How much rates vary
Facilitymedian $479 · 10th to 90th $282 to $2,754Professionalmedian $646 · 10th to 90th $282 to $1,122
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 $112.20 Median $112.20 Typical High $190.55 | Facility | 26 · Professional part | $112.20 | $112.20 | $190.55 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $169.82 Median $190.55 Typical High $501.19 | Facility | TC · Technical part | $169.82 | $190.55 | $501.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $112.20 Typical High $218.78 | Professional | 26 · Professional part | $104.71 | $112.20 | $218.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $199.53 Typical High $537.03 | Professional | TC · Technical part | $169.82 | $199.53 | $537.03 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $173.78 Typical High $213.80 | Professional | 26 · Professional part | $107.15 | $173.78 | $213.80 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $190.55 Median $263.03 Typical High $363.08 | Professional | 26 · Professional part | $190.55 | $263.03 | $363.08 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $457.09 Median $691.83 Typical High $891.25 | Professional | TC · Technical part | $457.09 | $691.83 | $891.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $151.36 Typical High $323.59 | Professional | 26 · Professional part | $112.20 | $151.36 | $323.59 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $331.13 Median $630.96 Typical High $912.01 | Professional | TC · Technical part | $331.13 | $630.96 | $912.01 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $194.98 Typical High $288.40 | Professional | 26 · Professional part | $141.25 | $194.98 | $288.40 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $467.74 Typical High $524.81 | Professional | TC · Technical part | $204.17 | $467.74 | $524.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $141.25 Typical High $309.03 | Professional | 26 · Professional part | $114.82 | $141.25 | $309.03 |
United Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $489.78 Typical High $870.96 | Professional | TC · Technical part | $295.12 | $489.78 | $870.96 |
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 $281.84 Median $380.19 Typical High $1,096.48 | Facility | None | $281.84 | $380.19 | $1,096.48 |
Aetna Setting Professional Modifier None (both parts) Typical Low $281.84 Median $316.23 Typical High $758.58 | Professional | None (both parts) | $281.84 | $316.23 | $758.58 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $141.25 Median $141.25 Typical High $181.97 | Professional | 52 · Reduced service | $141.25 | $141.25 | $181.97 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $56.23 Typical High $74.13 | Professional | 53 · Discontinued | $56.23 | $56.23 | $74.13 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $223.87 Median $223.87 Typical High $245.47 | Professional | FX · Film X-ray | $223.87 | $223.87 | $245.47 |
BCBS North Carolina Setting Facility Modifier None Typical Low $1,621.81 Median $2,818.38 Typical High $3,801.89 | Facility | None | $1,621.81 | $2,818.38 | $3,801.89 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $302.00 Median $302.00 Typical High $302.00 | Professional | None (both parts) | $302.00 | $302.00 | $302.00 |
Cigna Setting Facility Modifier None Typical Low $1,174.90 Median $1,862.09 Typical High $2,691.53 | Facility | None | $1,174.90 | $1,862.09 | $2,691.53 |
Cigna Setting Professional Modifier None (both parts) Typical Low $478.63 Median $758.58 Typical High $1,230.27 | Professional | None (both parts) | $478.63 | $758.58 | $1,230.27 |
Medcost Setting Professional Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $1,096.48 | Professional | None | $1,096.48 | $1,096.48 | $1,096.48 |
Medcost Setting Facility Modifier None Typical Low $251.19 Median $281.84 Typical High $323.59 | Facility | None | $251.19 | $281.84 | $323.59 |
Medcost Setting Professional Modifier None (both parts) Typical Low $331.13 Median $645.65 Typical High $1,122.02 | Professional | None (both parts) | $331.13 | $645.65 | $1,122.02 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $251.19 Median $407.38 Typical High $562.34 | Professional | 51 · Multiple procedures | $251.19 | $407.38 | $562.34 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $100.00 Median $165.96 Typical High $223.87 | Professional | 80 · Assistant surgeon | $100.00 | $165.96 | $223.87 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $70.79 Median $114.82 Typical High $158.49 | Professional | 81 · Minimal assistant surgeon | $70.79 | $114.82 | $158.49 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $70.79 Median $114.82 Typical High $158.49 | Professional | 82 · Assistant surgeon, no resident | $70.79 | $114.82 | $158.49 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $70.79 Median $114.82 Typical High $158.49 | Professional | AS · PA/NP assist | $70.79 | $114.82 | $158.49 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $120.23 Median $338.84 Typical High $741.31 | Professional | None (both parts) | $120.23 | $338.84 | $741.31 |
United Setting Professional Modifier None (both parts) Typical Low $416.87 Median $645.65 Typical High $1,096.48 | Professional | None (both parts) | $416.87 | $645.65 | $1,096.48 |
Where North Carolina sits
The same service costs 6.8 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· 10th of 51
$646
AK $1,148UT $170
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.