | $10.23 | $10.23 | $21.38 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $10.23 Median $10.23 Typical High $21.38 | Professional | AS · PA/NP assist | $10.23 | $10.23 | $21.38 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $14.45 Median $57.54 Typical High $114.82 | Professional | None (both parts) | $14.45 | $57.54 | $114.82 |
United Setting Professional Modifier None (both parts) Typical Low $48.98 Median $66.07 Typical High $120.23 | Professional | None (both parts) | $48.98 | $66.07 | $120.23 |
Where North Carolina sits
The same service costs 3.5 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· 29th of 51
$66.07
AK $162FL $46.77
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.