How much rates vary
Facilitymedian $1,148 · 10th to 90th $309 to $2,951Professionalmedian $617 · 10th to 90th $309 to $1,023
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 $83.18 Median $83.18 Typical High $162.18 | Professional | 26 · Professional part | $83.18 | $83.18 | $162.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $229.09 Typical High $478.63 | Professional | TC · Technical part | $229.09 | $229.09 | $478.63 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | 26 · Professional part | $257.04 | $257.04 | $257.04 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $138.04 Median $173.78 Typical High $263.03 | Professional | 26 · Professional part | $138.04 | $173.78 | $263.03 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $588.84 Median $812.83 Typical High $1,071.52 | Professional | TC · Technical part | $588.84 | $812.83 | $1,071.52 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $112.20 Typical High $239.88 | Professional | 26 · Professional part | $81.28 | $112.20 | $239.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $537.03 Typical High $954.99 | Professional | TC · Technical part | $338.84 | $537.03 | $954.99 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $141.25 Typical High $251.19 | Professional | 26 · Professional part | $104.71 | $141.25 | $251.19 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $588.84 Typical High $851.14 | Professional | TC · Technical part | $302.00 | $588.84 | $851.14 |
United Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $102.33 Typical High $213.80 | Professional | 26 · Professional part | $81.28 | $102.33 | $213.80 |
United Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $467.74 Typical High $776.25 | Professional | TC · Technical part | $251.19 | $467.74 | $776.25 |
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 $309.03 Median $371.54 Typical High $1,698.24 | Facility | None | $309.03 | $371.54 | $1,698.24 |
Aetna Setting Professional Modifier None (both parts) Typical Low $309.03 Median $309.03 Typical High $776.25 | Professional | None (both parts) | $309.03 | $309.03 | $776.25 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $154.88 Median $154.88 Typical High $213.80 | Professional | 52 · Reduced service | $154.88 | $154.88 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $61.66 Median $61.66 Typical High $85.11 | Professional | 53 · Discontinued | $61.66 | $61.66 | $85.11 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $251.19 Median $251.19 Typical High $323.59 | Professional | FX · Film X-ray | $251.19 | $251.19 | $323.59 |
BCBS North Carolina Setting Facility Modifier None Typical Low $1,148.15 Median $3,090.30 Typical High $3,090.30 | Facility | None | $1,148.15 | $3,090.30 | $3,090.30 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | None (both parts) | $213.80 | $213.80 | $213.80 |
Cigna Setting Facility Modifier None Typical Low $870.96 Median $1,380.38 Typical High $2,238.72 | Facility | None | $870.96 | $1,380.38 | $2,238.72 |
Cigna Setting Professional Modifier None (both parts) Typical Low $446.68 Median $630.96 Typical High $1,174.90 | Professional | None (both parts) | $446.68 | $630.96 | $1,174.90 |
Medcost Setting Professional Modifier None Typical Low $933.25 Median $933.25 Typical High $933.25 | Professional | None | $933.25 | $933.25 | $933.25 |
Medcost Setting Facility Modifier None Typical Low $281.84 Median $309.03 Typical High $338.84 | Facility | None | $281.84 | $309.03 | $338.84 |
Medcost Setting Professional Modifier None (both parts) Typical Low $407.38 Median $707.95 Typical High $1,071.52 | Professional | None (both parts) | $407.38 | $707.95 | $1,071.52 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $295.12 Median $457.09 Typical High $549.54 | Professional | 51 · Multiple procedures | $295.12 | $457.09 | $549.54 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $123.03 Median $186.21 Typical High $218.78 | Professional | 80 · Assistant surgeon | $123.03 | $186.21 | $218.78 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $85.11 Median $131.83 Typical High $151.36 | Professional | 81 · Minimal assistant surgeon | $85.11 | $131.83 | $151.36 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $85.11 Median $131.83 Typical High $151.36 | Professional | 82 · Assistant surgeon, no resident | $85.11 | $131.83 | $151.36 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $85.11 Median $131.83 Typical High $151.36 | Professional | AS · PA/NP assist | $85.11 | $131.83 | $151.36 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $85.11 Median $275.42 Typical High $549.54 | Professional | None (both parts) | $85.11 | $275.42 | $549.54 |
United Setting Professional Modifier None (both parts) Typical Low $338.84 Median $575.44 Typical High $954.99 | Professional | None (both parts) | $338.84 | $575.44 | $954.99 |
Where North Carolina sits
The same service costs 5.6 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· 13th of 51
$617
WY $1,230UT $219
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.