How much rates vary
Facilitymedian $107 · 10th to 90th $89 to $191Professionalmedian $135 · 10th to 90th $89 to $200
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 $22.91 Median $23.44 Typical High $26.92 | Professional | 26 · Professional part | $22.91 | $23.44 | $26.92 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $66.07 Typical High $77.62 | Professional | TC · Technical part | $66.07 | $66.07 | $77.62 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $37.15 Typical High $47.86 | Professional | 26 · Professional part | $37.15 | $37.15 | $47.86 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $56.23 Typical High $75.86 | Professional | 26 · Professional part | $40.74 | $56.23 | $75.86 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $181.97 Typical High $309.03 | Professional | TC · Technical part | $117.49 | $181.97 | $309.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $30.20 Typical High $52.48 | Professional | 26 · Professional part | $26.30 | $30.20 | $52.48 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $104.71 Typical High $158.49 | Professional | TC · Technical part | $89.13 | $104.71 | $158.49 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $39.81 Typical High $43.65 | Professional | 26 · Professional part | $30.20 | $39.81 | $43.65 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $114.82 Typical High $162.18 | Professional | TC · Technical part | $85.11 | $114.82 | $162.18 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $28.18 Typical High $46.77 | Professional | 26 · Professional part | $23.99 | $28.18 | $46.77 |
United Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $102.33 Typical High $158.49 | Professional | TC · Technical part | $87.10 | $102.33 | $158.49 |
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 $89.13 Median $89.13 Typical High $89.13 | Facility | None | $89.13 | $89.13 | $89.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $89.13 Typical High $104.71 | Professional | None (both parts) | $89.13 | $89.13 | $104.71 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $44.67 Median $44.67 Typical High $48.98 | Professional | 52 · Reduced service | $44.67 | $44.67 | $48.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $17.78 Typical High $19.50 | Professional | 53 · Discontinued | $17.78 | $17.78 | $19.50 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | FX · Film X-ray | $72.44 | $72.44 | $72.44 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $67.61 Median $70.79 Typical High $79.43 | Professional | None (both parts) | $67.61 | $70.79 | $79.43 |
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 $120.23 Median $134.90 Typical High $213.80 | Professional | None (both parts) | $120.23 | $134.90 | $213.80 |
Medcost Setting Professional Modifier None Typical Low $204.17 Median $204.17 Typical High $204.17 | Professional | None | $204.17 | $204.17 | $204.17 |
Medcost Setting Facility Modifier None Typical Low $95.50 Median $190.55 Typical High $239.88 | Facility | None | $95.50 | $190.55 | $239.88 |
Medcost Setting Professional Modifier None (both parts) Typical Low $95.50 Median $154.88 Typical High $199.53 | Professional | None (both parts) | $95.50 | $154.88 | $199.53 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $47.86 Median $87.10 Typical High $100.00 | Professional | 51 · Multiple procedures | $47.86 | $87.10 | $100.00 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $19.05 Median $34.67 Typical High $39.81 | Professional | 80 · Assistant surgeon | $19.05 | $34.67 | $39.81 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $13.18 Median $24.55 Typical High $28.18 | Professional | 81 · Minimal assistant surgeon | $13.18 | $24.55 | $28.18 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $13.18 Median $24.55 Typical High $28.18 | Professional | 82 · Assistant surgeon, no resident | $13.18 | $24.55 | $28.18 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $13.18 Median $24.55 Typical High $28.18 | Professional | AS · PA/NP assist | $13.18 | $24.55 | $28.18 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $158.49 Median $158.49 Typical High $169.82 | Professional | None (both parts) | $158.49 | $158.49 | $169.82 |
United Setting Professional Modifier None (both parts) Typical Low $109.65 Median $128.82 Typical High $204.17 | Professional | None (both parts) | $109.65 | $128.82 | $204.17 |
Where North Carolina sits
The same service costs 4.0 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· 23rd of 51
$135
AK $302FL $75.86
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.