How much rates vary
Facilitymedian $1,549 · 10th to 90th $347 to $2,951Professionalmedian $550 · 10th to 90th $347 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 $85.11 Median $85.11 Typical High $173.78 | Professional | 26 · Professional part | $85.11 | $85.11 | $173.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $257.04 Typical High $549.54 | Professional | TC · Technical part | $257.04 | $257.04 | $549.54 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $154.88 Typical High $213.80 | Professional | 26 · Professional part | $77.62 | $154.88 | $213.80 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $144.54 Median $204.17 Typical High $269.15 | Professional | 26 · Professional part | $144.54 | $204.17 | $269.15 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $602.56 Median $741.31 Typical High $1,071.52 | Professional | TC · Technical part | $602.56 | $741.31 | $1,071.52 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $114.82 Typical High $245.47 | Professional | 26 · Professional part | $85.11 | $114.82 | $245.47 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $346.74 Median $467.74 Typical High $812.83 | Professional | TC · Technical part | $346.74 | $467.74 | $812.83 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $147.91 Typical High $239.88 | Professional | 26 · Professional part | $107.15 | $147.91 | $239.88 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $575.44 Typical High $741.31 | Professional | TC · Technical part | $338.84 | $575.44 | $741.31 |
United Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $107.15 Typical High $218.78 | Professional | 26 · Professional part | $79.43 | $107.15 | $218.78 |
United Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $436.52 Typical High $776.25 | Professional | TC · Technical part | $281.84 | $436.52 | $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 $346.74 Median $354.81 Typical High $1,698.24 | Facility | None | $346.74 | $354.81 | $1,698.24 |
Aetna Setting Professional Modifier None (both parts) Typical Low $346.74 Median $363.08 Typical High $851.14 | Professional | None (both parts) | $346.74 | $363.08 | $851.14 |
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 $275.42 Median $275.42 Typical High $323.59 | Professional | FX · Film X-ray | $275.42 | $275.42 | $323.59 |
BCBS North Carolina Setting Facility Modifier None Typical Low $2,041.74 Median $2,884.03 Typical High $3,311.31 | Facility | None | $2,041.74 | $2,884.03 | $3,311.31 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $223.87 Median $223.87 Typical High $223.87 | Professional | None (both parts) | $223.87 | $223.87 | $223.87 |
Cigna Setting Facility Modifier None Typical Low $1,000.00 Median $1,548.82 Typical High $1,949.84 | Facility | None | $1,000.00 | $1,548.82 | $1,949.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $457.09 Median $588.84 Typical High $1,071.52 | Professional | None (both parts) | $457.09 | $588.84 | $1,071.52 |
Medcost Setting Professional Modifier None Typical Low $812.83 Median $812.83 Typical High $812.83 | Professional | None | $812.83 | $812.83 | $812.83 |
Medcost Setting Facility Modifier None Typical Low $309.03 Median $346.74 Typical High $371.54 | Facility | None | $309.03 | $346.74 | $371.54 |
Medcost Setting Professional Modifier None (both parts) Typical Low $446.68 Median $812.83 Typical High $1,023.29 | Professional | None (both parts) | $446.68 | $812.83 | $1,023.29 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $295.12 Median $407.38 Typical High $524.81 | Professional | 51 · Multiple procedures | $295.12 | $407.38 | $524.81 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $117.49 Median $162.18 Typical High $213.80 | Professional | 80 · Assistant surgeon | $117.49 | $162.18 | $213.80 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $83.18 Median $114.82 Typical High $147.91 | Professional | 81 · Minimal assistant surgeon | $83.18 | $114.82 | $147.91 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $83.18 Median $114.82 Typical High $147.91 | Professional | 82 · Assistant surgeon, no resident | $83.18 | $114.82 | $147.91 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $83.18 Median $114.82 Typical High $147.91 | Professional | AS · PA/NP assist | $83.18 | $114.82 | $147.91 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $89.13 Median $309.03 Typical High $616.60 | Professional | None (both parts) | $89.13 | $309.03 | $616.60 |
United Setting Professional Modifier None (both parts) Typical Low $371.54 Median $537.03 Typical High $954.99 | Professional | None (both parts) | $371.54 | $537.03 | $954.99 |
Where North Carolina sits
The same service costs 5.2 times more in Wyoming than in Texas. 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· 24th of 51
$550
WY $1,349TX $257
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.