How much rates vary
Facilitymedian $25 · 10th to 90th $25 to $27Professionalmedian $45 · 10th to 90th $25 to $89
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 $8.51 Median $9.12 Typical High $10.00 | Professional | 26 · Professional part | $8.51 | $9.12 | $10.00 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $16.22 Typical High $18.62 | Professional | TC · Technical part | $16.22 | $16.22 | $18.62 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $20.89 Typical High $30.20 | Professional | 26 · Professional part | $12.88 | $20.89 | $30.20 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $38.02 Typical High $58.88 | Professional | TC · Technical part | $22.91 | $38.02 | $58.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $13.49 Typical High $27.54 | Professional | 26 · Professional part | $10.47 | $13.49 | $27.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $24.55 Typical High $50.12 | Professional | TC · Technical part | $19.05 | $24.55 | $50.12 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $18.62 Typical High $18.62 | Professional | 26 · Professional part | $18.62 | $18.62 | $18.62 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $15.85 Typical High $23.99 | Professional | 26 · Professional part | $12.59 | $15.85 | $23.99 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $31.62 Typical High $39.81 | Professional | TC · Technical part | $22.39 | $31.62 | $39.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $13.49 Typical High $21.88 | Professional | 26 · Professional part | $10.23 | $13.49 | $21.88 |
United Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $50.12 Typical High $100.00 | Professional | TC · Technical part | $33.11 | $50.12 | $100.00 |
17 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 $25.12 Median $25.12 Typical High $25.12 | Facility | None | $25.12 | $25.12 | $25.12 |
Aetna Setting Professional Modifier None (both parts) Typical Low $24.55 Median $25.12 Typical High $28.18 | Professional | None (both parts) | $24.55 | $25.12 | $28.18 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $12.02 Median $12.59 Typical High $13.80 | Professional | 52 · Reduced service | $12.02 | $12.59 | $13.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.90 Median $5.01 Typical High $5.50 | Professional | 53 · Discontinued | $4.90 | $5.01 | $5.50 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $19.95 Median $19.95 Typical High $19.95 | Professional | FX · Film X-ray | $19.95 | $19.95 | $19.95 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $26.30 Median $26.30 Typical High $26.30 | Professional | None (both parts) | $26.30 | $26.30 | $26.30 |
Cigna Setting Facility Modifier None Typical Low $186.21 Median $186.21 Typical High $186.21 | Facility | None | $186.21 | $186.21 | $186.21 |
Cigna Setting Professional Modifier None (both parts) Typical Low $29.51 Median $38.02 Typical High $77.62 | Professional | None (both parts) | $29.51 | $38.02 | $77.62 |
Medcost Setting Facility Modifier None Typical Low $25.12 Median $25.12 Typical High $26.92 | Facility | None | $25.12 | $25.12 | $26.92 |
Medcost Setting Professional Modifier None (both parts) Typical Low $26.92 Median $44.67 Typical High $66.07 | Professional | None (both parts) | $26.92 | $44.67 | $66.07 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $13.49 Median $22.39 Typical High $41.69 | Professional | 51 · Multiple procedures | $13.49 | $22.39 | $41.69 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $5.37 Median $8.91 Typical High $16.60 | Professional | 80 · Assistant surgeon | $5.37 | $8.91 | $16.60 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $3.80 Median $6.17 Typical High $11.75 | Professional | 81 · Minimal assistant surgeon | $3.80 | $6.17 | $11.75 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $3.80 Median $6.17 Typical High $11.75 | Professional | 82 · Assistant surgeon, no resident | $3.80 | $6.17 | $11.75 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $3.80 Median $6.17 Typical High $11.75 | Professional | AS · PA/NP assist | $3.80 | $6.17 | $11.75 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | None (both parts) | $53.70 | $53.70 | $53.70 |
United Setting Professional Modifier None (both parts) Typical Low $43.65 Median $66.07 Typical High $123.03 | Professional | None (both parts) | $43.65 | $66.07 | $123.03 |
Where North Carolina sits
The same service costs 4.7 times more in Alaska than in Florida. 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· 21st of 51
$44.67
AK $110FL $23.44
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.