How much rates vary
Facilitymedian $513 · 10th to 90th $204 to $1,585Professionalmedian $302 · 10th to 90th $204 to $575
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 $87.10 Median $87.10 Typical High $125.89 | Professional | 26 · Professional part | $87.10 | $87.10 | $125.89 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $117.49 Typical High $281.84 | Professional | TC · Technical part | $117.49 | $117.49 | $281.84 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $190.55 Typical High $275.42 | Professional | 26 · Professional part | $107.15 | $190.55 | $275.42 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $263.03 Typical High $407.38 | Professional | TC · Technical part | $158.49 | $263.03 | $407.38 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $120.23 Typical High $257.04 | Professional | 26 · Professional part | $93.33 | $120.23 | $257.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $173.78 Typical High $363.08 | Professional | TC · Technical part | $134.90 | $173.78 | $363.08 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $131.83 Typical High $213.80 | Professional | 26 · Professional part | $109.65 | $131.83 | $213.80 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $199.53 Typical High $288.40 | Professional | TC · Technical part | $154.88 | $199.53 | $288.40 |
United Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $114.82 Typical High $229.09 | Professional | 26 · Professional part | $85.11 | $114.82 | $229.09 |
United Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $169.82 Typical High $331.13 | Professional | TC · Technical part | $125.89 | $169.82 | $331.13 |
15 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 $204.17 Median $512.86 Typical High $1,698.24 | Facility | None | $204.17 | $512.86 | $1,698.24 |
Aetna Setting Professional Modifier None (both parts) Typical Low $204.17 Median $204.17 Typical High $512.86 | Professional | None (both parts) | $204.17 | $204.17 | $512.86 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $165.96 Median $165.96 Typical High $295.12 | Professional | FX · Film X-ray | $165.96 | $165.96 | $295.12 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | None (both parts) | $218.78 | $218.78 | $218.78 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $691.83 Typical High $691.83 | Facility | None | $446.68 | $691.83 | $691.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $234.42 Median $302.00 Typical High $616.60 | Professional | None (both parts) | $234.42 | $302.00 | $616.60 |
Medcost Setting Facility Modifier None Typical Low $186.21 Median $204.17 Typical High $223.87 | Facility | None | $186.21 | $204.17 | $223.87 |
Medcost Setting Professional Modifier None (both parts) Typical Low $245.47 Median $331.13 Typical High $512.86 | Professional | None (both parts) | $245.47 | $331.13 | $512.86 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $165.96 Median $165.96 Typical High $316.23 | Professional | 51 · Multiple procedures | $165.96 | $165.96 | $316.23 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $66.07 Median $66.07 Typical High $125.89 | Professional | 80 · Assistant surgeon | $66.07 | $66.07 | $125.89 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $46.77 Median $46.77 Typical High $89.13 | Professional | 81 · Minimal assistant surgeon | $46.77 | $46.77 | $89.13 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $46.77 Median $46.77 Typical High $89.13 | Professional | 82 · Assistant surgeon, no resident | $46.77 | $46.77 | $89.13 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $46.77 Median $46.77 Typical High $89.13 | Professional | AS · PA/NP assist | $46.77 | $46.77 | $89.13 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | None (both parts) | $257.04 | $257.04 | $257.04 |
United Setting Professional Modifier None (both parts) Typical Low $213.80 Median $288.40 Typical High $562.34 | Professional | None (both parts) | $213.80 | $288.40 | $562.34 |
Where North Carolina sits
The same service costs 7.6 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· 24th of 51
$302
WY $794UT $105
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.