How much rates vary
Facilitymedian $269 · 10th to 90th $68 to $447Professionalmedian $182 · 10th to 90th $74 to $851
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 $21.88 Median $22.39 Typical High $25.12 | Professional | 26 · Professional part | $21.88 | $22.39 | $25.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $380.19 Median $416.87 Typical High $478.63 | Professional | TC · Technical part | $380.19 | $416.87 | $478.63 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $61.66 Typical High $79.43 | Professional | 26 · Professional part | $43.65 | $61.66 | $79.43 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $346.74 Typical High $933.25 | Professional | TC · Technical part | $177.83 | $346.74 | $933.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $33.88 Typical High $69.18 | Professional | 26 · Professional part | $26.30 | $33.88 | $69.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $60.26 Typical High $120.23 | Professional | TC · Technical part | $44.67 | $60.26 | $120.23 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $39.81 Typical High $60.26 | Professional | 26 · Professional part | $31.62 | $39.81 | $60.26 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $288.40 Typical High $933.25 | Professional | TC · Technical part | $77.62 | $288.40 | $933.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $32.36 Typical High $54.95 | Professional | 26 · Professional part | $25.70 | $32.36 | $54.95 |
United Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $478.63 Typical High $1,071.52 | Professional | TC · Technical part | $47.86 | $478.63 | $1,071.52 |
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 $416.87 Median $416.87 Typical High $416.87 | Facility | None | $416.87 | $416.87 | $416.87 |
Aetna Setting Professional Modifier None (both parts) Typical Low $389.05 Median $416.87 Typical High $489.78 | Professional | None (both parts) | $389.05 | $416.87 | $489.78 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $199.53 Median $208.93 Typical High $245.47 | Professional | 52 · Reduced service | $199.53 | $208.93 | $245.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $79.43 Median $83.18 Typical High $97.72 | Professional | 53 · Discontinued | $79.43 | $83.18 | $97.72 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $323.59 Median $331.13 Typical High $331.13 | Professional | FX · Film X-ray | $323.59 | $331.13 | $331.13 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $67.61 Median $67.61 Typical High $67.61 | Professional | None (both parts) | $67.61 | $67.61 | $67.61 |
Cigna Setting Facility Modifier None Typical Low $67.61 Median $194.98 Typical High $489.78 | Facility | None | $67.61 | $194.98 | $489.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $72.44 Median $95.50 Typical High $186.21 | Professional | None (both parts) | $72.44 | $95.50 | $186.21 |
Medcost Setting Professional Modifier None Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | None | $120.23 | $120.23 | $120.23 |
Medcost Setting Facility Modifier None Typical Low $416.87 Median $416.87 Typical High $446.68 | Facility | None | $416.87 | $416.87 | $446.68 |
Medcost Setting Professional Modifier None (both parts) Typical Low $95.50 Median $295.12 Typical High $933.25 | Professional | None (both parts) | $95.50 | $295.12 | $933.25 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $47.86 Median $147.91 Typical High $660.69 | Professional | 51 · Multiple procedures | $47.86 | $147.91 | $660.69 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $19.05 Median $60.26 Typical High $263.03 | Professional | 80 · Assistant surgeon | $19.05 | $60.26 | $263.03 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $13.18 Median $41.69 Typical High $186.21 | Professional | 81 · Minimal assistant surgeon | $13.18 | $41.69 | $186.21 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $13.18 Median $41.69 Typical High $186.21 | Professional | 82 · Assistant surgeon, no resident | $13.18 | $41.69 | $186.21 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $13.18 Median $41.69 Typical High $186.21 | Professional | AS · PA/NP assist | $13.18 | $41.69 | $186.21 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | None (both parts) | $93.33 | $93.33 | $93.33 |
United Setting Professional Modifier None (both parts) Typical Low $77.62 Median $512.86 Typical High $1,122.02 | Professional | None (both parts) | $77.62 | $512.86 | $1,122.02 |
Where North Carolina sits
The same service costs 8.7 times more in Colorado than in Michigan. 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· 28th of 51
$182
CO $661MI $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.