How much rates vary
Facilitymedian $56 · 10th to 90th $44 to $209Professionalmedian $56 · 10th to 90th $44 to $107
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 $13.80 Median $14.79 Typical High $24.55 | Facility | 26 · Professional part | $13.80 | $14.79 | $24.55 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $30.20 Median $32.36 Typical High $50.12 | Facility | TC · Technical part | $30.20 | $32.36 | $50.12 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $13.80 Typical High $28.18 | Professional | 26 · Professional part | $13.49 | $13.80 | $28.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $30.20 Typical High $58.88 | Professional | TC · Technical part | $28.18 | $30.20 | $58.88 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $23.99 Typical High $38.02 | Professional | 26 · Professional part | $15.85 | $23.99 | $38.02 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $36.31 Typical High $46.77 | Professional | 26 · Professional part | $25.70 | $36.31 | $46.77 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $64.57 Typical High $87.10 | Professional | TC · Technical part | $48.98 | $64.57 | $87.10 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $19.95 Typical High $41.69 | Professional | 26 · Professional part | $15.49 | $19.95 | $41.69 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $37.15 Typical High $85.11 | Professional | TC · Technical part | $28.84 | $37.15 | $85.11 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $30.20 Typical High $46.77 | Professional | 26 · Professional part | $19.05 | $30.20 | $46.77 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $46.77 Typical High $74.13 | Professional | TC · Technical part | $38.90 | $46.77 | $74.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $19.05 Typical High $33.88 | Professional | 26 · Professional part | $14.79 | $19.05 | $33.88 |
United Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $37.15 Typical High $69.18 | Professional | TC · Technical part | $28.18 | $37.15 | $69.18 |
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 $43.65 Median $46.77 Typical High $74.13 | Facility | None | $43.65 | $46.77 | $74.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $43.65 Median $43.65 Typical High $89.13 | Professional | None (both parts) | $43.65 | $43.65 | $89.13 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $20.42 Median $21.88 Typical High $23.99 | Professional | 52 · Reduced service | $20.42 | $21.88 | $23.99 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.13 Median $8.71 Typical High $9.55 | Professional | 53 · Discontinued | $8.13 | $8.71 | $9.55 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $33.88 Median $34.67 Typical High $34.67 | Professional | FX · Film X-ray | $33.88 | $34.67 | $34.67 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $37.15 Median $52.48 Typical High $93.33 | Professional | None (both parts) | $37.15 | $52.48 | $93.33 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | None (both parts) | $39.81 | $39.81 | $39.81 |
Cigna Setting Facility Modifier None Typical Low $53.70 Median $131.83 Typical High $208.93 | Facility | None | $53.70 | $131.83 | $208.93 |
Cigna Setting Professional Modifier None (both parts) Typical Low $44.67 Median $57.54 Typical High $125.89 | Professional | None (both parts) | $44.67 | $57.54 | $125.89 |
Medcost Setting Professional Modifier None Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | None | $72.44 | $72.44 | $72.44 |
Medcost Setting Facility Modifier None Typical Low $43.65 Median $43.65 Typical High $54.95 | Facility | None | $43.65 | $43.65 | $54.95 |
Medcost Setting Professional Modifier None (both parts) Typical Low $52.48 Median $70.79 Typical High $107.15 | Professional | None (both parts) | $52.48 | $70.79 | $107.15 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $32.36 Median $35.48 Typical High $66.07 | Professional | 51 · Multiple procedures | $32.36 | $35.48 | $66.07 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $12.88 Median $14.13 Typical High $26.30 | Professional | 80 · Assistant surgeon | $12.88 | $14.13 | $26.30 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $9.12 Median $10.00 Typical High $18.62 | Professional | 81 · Minimal assistant surgeon | $9.12 | $10.00 | $18.62 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $9.12 Median $10.00 Typical High $18.62 | Professional | 82 · Assistant surgeon, no resident | $9.12 | $10.00 | $18.62 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $9.12 Median $10.00 Typical High $18.62 | Professional | AS · PA/NP assist | $9.12 | $10.00 | $18.62 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | None (both parts) | $54.95 | $54.95 | $54.95 |
United Setting Professional Modifier None (both parts) Typical Low $43.65 Median $56.23 Typical High $102.33 | Professional | None (both parts) | $43.65 | $56.23 | $102.33 |
Where North Carolina sits
The same service costs 4.5 times more in Alaska 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· 28th of 51
$56.23
AK $148UT $33.11
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.