How much rates vary
Facilitymedian $214 · 10th to 90th $87 to $468Professionalmedian $91 · 10th to 90th $66 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 $14.79 Median $15.85 Typical High $17.38 | Professional | 26 · Professional part | $14.79 | $15.85 | $17.38 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $70.79 Typical High $72.44 | Professional | TC · Technical part | $60.26 | $70.79 | $72.44 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $43.65 Typical High $54.95 | Professional | 26 · Professional part | $30.20 | $43.65 | $54.95 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $125.89 Typical High $181.97 | Professional | TC · Technical part | $89.13 | $125.89 | $181.97 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $23.99 Typical High $47.86 | Professional | 26 · Professional part | $18.62 | $23.99 | $47.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $72.44 Typical High $181.97 | Professional | TC · Technical part | $44.67 | $72.44 | $181.97 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $27.54 Typical High $42.66 | Professional | 26 · Professional part | $21.88 | $27.54 | $42.66 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $85.11 Typical High $138.04 | Professional | TC · Technical part | $83.18 | $85.11 | $138.04 |
United Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $22.39 Typical High $38.90 | Professional | 26 · Professional part | $17.78 | $22.39 | $38.90 |
United Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $79.43 Typical High $162.18 | Professional | TC · Technical part | $56.23 | $79.43 | $162.18 |
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 $87.10 Median $87.10 Typical High $87.10 | Facility | None | $87.10 | $87.10 | $87.10 |
Aetna Setting Professional Modifier None (both parts) Typical Low $77.62 Median $87.10 Typical High $91.20 | Professional | None (both parts) | $77.62 | $87.10 | $91.20 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $38.90 Median $43.65 Typical High $45.71 | Professional | 52 · Reduced service | $38.90 | $43.65 | $45.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.49 Median $17.38 Typical High $18.20 | Professional | 53 · Discontinued | $15.49 | $17.38 | $18.20 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $64.57 Median $69.18 Typical High $69.18 | Professional | FX · Film X-ray | $64.57 | $69.18 | $69.18 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $46.77 Median $46.77 Typical High $46.77 | Professional | None (both parts) | $46.77 | $46.77 | $46.77 |
Cigna Setting Facility Modifier None Typical Low $120.23 Median $295.12 Typical High $467.74 | Facility | None | $120.23 | $295.12 | $467.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $66.07 Median $95.50 Typical High $218.78 | Professional | None (both parts) | $66.07 | $95.50 | $218.78 |
Medcost Setting Professional Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | None | $100.00 | $100.00 | $100.00 |
Medcost Setting Facility Modifier None Typical Low $87.10 Median $87.10 Typical High $112.20 | Facility | None | $87.10 | $87.10 | $112.20 |
Medcost Setting Professional Modifier None (both parts) Typical Low $79.43 Median $104.71 Typical High $181.97 | Professional | None (both parts) | $79.43 | $104.71 | $181.97 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $39.81 Median $56.23 Typical High $125.89 | Professional | 51 · Multiple procedures | $39.81 | $56.23 | $125.89 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $15.85 Median $22.91 Typical High $50.12 | Professional | 80 · Assistant surgeon | $15.85 | $22.91 | $50.12 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $10.96 Median $15.85 Typical High $35.48 | Professional | 81 · Minimal assistant surgeon | $10.96 | $15.85 | $35.48 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $10.96 Median $15.85 Typical High $35.48 | Professional | 82 · Assistant surgeon, no resident | $10.96 | $15.85 | $35.48 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $10.96 Median $15.85 Typical High $35.48 | Professional | AS · PA/NP assist | $10.96 | $15.85 | $35.48 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | None (both parts) | $77.62 | $77.62 | $77.62 |
United Setting Professional Modifier None (both parts) Typical Low $74.13 Median $102.33 Typical High $199.53 | Professional | None (both parts) | $74.13 | $102.33 | $199.53 |
Where North Carolina sits
The same service costs 3.8 times more in Alaska than in Kentucky. 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· 41st of 51
$91.20
AK $282KY $74.13
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.