How much rates vary
Facilitymedian $123 · 10th to 90th $102 to $468Professionalmedian $234 · 10th to 90th $102 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 $36.31 Median $37.15 Typical High $38.90 | Professional | 26 · Professional part | $36.31 | $37.15 | $38.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $66.07 Typical High $70.79 | Professional | TC · Technical part | $66.07 | $66.07 | $70.79 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $91.20 Typical High $120.23 | Professional | 26 · Professional part | $63.10 | $91.20 | $120.23 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $154.88 Typical High $245.47 | Professional | TC · Technical part | $97.72 | $154.88 | $245.47 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $48.98 Typical High $83.18 | Professional | 26 · Professional part | $42.66 | $48.98 | $83.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $144.54 Typical High $245.47 | Professional | TC · Technical part | $81.28 | $144.54 | $245.47 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $77.62 Typical High $89.13 | Professional | 26 · Professional part | $77.62 | $77.62 | $89.13 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $57.54 Typical High $67.61 | Professional | 26 · Professional part | $47.86 | $57.54 | $67.61 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $114.82 Typical High $131.83 | Professional | TC · Technical part | $85.11 | $114.82 | $131.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $45.71 Typical High $74.13 | Professional | 26 · Professional part | $38.90 | $45.71 | $74.13 |
United Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $234.42 Typical High $338.84 | Professional | TC · Technical part | $128.82 | $234.42 | $338.84 |
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 $102.33 Median $102.33 Typical High $102.33 | Facility | None | $102.33 | $102.33 | $102.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $102.33 Typical High $109.65 | Professional | None (both parts) | $102.33 | $102.33 | $109.65 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $51.29 Median $51.29 Typical High $54.95 | Professional | 52 · Reduced service | $51.29 | $51.29 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $20.42 Typical High $21.88 | Professional | 53 · Discontinued | $20.42 | $20.42 | $21.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | FX · Film X-ray | $83.18 | $83.18 | $83.18 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $70.79 Median $109.65 Typical High $446.68 | Professional | None (both parts) | $70.79 | $109.65 | $446.68 |
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 $123.03 Median $223.87 Typical High $295.12 | Professional | None (both parts) | $123.03 | $223.87 | $295.12 |
Medcost Setting Facility Modifier None Typical Low $109.65 Median $467.74 Typical High $512.86 | Facility | None | $109.65 | $467.74 | $512.86 |
Medcost Setting Professional Modifier None (both parts) Typical Low $109.65 Median $186.21 Typical High $346.74 | Professional | None (both parts) | $109.65 | $186.21 | $346.74 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $54.95 Median $131.83 Typical High $173.78 | Professional | 51 · Multiple procedures | $54.95 | $131.83 | $173.78 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $21.88 Median $52.48 Typical High $69.18 | Professional | 80 · Assistant surgeon | $21.88 | $52.48 | $69.18 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $15.14 Median $36.31 Typical High $48.98 | Professional | 81 · Minimal assistant surgeon | $15.14 | $36.31 | $48.98 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $15.14 Median $36.31 Typical High $48.98 | Professional | 82 · Assistant surgeon, no resident | $15.14 | $36.31 | $48.98 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $15.14 Median $36.31 Typical High $48.98 | Professional | AS · PA/NP assist | $15.14 | $36.31 | $48.98 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $346.74 Median $346.74 Typical High $371.54 | Professional | None (both parts) | $346.74 | $346.74 | $371.54 |
United Setting Professional Modifier None (both parts) Typical Low $169.82 Median $281.84 Typical High $436.52 | Professional | None (both parts) | $169.82 | $281.84 | $436.52 |
Where North Carolina sits
The same service costs 5.2 times more in North Dakota 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· 15th of 51
$234
ND $457FL $87.10
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.