How much rates vary
Facilitymedian $72 · 10th to 90th $72 to $79Professionalmedian $158 · 10th to 90th $72 to $282
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 $25.12 Median $26.30 Typical High $33.11 | Professional | 26 · Professional part | $25.12 | $26.30 | $33.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $46.77 Typical High $54.95 | Professional | TC · Technical part | $46.77 | $46.77 | $54.95 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $67.61 Typical High $89.13 | Professional | 26 · Professional part | $47.86 | $67.61 | $89.13 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $120.23 Typical High $181.97 | Professional | TC · Technical part | $93.33 | $120.23 | $181.97 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $39.81 Typical High $81.28 | Professional | 26 · Professional part | $29.51 | $39.81 | $81.28 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $102.33 Typical High $147.91 | Professional | TC · Technical part | $53.70 | $102.33 | $147.91 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | 26 · Professional part | $53.70 | $53.70 | $53.70 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $44.67 Typical High $69.18 | Professional | 26 · Professional part | $36.31 | $44.67 | $69.18 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $91.20 Typical High $117.49 | Professional | TC · Technical part | $64.57 | $91.20 | $117.49 |
United Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $38.02 Typical High $64.57 | Professional | 26 · Professional part | $29.51 | $38.02 | $64.57 |
United Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $165.96 Typical High $316.23 | Professional | TC · Technical part | $117.49 | $165.96 | $316.23 |
17 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 $72.44 Median $72.44 Typical High $72.44 | Facility | None | $72.44 | $72.44 | $72.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $70.79 Median $72.44 Typical High $85.11 | Professional | None (both parts) | $70.79 | $72.44 | $85.11 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $35.48 Median $36.31 Typical High $40.74 | Professional | 52 · Reduced service | $35.48 | $36.31 | $40.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $14.45 Typical High $16.22 | Professional | 53 · Discontinued | $14.13 | $14.45 | $16.22 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | FX · Film X-ray | $58.88 | $58.88 | $58.88 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | None (both parts) | $75.86 | $75.86 | $75.86 |
Cigna Setting Facility Modifier None Typical Low $186.21 Median $186.21 Typical High $186.21 | Facility | None | $186.21 | $186.21 | $186.21 |
Cigna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $158.49 Typical High $229.09 | Professional | None (both parts) | $85.11 | $158.49 | $229.09 |
Medcost Setting Facility Modifier None Typical Low $72.44 Median $72.44 Typical High $77.62 | Facility | None | $72.44 | $72.44 | $77.62 |
Medcost Setting Professional Modifier None (both parts) Typical Low $100.00 Median $131.83 Typical High $229.09 | Professional | None (both parts) | $100.00 | $131.83 | $229.09 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $61.66 Median $95.50 Typical High $120.23 | Professional | 51 · Multiple procedures | $61.66 | $95.50 | $120.23 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $25.12 Median $38.02 Typical High $47.86 | Professional | 80 · Assistant surgeon | $25.12 | $38.02 | $47.86 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $17.38 Median $26.30 Typical High $33.88 | Professional | 81 · Minimal assistant surgeon | $17.38 | $26.30 | $33.88 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $17.38 Median $26.30 Typical High $33.88 | Professional | 82 · Assistant surgeon, no resident | $17.38 | $26.30 | $33.88 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $17.38 Median $26.30 Typical High $33.88 | Professional | AS · PA/NP assist | $17.38 | $26.30 | $33.88 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $190.55 Median $190.55 Typical High $190.55 | Professional | None (both parts) | $190.55 | $190.55 | $190.55 |
United Setting Professional Modifier None (both parts) Typical Low $144.54 Median $204.17 Typical High $389.05 | Professional | None (both parts) | $144.54 | $204.17 | $389.05 |
Where North Carolina sits
The same service costs 4.4 times more in Alaska than in Texas. 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· 17th of 51
$158
AK $331TX $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.