How much rates vary
Facilitymedian $224 · 10th to 90th $120 to $661Professionalmedian $120 · 10th to 90th $72 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 $16.60 Median $21.38 Typical High $26.92 | Professional | 26 · Professional part | $16.60 | $21.38 | $26.92 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $100.00 Typical High $165.96 | Professional | TC · Technical part | $95.50 | $100.00 | $165.96 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $39.81 Typical High $54.95 | Professional | 26 · Professional part | $30.20 | $39.81 | $54.95 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $281.84 Typical High $501.19 | Professional | TC · Technical part | $123.03 | $281.84 | $501.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $25.12 Typical High $58.88 | Professional | 26 · Professional part | $17.78 | $25.12 | $58.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $75.86 Typical High $239.88 | Professional | TC · Technical part | $48.98 | $75.86 | $239.88 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $30.20 Typical High $48.98 | Professional | 26 · Professional part | $26.30 | $30.20 | $48.98 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $128.82 Typical High $309.03 | Professional | TC · Technical part | $81.28 | $128.82 | $309.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $26.30 Typical High $50.12 | Professional | 26 · Professional part | $18.20 | $26.30 | $50.12 |
United Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $125.89 Typical High $457.09 | Professional | TC · Technical part | $51.29 | $125.89 | $457.09 |
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 $120.23 Median $120.23 Typical High $120.23 | Facility | None | $120.23 | $120.23 | $120.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $120.23 Typical High $190.55 | Professional | None (both parts) | $114.82 | $120.23 | $190.55 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $58.88 Median $60.26 Typical High $75.86 | Professional | 52 · Reduced service | $58.88 | $60.26 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $23.99 Typical High $30.20 | Professional | 53 · Discontinued | $23.99 | $23.99 | $30.20 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $97.72 Median $97.72 Typical High $97.72 | Professional | FX · Film X-ray | $97.72 | $97.72 | $97.72 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | None (both parts) | $44.67 | $44.67 | $44.67 |
Cigna Setting Facility Modifier None Typical Low $165.96 Median $426.58 Typical High $660.69 | Facility | None | $165.96 | $426.58 | $660.69 |
Cigna Setting Professional Modifier None (both parts) Typical Low $66.07 Median $97.72 Typical High $288.40 | Professional | None (both parts) | $66.07 | $97.72 | $288.40 |
Medcost Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | None | $109.65 | $109.65 | $109.65 |
Medcost Setting Facility Modifier None Typical Low $120.23 Median $120.23 Typical High $147.91 | Facility | None | $120.23 | $120.23 | $147.91 |
Medcost Setting Professional Modifier None (both parts) Typical Low $107.15 Median $147.91 Typical High $309.03 | Professional | None (both parts) | $107.15 | $147.91 | $309.03 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $53.70 Median $120.23 Typical High $199.53 | Professional | 51 · Multiple procedures | $53.70 | $120.23 | $199.53 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $21.38 Median $47.86 Typical High $79.43 | Professional | 80 · Assistant surgeon | $21.38 | $47.86 | $79.43 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $15.14 Median $33.88 Typical High $54.95 | Professional | 81 · Minimal assistant surgeon | $15.14 | $33.88 | $54.95 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $15.14 Median $33.88 Typical High $54.95 | Professional | 82 · Assistant surgeon, no resident | $15.14 | $33.88 | $54.95 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $15.14 Median $33.88 Typical High $54.95 | Professional | AS · PA/NP assist | $15.14 | $33.88 | $54.95 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $25.70 Median $123.03 Typical High $239.88 | Professional | None (both parts) | $25.70 | $123.03 | $239.88 |
United Setting Professional Modifier None (both parts) Typical Low $69.18 Median $154.88 Typical High $478.63 | Professional | None (both parts) | $69.18 | $154.88 | $478.63 |
Where North Carolina sits
The same service costs 4.1 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· 45th of 51
$120
AK $398UT $97.72
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.