How much rates vary
Facilitymedian $182 · 10th to 90th $105 to $631Professionalmedian $263 · 10th to 90th $107 to $776
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 $46.77 Median $47.86 Typical High $74.13 | Professional | 26 · Professional part | $46.77 | $47.86 | $74.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $58.88 Typical High $177.83 | Professional | TC · Technical part | $58.88 | $58.88 | $177.83 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $131.83 Typical High $162.18 | Professional | 26 · Professional part | $91.20 | $131.83 | $162.18 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $346.74 Typical High $912.01 | Professional | TC · Technical part | $186.21 | $346.74 | $912.01 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $74.13 Typical High $144.54 | Professional | 26 · Professional part | $56.23 | $74.13 | $144.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $239.88 Typical High $575.44 | Professional | TC · Technical part | $79.43 | $239.88 | $575.44 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $95.50 Typical High $147.91 | Professional | 26 · Professional part | $66.07 | $95.50 | $147.91 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $234.42 Typical High $630.96 | Professional | TC · Technical part | $85.11 | $234.42 | $630.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $69.18 Typical High $114.82 | Professional | 26 · Professional part | $53.70 | $69.18 | $114.82 |
United Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $125.89 Typical High $457.09 | Professional | TC · Technical part | $70.79 | $125.89 | $457.09 |
18 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 $107.15 Median $107.15 Typical High $107.15 | Facility | None | $107.15 | $107.15 | $107.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $107.15 Typical High $239.88 | Professional | None (both parts) | $107.15 | $107.15 | $239.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $53.70 Median $53.70 Typical High $61.66 | Professional | 52 · Reduced service | $53.70 | $53.70 | $61.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $21.38 Typical High $24.55 | Professional | 53 · Discontinued | $21.38 | $21.38 | $24.55 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $85.11 Median $85.11 Typical High $87.10 | Professional | FX · Film X-ray | $85.11 | $85.11 | $87.10 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | None (both parts) | $144.54 | $144.54 | $144.54 |
Cigna Setting Facility Modifier None Typical Low $104.71 Median $302.00 Typical High $4,897.79 | Facility | None | $104.71 | $302.00 | $4,897.79 |
Cigna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $363.08 Typical High $676.08 | Professional | None (both parts) | $138.04 | $363.08 | $676.08 |
Medcost Setting Professional Modifier None Typical Low $851.14 Median $851.14 Typical High $851.14 | Professional | None | $851.14 | $851.14 | $851.14 |
Medcost Setting Facility Modifier None Typical Low $107.15 Median $107.15 Typical High $134.90 | Facility | None | $107.15 | $107.15 | $134.90 |
Medcost Setting Professional Modifier None (both parts) Typical Low $151.36 Median $323.59 Typical High $851.14 | Professional | None (both parts) | $151.36 | $323.59 | $851.14 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $112.20 Median $177.83 Typical High $426.58 | Professional | 51 · Multiple procedures | $112.20 | $177.83 | $426.58 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $44.67 Median $72.44 Typical High $169.82 | Professional | 80 · Assistant surgeon | $44.67 | $72.44 | $169.82 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $31.62 Median $50.12 Typical High $117.49 | Professional | 81 · Minimal assistant surgeon | $31.62 | $50.12 | $117.49 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $31.62 Median $50.12 Typical High $117.49 | Professional | 82 · Assistant surgeon, no resident | $31.62 | $50.12 | $117.49 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $31.62 Median $50.12 Typical High $117.49 | Professional | AS · PA/NP assist | $31.62 | $50.12 | $117.49 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $676.08 Median $676.08 Typical High $676.08 | Professional | None (both parts) | $676.08 | $676.08 | $676.08 |
United Setting Professional Modifier None (both parts) Typical Low $125.89 Median $218.78 Typical High $512.86 | Professional | None (both parts) | $125.89 | $218.78 | $512.86 |
Where North Carolina sits
The same service costs 4.9 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· 8th of 51
$263
AK $372UT $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.