How much rates vary
Facilitymedian $132 · 10th to 90th $48 to $1,514Professionalmedian $98 · 10th to 90th $48 to $166
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 $11.75 Median $11.75 Typical High $141.25 | Professional | 26 · Professional part | $11.75 | $11.75 | $141.25 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $35.48 Typical High $338.84 | Professional | TC · Technical part | $35.48 | $35.48 | $338.84 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $19.50 Typical High $21.88 | Professional | 26 · Professional part | $15.49 | $19.50 | $21.88 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $25.70 Typical High $37.15 | Professional | 26 · Professional part | $20.89 | $25.70 | $37.15 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $141.25 Typical High $208.93 | Professional | TC · Technical part | $91.20 | $141.25 | $208.93 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $16.22 Typical High $33.88 | Professional | 26 · Professional part | $12.88 | $16.22 | $33.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $85.11 Typical High $125.89 | Professional | TC · Technical part | $46.77 | $85.11 | $125.89 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $18.20 Typical High $28.18 | Professional | 26 · Professional part | $14.79 | $18.20 | $28.18 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $109.65 Typical High $112.20 | Professional | TC · Technical part | $45.71 | $109.65 | $112.20 |
United Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $15.85 Typical High $31.62 | Professional | 26 · Professional part | $11.48 | $15.85 | $31.62 |
United Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $64.57 Typical High $109.65 | Professional | TC · Technical part | $38.02 | $64.57 | $109.65 |
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 $47.86 Median $70.79 Typical High $1,698.24 | Facility | None | $47.86 | $70.79 | $1,698.24 |
Aetna Setting Professional Modifier None (both parts) Typical Low $47.86 Median $48.98 Typical High $524.81 | Professional | None (both parts) | $47.86 | $48.98 | $524.81 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $38.02 Median $38.02 Typical High $199.53 | Professional | FX · Film X-ray | $38.02 | $38.02 | $199.53 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $69.18 Median $69.18 Typical High $89.13 | Professional | None (both parts) | $69.18 | $69.18 | $89.13 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None (both parts) | $30.20 | $30.20 | $30.20 |
Cigna Setting Facility Modifier None Typical Low $131.83 Median $204.17 Typical High $204.17 | Facility | None | $131.83 | $204.17 | $204.17 |
Cigna Setting Professional Modifier None (both parts) Typical Low $60.26 Median $97.72 Typical High $158.49 | Professional | None (both parts) | $60.26 | $97.72 | $158.49 |
Medcost Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | None | $141.25 | $141.25 | $141.25 |
Medcost Setting Facility Modifier None Typical Low $42.66 Median $47.86 Typical High $51.29 | Facility | None | $42.66 | $47.86 | $51.29 |
Medcost Setting Professional Modifier None (both parts) Typical Low $60.26 Median $128.82 Typical High $128.82 | Professional | None (both parts) | $60.26 | $128.82 | $128.82 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $43.65 Median $63.10 Typical High $72.44 | Professional | 51 · Multiple procedures | $43.65 | $63.10 | $72.44 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $17.78 Median $25.70 Typical High $28.84 | Professional | 80 · Assistant surgeon | $17.78 | $25.70 | $28.84 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $12.30 Median $17.78 Typical High $19.95 | Professional | 81 · Minimal assistant surgeon | $12.30 | $17.78 | $19.95 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $12.30 Median $17.78 Typical High $19.95 | Professional | 82 · Assistant surgeon, no resident | $12.30 | $17.78 | $19.95 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $12.30 Median $17.78 Typical High $19.95 | Professional | AS · PA/NP assist | $12.30 | $17.78 | $19.95 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | None (both parts) | $109.65 | $109.65 | $109.65 |
United Setting Professional Modifier None (both parts) Typical Low $50.12 Median $85.11 Typical High $138.04 | Professional | None (both parts) | $50.12 | $85.11 | $138.04 |
Where North Carolina sits
The same service costs 5.5 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· 15th of 51
$97.72
WY $182UT $33.11
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.