How much rates vary
Facilitymedian $151 · 10th to 90th $126 to $575Professionalmedian $151 · 10th to 90th $105 to $295
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 $38.02 Median $39.81 Typical High $58.88 | Facility | 26 · Professional part | $38.02 | $39.81 | $58.88 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $77.62 Median $87.10 Typical High $141.25 | Facility | TC · Technical part | $77.62 | $87.10 | $141.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $38.02 Typical High $66.07 | Professional | 26 · Professional part | $33.11 | $38.02 | $66.07 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $87.10 Typical High $165.96 | Professional | TC · Technical part | $79.43 | $87.10 | $165.96 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $43.65 Typical High $69.18 | Professional | 26 · Professional part | $40.74 | $43.65 | $69.18 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $75.86 Typical High $104.71 | Professional | 26 · Professional part | $56.23 | $75.86 | $104.71 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $169.82 Typical High $257.04 | Professional | TC · Technical part | $125.89 | $169.82 | $257.04 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $47.86 Typical High $104.71 | Professional | 26 · Professional part | $33.11 | $47.86 | $104.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $100.00 Typical High $245.47 | Professional | TC · Technical part | $66.07 | $100.00 | $245.47 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $57.54 Typical High $100.00 | Professional | 26 · Professional part | $50.12 | $57.54 | $100.00 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $117.49 Typical High $194.98 | Professional | TC · Technical part | $112.20 | $117.49 | $194.98 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $47.86 Typical High $89.13 | Professional | 26 · Professional part | $33.88 | $47.86 | $89.13 |
United Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $104.71 Typical High $199.53 | Professional | TC · Technical part | $74.13 | $104.71 | $199.53 |
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 $123.03 Median $125.89 Typical High $190.55 | Facility | None | $123.03 | $125.89 | $190.55 |
Aetna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $125.89 Typical High $245.47 | Professional | None (both parts) | $109.65 | $125.89 | $245.47 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $57.54 Median $63.10 Typical High $67.61 | Professional | 52 · Reduced service | $57.54 | $63.10 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $25.12 Typical High $26.92 | Professional | 53 · Discontinued | $22.91 | $25.12 | $26.92 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $95.50 Median $100.00 Typical High $100.00 | Professional | FX · Film X-ray | $95.50 | $100.00 | $100.00 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | None (both parts) | $138.04 | $138.04 | $138.04 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | None (both parts) | $87.10 | $87.10 | $87.10 |
Cigna Setting Facility Modifier None Typical Low $144.54 Median $338.84 Typical High $575.44 | Facility | None | $144.54 | $338.84 | $575.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $144.54 Typical High $346.74 | Professional | None (both parts) | $104.71 | $144.54 | $346.74 |
Medcost Setting Professional Modifier None Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | None | $158.49 | $158.49 | $158.49 |
Medcost Setting Facility Modifier None Typical Low $125.89 Median $125.89 Typical High $151.36 | Facility | None | $125.89 | $125.89 | $151.36 |
Medcost Setting Professional Modifier None (both parts) Typical Low $131.83 Median $165.96 Typical High $269.15 | Professional | None (both parts) | $131.83 | $165.96 | $269.15 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $77.62 Median $83.18 Typical High $190.55 | Professional | 51 · Multiple procedures | $77.62 | $83.18 | $190.55 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $30.90 Median $33.11 Typical High $75.86 | Professional | 80 · Assistant surgeon | $30.90 | $33.11 | $75.86 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $21.88 Median $23.44 Typical High $53.70 | Professional | 81 · Minimal assistant surgeon | $21.88 | $23.44 | $53.70 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $21.88 Median $23.44 Typical High $53.70 | Professional | 82 · Assistant surgeon, no resident | $21.88 | $23.44 | $53.70 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $21.88 Median $23.44 Typical High $53.70 | Professional | AS · PA/NP assist | $21.88 | $23.44 | $53.70 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $44.67 Median $123.03 Typical High $245.47 | Professional | None (both parts) | $44.67 | $123.03 | $245.47 |
United Setting Professional Modifier None (both parts) Typical Low $112.20 Median $154.88 Typical High $288.40 | Professional | None (both parts) | $112.20 | $154.88 | $288.40 |
Where North Carolina sits
The same service costs 3.9 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· 30th of 51
$151
AK $407UT $105
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.