How much rates vary
Facilitymedian $1,148 · 10th to 90th $269 to $2,138Professionalmedian $575 · 10th to 90th $269 to $933
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 $77.62 Median $77.62 Typical High $154.88 | Professional | 26 · Professional part | $77.62 | $77.62 | $154.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $194.98 Typical High $407.38 | Professional | TC · Technical part | $194.98 | $194.98 | $407.38 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $165.96 Typical High $245.47 | Professional | 26 · Professional part | $128.82 | $165.96 | $245.47 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $512.86 Median $776.25 Typical High $1,071.52 | Professional | TC · Technical part | $512.86 | $776.25 | $1,071.52 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $104.71 Typical High $223.87 | Professional | 26 · Professional part | $75.86 | $104.71 | $223.87 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $524.81 Typical High $851.14 | Professional | TC · Technical part | $281.84 | $524.81 | $851.14 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $131.83 Typical High $223.87 | Professional | 26 · Professional part | $97.72 | $131.83 | $223.87 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $588.84 Typical High $758.58 | Professional | TC · Technical part | $251.19 | $588.84 | $758.58 |
United Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $97.72 Typical High $204.17 | Professional | 26 · Professional part | $75.86 | $97.72 | $204.17 |
United Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $407.38 Typical High $741.31 | Professional | TC · Technical part | $208.93 | $407.38 | $741.31 |
20 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 $269.15 Median $269.15 Typical High $1,905.46 | Facility | None | $269.15 | $269.15 | $1,905.46 |
Aetna Setting Professional Modifier None (both parts) Typical Low $269.15 Median $269.15 Typical High $645.65 | Professional | None (both parts) | $269.15 | $269.15 | $645.65 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $134.90 Median $134.90 Typical High $213.80 | Professional | 52 · Reduced service | $134.90 | $134.90 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $53.70 Median $53.70 Typical High $85.11 | Professional | 53 · Discontinued | $53.70 | $53.70 | $85.11 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $213.80 Median $213.80 Typical High $323.59 | Professional | FX · Film X-ray | $213.80 | $213.80 | $323.59 |
BCBS North Carolina Setting Facility Modifier None Typical Low $1,905.46 Median $1,905.46 Typical High $2,344.23 | Facility | None | $1,905.46 | $1,905.46 | $2,344.23 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | None (both parts) | $199.53 | $199.53 | $199.53 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $1,148.15 Typical High $2,238.72 | Facility | None | $741.31 | $1,148.15 | $2,238.72 |
Cigna Setting Professional Modifier None (both parts) Typical Low $389.05 Median $616.60 Typical High $1,047.13 | Professional | None (both parts) | $389.05 | $616.60 | $1,047.13 |
Medcost Setting Professional Modifier None Typical Low $912.01 Median $912.01 Typical High $912.01 | Professional | None | $912.01 | $912.01 | $912.01 |
Medcost Setting Facility Modifier None Typical Low $245.47 Median $269.15 Typical High $295.12 | Facility | None | $245.47 | $269.15 | $295.12 |
Medcost Setting Professional Modifier None (both parts) Typical Low $346.74 Median $707.95 Typical High $977.24 | Professional | None (both parts) | $346.74 | $707.95 | $977.24 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $776.25 Median $1,202.26 Typical High $1,479.11 | Professional | 50 · Both sides | $776.25 | $1,202.26 | $1,479.11 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $257.04 Median $398.11 Typical High $501.19 | Professional | 51 · Multiple procedures | $257.04 | $398.11 | $501.19 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $107.15 Median $162.18 Typical High $199.53 | Professional | 80 · Assistant surgeon | $107.15 | $162.18 | $199.53 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $74.13 Median $114.82 Typical High $138.04 | Professional | 81 · Minimal assistant surgeon | $74.13 | $114.82 | $138.04 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $74.13 Median $114.82 Typical High $138.04 | Professional | 82 · Assistant surgeon, no resident | $74.13 | $114.82 | $138.04 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $74.13 Median $114.82 Typical High $138.04 | Professional | AS · PA/NP assist | $74.13 | $114.82 | $138.04 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $79.43 Median $239.88 Typical High $478.63 | Professional | None (both parts) | $79.43 | $239.88 | $478.63 |
United Setting Professional Modifier None (both parts) Typical Low $288.40 Median $524.81 Typical High $870.96 | Professional | None (both parts) | $288.40 | $524.81 | $870.96 |
Where North Carolina sits
The same service costs 5.5 times more in Wyoming than in Utah. 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· 9th of 51
$589
WY $1,047UT $191
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.