How much rates vary
Facilitymedian $1,047 · 10th to 90th $363 to $1,660Professionalmedian $589 · 10th to 90th $363 to $1,148
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 $120.23 Median $141.25 Typical High $223.87 | Professional | 26 · Professional part | $120.23 | $141.25 | $223.87 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $218.78 Typical High $407.38 | Professional | TC · Technical part | $218.78 | $218.78 | $407.38 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $190.55 Median $190.55 Typical High $190.55 | Professional | 26 · Professional part | $190.55 | $190.55 | $190.55 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $251.19 Median $371.54 Typical High $467.74 | Professional | 26 · Professional part | $251.19 | $371.54 | $467.74 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $478.63 Typical High $724.44 | Professional | TC · Technical part | $302.00 | $478.63 | $724.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $154.88 Median $194.98 Typical High $416.87 | Professional | 26 · Professional part | $154.88 | $194.98 | $416.87 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $416.87 Typical High $851.14 | Professional | TC · Technical part | $323.59 | $416.87 | $851.14 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $177.83 Median $223.87 Typical High $346.74 | Professional | 26 · Professional part | $177.83 | $223.87 | $346.74 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $380.19 Typical High $575.44 | Professional | TC · Technical part | $257.04 | $380.19 | $575.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $194.98 Typical High $389.05 | Professional | 26 · Professional part | $141.25 | $194.98 | $389.05 |
United Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $398.11 Typical High $794.33 | Professional | TC · Technical part | $295.12 | $398.11 | $794.33 |
16 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 $363.08 Median $537.03 Typical High $1,698.24 | Facility | None | $363.08 | $537.03 | $1,698.24 |
Aetna Setting Professional Modifier None (both parts) Typical Low $363.08 Median $363.08 Typical High $724.44 | Professional | None (both parts) | $363.08 | $363.08 | $724.44 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $288.40 Median $288.40 Typical High $323.59 | Professional | FX · Film X-ray | $288.40 | $288.40 | $323.59 |
BCBS North Carolina Setting Facility Modifier None Typical Low $758.58 Median $1,230.27 Typical High $1,230.27 | Facility | None | $758.58 | $1,230.27 | $1,230.27 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $371.54 Median $371.54 Typical High $371.54 | Professional | None (both parts) | $371.54 | $371.54 | $371.54 |
Cigna Setting Facility Modifier None Typical Low $1,047.13 Median $1,659.59 Typical High $1,659.59 | Facility | None | $1,047.13 | $1,659.59 | $1,659.59 |
Cigna Setting Professional Modifier None (both parts) Typical Low $478.63 Median $616.60 Typical High $1,258.93 | Professional | None (both parts) | $478.63 | $616.60 | $1,258.93 |
Medcost Setting Facility Modifier None Typical Low $323.59 Median $363.08 Typical High $426.58 | Facility | None | $323.59 | $363.08 | $426.58 |
Medcost Setting Professional Modifier None (both parts) Typical Low $407.38 Median $602.56 Typical High $912.01 | Professional | None (both parts) | $407.38 | $602.56 | $912.01 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $302.00 Median $302.00 Typical High $562.34 | Professional | 51 · Multiple procedures | $302.00 | $302.00 | $562.34 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $120.23 Median $120.23 Typical High $223.87 | Professional | 80 · Assistant surgeon | $120.23 | $120.23 | $223.87 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $85.11 Median $85.11 Typical High $154.88 | Professional | 81 · Minimal assistant surgeon | $85.11 | $85.11 | $154.88 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $85.11 Median $85.11 Typical High $154.88 | Professional | 82 · Assistant surgeon, no resident | $85.11 | $85.11 | $154.88 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $85.11 Median $85.11 Typical High $154.88 | Professional | AS · PA/NP assist | $85.11 | $85.11 | $154.88 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $537.03 Median $537.03 Typical High $537.03 | Professional | None (both parts) | $537.03 | $537.03 | $537.03 |
United Setting Professional Modifier None (both parts) Typical Low $436.52 Median $588.84 Typical High $1,174.90 | Professional | None (both parts) | $436.52 | $588.84 | $1,174.90 |
Where North Carolina sits
The same service costs 7.1 times more in Wyoming 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· 22nd of 51
$589
WY $1,660UT $234
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.