How much rates vary
Facilitymedian $158 · 10th to 90th $117 to $468Professionalmedian $151 · 10th to 90th $112 to $282
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 $25.12 Median $25.12 Typical High $30.20 | Professional | 26 · Professional part | $25.12 | $25.12 | $30.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $104.71 Typical High $117.49 | Professional | TC · Technical part | $85.11 | $104.71 | $117.49 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $66.07 Typical High $81.28 | Professional | 26 · Professional part | $43.65 | $66.07 | $81.28 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $181.97 Typical High $275.42 | Professional | TC · Technical part | $151.36 | $181.97 | $275.42 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $36.31 Typical High $75.86 | Professional | 26 · Professional part | $26.30 | $36.31 | $75.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $123.03 Typical High $229.09 | Professional | TC · Technical part | $95.50 | $123.03 | $229.09 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $44.67 Typical High $72.44 | Professional | 26 · Professional part | $34.67 | $44.67 | $72.44 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $154.88 Typical High $186.21 | Professional | TC · Technical part | $120.23 | $154.88 | $186.21 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $34.67 Typical High $63.10 | Professional | 26 · Professional part | $26.92 | $34.67 | $63.10 |
United Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $120.23 Typical High $199.53 | Professional | TC · Technical part | $89.13 | $120.23 | $199.53 |
19 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 $114.82 Median $128.82 Typical High $128.82 | Facility | None | $114.82 | $128.82 | $128.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $128.82 Typical High $147.91 | Professional | None (both parts) | $112.20 | $128.82 | $147.91 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $53.70 Median $64.57 Typical High $64.57 | Professional | 52 · Reduced service | $53.70 | $64.57 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $26.30 Typical High $26.30 | Professional | 53 · Discontinued | $21.38 | $26.30 | $26.30 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $95.50 Median $104.71 Typical High $104.71 | Professional | FX · Film X-ray | $95.50 | $104.71 | $104.71 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $67.61 Median $67.61 Typical High $67.61 | Professional | None (both parts) | $67.61 | $67.61 | $67.61 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $346.74 Typical High $467.74 | Facility | None | $117.49 | $346.74 | $467.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $158.49 Typical High $302.00 | Professional | None (both parts) | $123.03 | $158.49 | $302.00 |
Medcost Setting Professional Modifier None Typical Low $204.17 Median $204.17 Typical High $204.17 | Professional | None | $204.17 | $204.17 | $204.17 |
Medcost Setting Facility Modifier None Typical Low $128.82 Median $128.82 Typical High $131.83 | Facility | None | $128.82 | $128.82 | $131.83 |
Medcost Setting Professional Modifier None (both parts) Typical Low $144.54 Median $177.83 Typical High $257.04 | Professional | None (both parts) | $144.54 | $177.83 | $257.04 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $251.19 Median $302.00 Typical High $501.19 | Professional | 50 · Both sides | $251.19 | $302.00 | $501.19 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $83.18 Median $100.00 Typical High $165.96 | Professional | 51 · Multiple procedures | $83.18 | $100.00 | $165.96 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $33.11 Median $39.81 Typical High $66.07 | Professional | 80 · Assistant surgeon | $33.11 | $39.81 | $66.07 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $23.44 Median $28.18 Typical High $46.77 | Professional | 81 · Minimal assistant surgeon | $23.44 | $28.18 | $46.77 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $23.44 Median $28.18 Typical High $46.77 | Professional | 82 · Assistant surgeon, no resident | $23.44 | $28.18 | $46.77 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $23.44 Median $28.18 Typical High $46.77 | Professional | AS · PA/NP assist | $23.44 | $28.18 | $46.77 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $34.67 Median $107.15 Typical High $213.80 | Professional | None (both parts) | $34.67 | $107.15 | $213.80 |
United Setting Professional Modifier None (both parts) Typical Low $117.49 Median $151.36 Typical High $263.03 | Professional | None (both parts) | $117.49 | $151.36 | $263.03 |
Where North Carolina sits
The same service costs 3.5 times more in Alaska than in Texas. 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· 26th of 51
$151
AK $355TX $100
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.