How much rates vary
Facilitymedian $251 · 10th to 90th $117 to $589Professionalmedian $135 · 10th to 90th $102 to $263
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 $23.44 Median $24.55 Typical High $28.84 | Professional | 26 · Professional part | $23.44 | $24.55 | $28.84 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $93.33 Typical High $107.15 | Professional | TC · Technical part | $81.28 | $93.33 | $107.15 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $56.23 Typical High $79.43 | Professional | 26 · Professional part | $43.65 | $56.23 | $79.43 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $158.49 Typical High $229.09 | Professional | TC · Technical part | $85.11 | $158.49 | $229.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $36.31 Typical High $74.13 | Professional | 26 · Professional part | $26.92 | $36.31 | $74.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $100.00 Typical High $251.19 | Professional | TC · Technical part | $75.86 | $100.00 | $251.19 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $39.81 Typical High $64.57 | Professional | 26 · Professional part | $34.67 | $39.81 | $64.57 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $123.03 Typical High $181.97 | Professional | TC · Technical part | $95.50 | $123.03 | $181.97 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $34.67 Typical High $60.26 | Professional | 26 · Professional part | $26.92 | $34.67 | $60.26 |
United Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $107.15 Typical High $204.17 | Professional | TC · Technical part | $75.86 | $107.15 | $204.17 |
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 $117.49 Median $117.49 Typical High $117.49 | Facility | None | $117.49 | $117.49 | $117.49 |
Aetna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $117.49 Typical High $134.90 | Professional | None (both parts) | $104.71 | $117.49 | $134.90 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $52.48 Median $58.88 Typical High $61.66 | Professional | 52 · Reduced service | $52.48 | $58.88 | $61.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $23.44 Typical High $25.12 | Professional | 53 · Discontinued | $20.89 | $23.44 | $25.12 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $89.13 Median $93.33 Typical High $93.33 | Professional | FX · Film X-ray | $89.13 | $93.33 | $93.33 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | None (both parts) | $69.18 | $69.18 | $69.18 |
Cigna Setting Facility Modifier None Typical Low $147.91 Median $380.19 Typical High $588.84 | Facility | None | $147.91 | $380.19 | $588.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $138.04 Typical High $316.23 | Professional | None (both parts) | $102.33 | $138.04 | $316.23 |
Medcost Setting Professional Modifier None Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | None | $173.78 | $173.78 | $173.78 |
Medcost Setting Facility Modifier None Typical Low $117.49 Median $117.49 Typical High $147.91 | Facility | None | $117.49 | $117.49 | $147.91 |
Medcost Setting Professional Modifier None (both parts) Typical Low $120.23 Median $134.90 Typical High $234.42 | Professional | None (both parts) | $120.23 | $134.90 | $234.42 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $199.53 Median $204.17 Typical High $524.81 | Professional | 50 · Both sides | $199.53 | $204.17 | $524.81 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $67.61 Median $67.61 Typical High $173.78 | Professional | 51 · Multiple procedures | $67.61 | $67.61 | $173.78 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $26.92 Median $26.92 Typical High $69.18 | Professional | 80 · Assistant surgeon | $26.92 | $26.92 | $69.18 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $18.62 Median $19.05 Typical High $48.98 | Professional | 81 · Minimal assistant surgeon | $18.62 | $19.05 | $48.98 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $18.62 Median $19.05 Typical High $48.98 | Professional | 82 · Assistant surgeon, no resident | $18.62 | $19.05 | $48.98 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $18.62 Median $19.05 Typical High $48.98 | Professional | AS · PA/NP assist | $18.62 | $19.05 | $48.98 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $30.20 Median $123.03 Typical High $239.88 | Professional | None (both parts) | $30.20 | $123.03 | $239.88 |
United Setting Professional Modifier None (both parts) Typical Low $104.71 Median $141.25 Typical High $263.03 | Professional | None (both parts) | $104.71 | $141.25 | $263.03 |
Where North Carolina sits
The same service costs 3.9 times more in Alaska than in New York. 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· 30th of 51
$135
AK $380NY $97.72
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.