How much rates vary
Facilitymedian $40 · 10th to 90th $30 to $158Professionalmedian $36 · 10th to 90th $27 to $69
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 $7.24 Median $8.32 Typical High $13.18 | Facility | 26 · Professional part | $7.24 | $8.32 | $13.18 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $22.91 Median $23.99 Typical High $37.15 | Facility | TC · Technical part | $22.91 | $23.99 | $37.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $7.41 Typical High $15.14 | Professional | 26 · Professional part | $7.24 | $7.41 | $15.14 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $22.91 Typical High $44.67 | Professional | TC · Technical part | $21.38 | $22.91 | $44.67 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $12.88 Typical High $20.42 | Professional | 26 · Professional part | $8.32 | $12.88 | $20.42 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $14.79 Median $30.90 Typical High $40.74 | Professional | TC · Technical part | $14.79 | $30.90 | $40.74 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $19.50 Typical High $25.12 | Professional | 26 · Professional part | $13.80 | $19.50 | $25.12 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $45.71 Typical High $63.10 | Professional | TC · Technical part | $33.88 | $45.71 | $63.10 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $10.96 Typical High $22.39 | Professional | 26 · Professional part | $8.51 | $10.96 | $22.39 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $26.30 Typical High $63.10 | Professional | TC · Technical part | $20.42 | $26.30 | $63.10 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $16.98 Typical High $25.70 | Professional | 26 · Professional part | $10.00 | $16.98 | $25.70 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $33.11 Typical High $45.71 | Professional | TC · Technical part | $29.51 | $33.11 | $45.71 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $10.00 Typical High $17.78 | Professional | 26 · Professional part | $7.94 | $10.00 | $17.78 |
United Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $27.54 Typical High $52.48 | Professional | TC · Technical part | $20.42 | $27.54 | $52.48 |
22 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 $30.20 Median $31.62 Typical High $48.98 | Facility | None | $30.20 | $31.62 | $48.98 |
Aetna Setting Professional Modifier None (both parts) Typical Low $28.18 Median $30.20 Typical High $60.26 | Professional | None (both parts) | $28.18 | $30.20 | $60.26 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $14.13 Median $15.14 Typical High $16.22 | Professional | 52 · Reduced service | $14.13 | $15.14 | $16.22 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.62 Median $6.03 Typical High $6.46 | Professional | 53 · Discontinued | $5.62 | $6.03 | $6.46 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $22.91 Median $23.99 Typical High $23.99 | Professional | FX · Film X-ray | $22.91 | $23.99 | $23.99 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $21.88 Median $26.92 Typical High $54.95 | Professional | None (both parts) | $21.88 | $26.92 | $54.95 |
Ambetter Setting Professional Modifier 50 · Both sides Typical Low $38.02 Median $56.23 Typical High $83.18 | Professional | 50 · Both sides | $38.02 | $56.23 | $83.18 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $21.88 Median $21.88 Typical High $21.88 | Professional | None (both parts) | $21.88 | $21.88 | $21.88 |
Cigna Setting Facility Modifier None Typical Low $39.81 Median $100.00 Typical High $158.49 | Facility | None | $39.81 | $100.00 | $158.49 |
Cigna Setting Professional Modifier None (both parts) Typical Low $28.84 Median $38.90 Typical High $85.11 | Professional | None (both parts) | $28.84 | $38.90 | $85.11 |
Medcost Setting Professional Modifier None Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | None | $45.71 | $45.71 | $45.71 |
Medcost Setting Facility Modifier None Typical Low $30.20 Median $30.20 Typical High $38.02 | Facility | None | $30.20 | $30.20 | $38.02 |
Medcost Setting Professional Modifier None (both parts) Typical Low $34.67 Median $51.29 Typical High $67.61 | Professional | None (both parts) | $34.67 | $51.29 | $67.61 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $63.10 Median $81.28 Typical High $134.90 | Professional | 50 · Both sides | $63.10 | $81.28 | $134.90 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $20.89 Median $26.92 Typical High $44.67 | Professional | 51 · Multiple procedures | $20.89 | $26.92 | $44.67 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $8.32 Median $10.72 Typical High $17.78 | Professional | 80 · Assistant surgeon | $8.32 | $10.72 | $17.78 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $5.89 Median $7.59 Typical High $12.59 | Professional | 81 · Minimal assistant surgeon | $5.89 | $7.59 | $12.59 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $5.89 Median $7.59 Typical High $12.59 | Professional | 82 · Assistant surgeon, no resident | $5.89 | $7.59 | $12.59 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $5.89 Median $7.59 Typical High $12.59 | Professional | AS · PA/NP assist | $5.89 | $7.59 | $12.59 |
Oscar Health Setting Facility Modifier None Typical Low $602.56 Median $602.56 Typical High $602.56 | Facility | None | $602.56 | $602.56 | $602.56 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $8.71 Median $31.62 Typical High $61.66 | Professional | None (both parts) | $8.71 | $31.62 | $61.66 |
United Setting Professional Modifier None (both parts) Typical Low $28.84 Median $37.15 Typical High $69.18 | Professional | None (both parts) | $28.84 | $37.15 | $69.18 |
Where North Carolina sits
The same service costs 15.1 times more in Vermont 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· 30th of 51
$37.15
VT $407FL $26.92
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.