How much rates vary
Facilitymedian $186 · 10th to 90th $138 to $617Professionalmedian $158 · 10th to 90th $107 to $347
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 $33.88 Median $44.67 Typical High $74.13 | Professional | 26 · Professional part | $33.88 | $44.67 | $74.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $95.50 Typical High $177.83 | Professional | TC · Technical part | $81.28 | $95.50 | $177.83 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $75.86 Typical High $75.86 | Professional | 26 · Professional part | $43.65 | $75.86 | $75.86 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $79.43 Typical High $107.15 | Professional | 26 · Professional part | $56.23 | $79.43 | $107.15 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $190.55 Typical High $295.12 | Professional | TC · Technical part | $131.83 | $190.55 | $295.12 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $48.98 Typical High $112.20 | Professional | 26 · Professional part | $33.11 | $48.98 | $112.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $112.20 Typical High $288.40 | Professional | TC · Technical part | $69.18 | $112.20 | $288.40 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $57.54 Typical High $97.72 | Professional | 26 · Professional part | $50.12 | $57.54 | $97.72 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $128.82 Typical High $204.17 | Professional | TC · Technical part | $120.23 | $128.82 | $204.17 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $52.48 Typical High $102.33 | Professional | 26 · Professional part | $33.88 | $52.48 | $102.33 |
United Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $120.23 Typical High $229.09 | Professional | TC · Technical part | $83.18 | $120.23 | $229.09 |
18 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 $138.04 Median $138.04 Typical High $204.17 | Facility | None | $138.04 | $138.04 | $204.17 |
Aetna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $138.04 Typical High $257.04 | Professional | None (both parts) | $123.03 | $138.04 | $257.04 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $63.10 Median $69.18 Typical High $74.13 | Professional | 52 · Reduced service | $63.10 | $69.18 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $27.54 Typical High $29.51 | Professional | 53 · Discontinued | $25.70 | $27.54 | $29.51 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $107.15 Median $112.20 Typical High $112.20 | Professional | FX · Film X-ray | $107.15 | $112.20 | $112.20 |
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 $158.49 Median $398.11 Typical High $616.60 | Facility | None | $158.49 | $398.11 | $616.60 |
Cigna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $162.18 Typical High $398.11 | Professional | None (both parts) | $107.15 | $162.18 | $398.11 |
Medcost Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | None | $165.96 | $165.96 | $165.96 |
Medcost Setting Facility Modifier None Typical Low $138.04 Median $138.04 Typical High $165.96 | Facility | None | $138.04 | $138.04 | $165.96 |
Medcost Setting Professional Modifier None (both parts) Typical Low $144.54 Median $169.82 Typical High $295.12 | Professional | None (both parts) | $144.54 | $169.82 | $295.12 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $75.86 Median $85.11 Typical High $213.80 | Professional | 51 · Multiple procedures | $75.86 | $85.11 | $213.80 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $31.62 Median $33.88 Typical High $85.11 | Professional | 80 · Assistant surgeon | $31.62 | $33.88 | $85.11 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $22.39 Median $23.99 Typical High $58.88 | Professional | 81 · Minimal assistant surgeon | $22.39 | $23.99 | $58.88 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $22.39 Median $23.99 Typical High $58.88 | Professional | 82 · Assistant surgeon, no resident | $22.39 | $23.99 | $58.88 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $22.39 Median $23.99 Typical High $58.88 | Professional | AS · PA/NP assist | $22.39 | $23.99 | $58.88 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | None (both parts) | $125.89 | $125.89 | $125.89 |
United Setting Professional Modifier None (both parts) Typical Low $123.03 Median $173.78 Typical High $316.23 | Professional | None (both parts) | $123.03 | $173.78 | $316.23 |
Where North Carolina sits
The same service costs 4.3 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· 35th of 51
$158
AK $447UT $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.