How much rates vary
Facilitymedian $39 · 10th to 90th $26 to $132Professionalmedian $34 · 10th to 90th $26 to $65
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 $7.24 Median $7.24 Typical High $12.88 | Professional | 26 · Professional part | $7.24 | $7.24 | $12.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $18.20 Typical High $32.36 | Professional | TC · Technical part | $17.78 | $18.20 | $32.36 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $19.95 Typical High $25.12 | Professional | 26 · Professional part | $14.13 | $19.95 | $25.12 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $38.02 Typical High $57.54 | Professional | TC · Technical part | $28.18 | $38.02 | $57.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $11.22 Typical High $22.39 | Professional | 26 · Professional part | $8.71 | $11.22 | $22.39 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $24.55 Typical High $52.48 | Professional | TC · Technical part | $18.62 | $24.55 | $52.48 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $12.59 Typical High $18.20 | Professional | 26 · Professional part | $10.00 | $12.59 | $18.20 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $26.92 Typical High $40.74 | Professional | TC · Technical part | $23.99 | $26.92 | $40.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $10.96 Typical High $17.78 | Professional | 26 · Professional part | $7.94 | $10.96 | $17.78 |
United Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $23.99 Typical High $42.66 | Professional | TC · Technical part | $18.20 | $23.99 | $42.66 |
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 $25.70 Median $25.70 Typical High $61.66 | Facility | None | $25.70 | $25.70 | $61.66 |
Aetna Setting Professional Modifier None (both parts) Typical Low $25.12 Median $25.70 Typical High $48.98 | Professional | None (both parts) | $25.12 | $25.70 | $48.98 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $20.42 Median $20.42 Typical High $20.42 | Professional | FX · Film X-ray | $20.42 | $20.42 | $20.42 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $29.51 Median $29.51 Typical High $29.51 | Professional | None (both parts) | $29.51 | $29.51 | $29.51 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $20.89 Median $20.89 Typical High $20.89 | Professional | None (both parts) | $20.89 | $20.89 | $20.89 |
Cigna Setting Facility Modifier None Typical Low $33.11 Median $97.72 Typical High $131.83 | Facility | None | $33.11 | $97.72 | $131.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $27.54 Median $36.31 Typical High $75.86 | Professional | None (both parts) | $27.54 | $36.31 | $75.86 |
Medcost Setting Facility Modifier None Typical Low $25.70 Median $25.70 Typical High $33.11 | Facility | None | $25.70 | $25.70 | $33.11 |
Medcost Setting Professional Modifier None (both parts) Typical Low $27.54 Median $39.81 Typical High $61.66 | Professional | None (both parts) | $27.54 | $39.81 | $61.66 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $58.88 Median $58.88 Typical High $120.23 | Professional | 50 · Both sides | $58.88 | $58.88 | $120.23 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $19.50 Median $19.50 Typical High $39.81 | Professional | 51 · Multiple procedures | $19.50 | $19.50 | $39.81 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $7.94 Median $7.94 Typical High $15.85 | Professional | 80 · Assistant surgeon | $7.94 | $7.94 | $15.85 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $5.50 Median $5.50 Typical High $11.22 | Professional | 81 · Minimal assistant surgeon | $5.50 | $5.50 | $11.22 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $5.50 Median $5.50 Typical High $11.22 | Professional | 82 · Assistant surgeon, no resident | $5.50 | $5.50 | $11.22 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $5.50 Median $5.50 Typical High $11.22 | Professional | AS · PA/NP assist | $5.50 | $5.50 | $11.22 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $8.71 Median $26.92 Typical High $53.70 | Professional | None (both parts) | $8.71 | $26.92 | $53.70 |
United Setting Professional Modifier None (both parts) Typical Low $26.30 Median $34.67 Typical High $60.26 | Professional | None (both parts) | $26.30 | $34.67 | $60.26 |
Where North Carolina sits
The same service costs 3.8 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· 27th of 51
$33.88
AK $87.10FL $22.91
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.