How much rates vary
Facilitymedian $117 · 10th to 90th $85 to $437Professionalmedian $100 · 10th to 90th $72 to $195
Distribution of negotiated rates across all payers (price axis is log-scale). 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 Facility Modifier 26 · Professional part Typical Low $16.22 Median $16.22 Typical High $28.18 | Facility | 26 · Professional part | $16.22 | $16.22 | $28.18 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $69.18 Median $69.18 Typical High $112.20 | Facility | TC · Technical part | $69.18 | $69.18 | $112.20 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $16.22 Typical High $34.67 | Professional | 26 · Professional part | $16.22 | $16.22 | $34.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $69.18 Typical High $123.03 | Professional | TC · Technical part | $54.95 | $69.18 | $123.03 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $42.66 Typical High $56.23 | Professional | 26 · Professional part | $30.90 | $42.66 | $56.23 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $117.49 Typical High $169.82 | Professional | TC · Technical part | $91.20 | $117.49 | $169.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $24.55 Typical High $50.12 | Professional | 26 · Professional part | $18.62 | $24.55 | $50.12 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $70.79 Typical High $177.83 | Professional | TC · Technical part | $52.48 | $70.79 | $177.83 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $32.36 Typical High $47.86 | Professional | 26 · Professional part | $22.91 | $32.36 | $47.86 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $85.11 Typical High $128.82 | Professional | TC · Technical part | $77.62 | $85.11 | $128.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $22.91 Typical High $39.81 | Professional | 26 · Professional part | $17.78 | $22.91 | $39.81 |
United Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $77.62 Typical High $154.88 | Professional | TC · Technical part | $52.48 | $77.62 | $154.88 |
19 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 $85.11 Median $85.11 Typical High $123.03 | Facility | None | $85.11 | $85.11 | $123.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $72.44 Median $85.11 Typical High $154.88 | Professional | None (both parts) | $72.44 | $85.11 | $154.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $37.15 Median $42.66 Typical High $44.67 | Professional | 52 · Reduced service | $37.15 | $42.66 | $44.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $16.98 Typical High $17.78 | Professional | 53 · Discontinued | $14.79 | $16.98 | $17.78 |
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 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $85.11 Median $100.00 Typical High $125.89 | Professional | None (both parts) | $85.11 | $100.00 | $125.89 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | None (both parts) | $47.86 | $47.86 | $47.86 |
Cigna Setting Facility Modifier None Typical Low $112.20 Median $281.84 Typical High $436.52 | Facility | None | $112.20 | $281.84 | $436.52 |
Cigna Setting Professional Modifier None (both parts) Typical Low $70.79 Median $97.72 Typical High $223.87 | Professional | None (both parts) | $70.79 | $97.72 | $223.87 |
Medcost Setting Professional Modifier None Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | None | $112.20 | $112.20 | $112.20 |
Medcost Setting Facility Modifier None Typical Low $85.11 Median $85.11 Typical High $100.00 | Facility | None | $85.11 | $85.11 | $100.00 |
Medcost Setting Professional Modifier None (both parts) Typical Low $100.00 Median $109.65 Typical High $177.83 | Professional | None (both parts) | $100.00 | $109.65 | $177.83 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $52.48 Median $54.95 Typical High $123.03 | Professional | 51 · Multiple procedures | $52.48 | $54.95 | $123.03 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $20.89 Median $21.88 Typical High $48.98 | Professional | 80 · Assistant surgeon | $20.89 | $21.88 | $48.98 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $14.45 Median $15.49 Typical High $34.67 | Professional | 81 · Minimal assistant surgeon | $14.45 | $15.49 | $34.67 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $14.45 Median $15.49 Typical High $34.67 | Professional | 82 · Assistant surgeon, no resident | $14.45 | $15.49 | $34.67 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $14.45 Median $15.49 Typical High $34.67 | Professional | AS · PA/NP assist | $14.45 | $15.49 | $34.67 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | None (both parts) | $87.10 | $87.10 | $87.10 |
United Setting Professional Modifier None (both parts) Typical Low $70.79 Median $100.00 Typical High $194.98 | Professional | None (both parts) | $70.79 | $100.00 | $194.98 |
Where North Carolina sits
The same service costs 4.0 times more in Alaska 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· 30th of 51
$100
AK $263UT $66.07
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.