How much rates vary
Facilitymedian $427 · 10th to 90th $204 to $1,778Professionalmedian $447 · 10th to 90th $204 to $724
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 $64.57 Median $67.61 Typical High $112.20 | Facility | 26 · Professional part | $64.57 | $67.61 | $112.20 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $141.25 Median $169.82 Typical High $524.81 | Facility | TC · Technical part | $141.25 | $169.82 | $524.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $77.62 Typical High $158.49 | Professional | 26 · Professional part | $64.57 | $77.62 | $158.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $177.83 Typical High $436.52 | Professional | TC · Technical part | $141.25 | $177.83 | $436.52 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $85.11 Typical High $123.03 | Professional | 26 · Professional part | $61.66 | $85.11 | $123.03 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $169.82 Typical High $269.15 | Professional | TC · Technical part | $104.71 | $169.82 | $269.15 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $151.36 Typical High $204.17 | Professional | 26 · Professional part | $107.15 | $151.36 | $204.17 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $398.11 Median $602.56 Typical High $912.01 | Professional | TC · Technical part | $398.11 | $602.56 | $912.01 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $87.10 Typical High $186.21 | Professional | 26 · Professional part | $63.10 | $87.10 | $186.21 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $436.52 Typical High $660.69 | Professional | TC · Technical part | $190.55 | $436.52 | $660.69 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $128.82 Typical High $229.09 | Professional | 26 · Professional part | $81.28 | $128.82 | $229.09 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $489.78 Typical High $616.60 | Professional | TC · Technical part | $181.97 | $489.78 | $616.60 |
United Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $81.28 Typical High $169.82 | Professional | 26 · Professional part | $63.10 | $81.28 | $169.82 |
United Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $275.42 Typical High $562.34 | Professional | TC · Technical part | $151.36 | $275.42 | $562.34 |
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 $204.17 Median $263.03 Typical High $1,445.44 | Facility | None | $204.17 | $263.03 | $1,445.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $204.17 Median $269.15 Typical High $630.96 | Professional | None (both parts) | $204.17 | $269.15 | $630.96 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $102.33 Median $102.33 Typical High $213.80 | Professional | 52 · Reduced service | $102.33 | $102.33 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $41.69 Typical High $85.11 | Professional | 53 · Discontinued | $41.69 | $41.69 | $85.11 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $165.96 Median $165.96 Typical High $302.00 | Professional | FX · Film X-ray | $165.96 | $165.96 | $302.00 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $154.88 Median $208.93 Typical High $512.86 | Professional | None (both parts) | $154.88 | $208.93 | $512.86 |
BCBS North Carolina Setting Facility Modifier None Typical Low $1,096.48 Median $1,412.54 Typical High $1,778.28 | Facility | None | $1,096.48 | $1,412.54 | $1,778.28 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | None (both parts) | $165.96 | $165.96 | $165.96 |
Cigna Setting Facility Modifier None Typical Low $549.54 Median $870.96 Typical High $1,862.09 | Facility | None | $549.54 | $870.96 | $1,862.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $275.42 Median $512.86 Typical High $831.76 | Professional | None (both parts) | $275.42 | $512.86 | $831.76 |
Medcost Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $758.58 | Professional | None | $758.58 | $758.58 | $758.58 |
Medcost Setting Facility Modifier None Typical Low $186.21 Median $204.17 Typical High $229.09 | Facility | None | $186.21 | $204.17 | $229.09 |
Medcost Setting Professional Modifier None (both parts) Typical Low $263.03 Median $588.84 Typical High $794.33 | Professional | None (both parts) | $263.03 | $588.84 | $794.33 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $575.44 Median $933.25 Typical High $1,174.90 | Professional | 50 · Both sides | $575.44 | $933.25 | $1,174.90 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $190.55 Median $316.23 Typical High $398.11 | Professional | 51 · Multiple procedures | $190.55 | $316.23 | $398.11 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $75.86 Median $125.89 Typical High $158.49 | Professional | 80 · Assistant surgeon | $75.86 | $125.89 | $158.49 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $53.70 Median $87.10 Typical High $109.65 | Professional | 81 · Minimal assistant surgeon | $53.70 | $87.10 | $109.65 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $53.70 Median $87.10 Typical High $109.65 | Professional | 82 · Assistant surgeon, no resident | $53.70 | $87.10 | $109.65 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $53.70 Median $87.10 Typical High $109.65 | Professional | AS · PA/NP assist | $53.70 | $87.10 | $109.65 |
Oscar Health Setting Facility Modifier None Typical Low $912.01 Median $912.01 Typical High $912.01 | Facility | None | $912.01 | $912.01 | $912.01 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $67.61 Median $190.55 Typical High $371.54 | Professional | None (both parts) | $67.61 | $190.55 | $371.54 |
United Setting Professional Modifier None (both parts) Typical Low $218.78 Median $398.11 Typical High $660.69 | Professional | None (both parts) | $218.78 | $398.11 | $660.69 |
Where North Carolina sits
The same service costs 13.5 times more in Vermont 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· 15th of 51
$447
VT $2,089UT $155
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.