How much rates vary
Facilitymedian $138 · 10th to 90th $93 to $525Professionalmedian $107 · 10th to 90th $81 to $214
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 $13.80 Median $13.80 Typical High $25.12 | Professional | 26 · Professional part | $13.80 | $13.80 | $25.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $79.43 Typical High $134.90 | Professional | TC · Technical part | $67.61 | $79.43 | $134.90 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $22.39 Typical High $28.18 | Professional | 26 · Professional part | $22.39 | $22.39 | $28.18 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $38.02 Typical High $50.12 | Professional | 26 · Professional part | $26.92 | $38.02 | $50.12 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $141.25 Typical High $204.17 | Professional | TC · Technical part | $112.20 | $141.25 | $204.17 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $20.89 Typical High $42.66 | Professional | 26 · Professional part | $16.22 | $20.89 | $42.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $87.10 Typical High $199.53 | Professional | TC · Technical part | $63.10 | $87.10 | $199.53 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $26.92 Typical High $40.74 | Professional | 26 · Professional part | $19.50 | $26.92 | $40.74 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $104.71 Typical High $151.36 | Professional | TC · Technical part | $95.50 | $104.71 | $151.36 |
United Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $19.95 Typical High $34.67 | Professional | 26 · Professional part | $15.49 | $19.95 | $34.67 |
United Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $91.20 Typical High $177.83 | Professional | TC · Technical part | $64.57 | $91.20 | $177.83 |
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 $93.33 Median $93.33 Typical High $138.04 | Facility | None | $93.33 | $93.33 | $138.04 |
Aetna Setting Professional Modifier None (both parts) Typical Low $81.28 Median $93.33 Typical High $169.82 | Professional | None (both parts) | $81.28 | $93.33 | $169.82 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $40.74 Median $46.77 Typical High $50.12 | Professional | 52 · Reduced service | $40.74 | $46.77 | $50.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.22 Median $18.62 Typical High $19.95 | Professional | 53 · Discontinued | $16.22 | $18.62 | $19.95 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $69.18 Median $74.13 Typical High $74.13 | Professional | FX · Film X-ray | $69.18 | $74.13 | $74.13 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | None (both parts) | $41.69 | $41.69 | $41.69 |
Cigna Setting Facility Modifier None Typical Low $131.83 Median $309.03 Typical High $524.81 | Facility | None | $131.83 | $309.03 | $524.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $81.28 Median $107.15 Typical High $245.47 | Professional | None (both parts) | $81.28 | $107.15 | $245.47 |
Medcost Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | None | $125.89 | $125.89 | $125.89 |
Medcost Setting Facility Modifier None Typical Low $93.33 Median $93.33 Typical High $117.49 | Facility | None | $93.33 | $93.33 | $117.49 |
Medcost Setting Professional Modifier None (both parts) Typical Low $97.72 Median $123.03 Typical High $194.98 | Professional | None (both parts) | $97.72 | $123.03 | $194.98 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $56.23 Median $61.66 Typical High $131.83 | Professional | 51 · Multiple procedures | $56.23 | $61.66 | $131.83 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $22.39 Median $24.55 Typical High $52.48 | Professional | 80 · Assistant surgeon | $22.39 | $24.55 | $52.48 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $15.49 Median $16.98 Typical High $37.15 | Professional | 81 · Minimal assistant surgeon | $15.49 | $16.98 | $37.15 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $15.49 Median $16.98 Typical High $37.15 | Professional | 82 · Assistant surgeon, no resident | $15.49 | $16.98 | $37.15 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $15.49 Median $16.98 Typical High $37.15 | Professional | AS · PA/NP assist | $15.49 | $16.98 | $37.15 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $16.98 Median $97.72 Typical High $194.98 | Professional | None (both parts) | $16.98 | $97.72 | $194.98 |
United Setting Professional Modifier None (both parts) Typical Low $81.28 Median $109.65 Typical High $213.80 | Professional | None (both parts) | $81.28 | $109.65 | $213.80 |
Where North Carolina sits
The same service costs 3.8 times more in Alaska than in New York. 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· 31st of 51
$110
AK $288NY $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.