How much rates vary
Facilitymedian $550 · 10th to 90th $347 to $2,455Professionalmedian $724 · 10th to 90th $347 to $1,549
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 $104.71 Median $109.65 Typical High $173.78 | Facility | 26 · Professional part | $104.71 | $109.65 | $173.78 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $245.47 Median $288.40 Typical High $831.76 | Facility | TC · Technical part | $245.47 | $288.40 | $831.76 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $112.20 Typical High $218.78 | Professional | 26 · Professional part | $104.71 | $112.20 | $218.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $281.84 Typical High $707.95 | Professional | TC · Technical part | $245.47 | $281.84 | $707.95 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $138.04 Typical High $199.53 | Professional | 26 · Professional part | $79.43 | $138.04 | $199.53 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $177.83 Median $257.04 Typical High $338.84 | Professional | 26 · Professional part | $177.83 | $257.04 | $338.84 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $660.69 Median $1,202.26 Typical High $1,479.11 | Professional | TC · Technical part | $660.69 | $1,202.26 | $1,479.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $144.54 Typical High $309.03 | Professional | 26 · Professional part | $104.71 | $144.54 | $309.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $354.81 Median $870.96 Typical High $1,258.93 | Professional | TC · Technical part | $354.81 | $870.96 | $1,258.93 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $218.78 Typical High $331.13 | Professional | 26 · Professional part | $131.83 | $218.78 | $331.13 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $741.31 Typical High $977.24 | Professional | TC · Technical part | $316.23 | $741.31 | $977.24 |
United Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $131.83 Typical High $281.84 | Professional | 26 · Professional part | $104.71 | $131.83 | $281.84 |
United Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $512.86 Typical High $1,023.29 | Professional | TC · Technical part | $263.03 | $512.86 | $1,023.29 |
21 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 $346.74 Median $426.58 Typical High $1,513.56 | Facility | None | $346.74 | $426.58 | $1,513.56 |
Aetna Setting Professional Modifier None (both parts) Typical Low $346.74 Median $416.87 Typical High $1,000.00 | Professional | None (both parts) | $346.74 | $416.87 | $1,000.00 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $173.78 Median $173.78 Typical High $213.80 | Professional | 52 · Reduced service | $173.78 | $173.78 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $69.18 Median $69.18 Typical High $85.11 | Professional | 53 · Discontinued | $69.18 | $69.18 | $85.11 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $281.84 Median $281.84 Typical High $323.59 | Professional | FX · Film X-ray | $281.84 | $281.84 | $323.59 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $549.54 Median $630.96 Typical High $630.96 | Professional | None (both parts) | $549.54 | $630.96 | $630.96 |
BCBS North Carolina Setting Facility Modifier None Typical Low $1,412.54 Median $2,454.71 Typical High $3,019.95 | Facility | None | $1,412.54 | $2,454.71 | $3,019.95 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $281.84 Median $281.84 Typical High $281.84 | Professional | None (both parts) | $281.84 | $281.84 | $281.84 |
Cigna Setting Facility Modifier None Typical Low $933.25 Median $1,445.44 Typical High $3,981.07 | Facility | None | $933.25 | $1,445.44 | $3,981.07 |
Cigna Setting Professional Modifier None (both parts) Typical Low $489.78 Median $1,071.52 Typical High $1,513.56 | Professional | None (both parts) | $489.78 | $1,071.52 | $1,513.56 |
Medcost Setting Professional Modifier None Typical Low $1,621.81 Median $1,621.81 Typical High $1,621.81 | Professional | None | $1,621.81 | $1,621.81 | $1,621.81 |
Medcost Setting Facility Modifier None Typical Low $316.23 Median $346.74 Typical High $380.19 | Facility | None | $316.23 | $346.74 | $380.19 |
Medcost Setting Professional Modifier None (both parts) Typical Low $446.68 Median $912.01 Typical High $1,659.59 | Professional | None (both parts) | $446.68 | $912.01 | $1,659.59 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $331.13 Median $537.03 Typical High $831.76 | Professional | 51 · Multiple procedures | $331.13 | $537.03 | $831.76 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $138.04 Median $213.80 Typical High $331.13 | Professional | 80 · Assistant surgeon | $138.04 | $213.80 | $331.13 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $95.50 Median $151.36 Typical High $234.42 | Professional | 81 · Minimal assistant surgeon | $95.50 | $151.36 | $234.42 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $95.50 Median $151.36 Typical High $234.42 | Professional | 82 · Assistant surgeon, no resident | $95.50 | $151.36 | $234.42 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $95.50 Median $151.36 Typical High $234.42 | Professional | AS · PA/NP assist | $95.50 | $151.36 | $234.42 |
Oscar Health Setting Facility Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $1,513.56 | Facility | None | $1,513.56 | $1,513.56 | $1,513.56 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $109.65 Median $309.03 Typical High $616.60 | Professional | None (both parts) | $109.65 | $309.03 | $616.60 |
United Setting Professional Modifier None (both parts) Typical Low $371.54 Median $676.08 Typical High $1,318.26 | Professional | None (both parts) | $371.54 | $676.08 | $1,318.26 |
Where North Carolina sits
The same service costs 5.8 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· 11th of 51
$724
WY $1,349UT $234
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.