How much rates vary
Facilitymedian $182 · 10th to 90th $129 to $589Professionalmedian $302 · 10th to 90th $135 to $676
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 $56.23 Median $74.13 Typical High $125.89 | Professional | 26 · Professional part | $56.23 | $74.13 | $125.89 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $64.57 Typical High $223.87 | Professional | TC · Technical part | $60.26 | $64.57 | $223.87 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $120.23 Typical High $208.93 | Professional | 26 · Professional part | $91.20 | $120.23 | $208.93 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $616.60 Typical High $933.25 | Professional | TC · Technical part | $186.21 | $616.60 | $933.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $81.28 Typical High $204.17 | Professional | 26 · Professional part | $57.54 | $81.28 | $204.17 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $275.42 Typical High $575.44 | Professional | TC · Technical part | $85.11 | $275.42 | $575.44 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $95.50 Typical High $181.97 | Professional | 26 · Professional part | $83.18 | $95.50 | $181.97 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $257.04 Typical High $645.65 | Professional | TC · Technical part | $87.10 | $257.04 | $645.65 |
United Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $89.13 Typical High $169.82 | Professional | 26 · Professional part | $57.54 | $89.13 | $169.82 |
United Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $134.90 Typical High $457.09 | Professional | TC · Technical part | $72.44 | $134.90 | $457.09 |
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 $134.90 Median $134.90 Typical High $478.63 | Facility | None | $134.90 | $134.90 | $478.63 |
Aetna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $138.04 Typical High $371.54 | Professional | None (both parts) | $134.90 | $138.04 | $371.54 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $64.57 Median $67.61 Typical High $75.86 | Professional | 52 · Reduced service | $64.57 | $67.61 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $26.92 Typical High $30.90 | Professional | 53 · Discontinued | $25.70 | $26.92 | $30.90 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | FX · Film X-ray | $107.15 | $107.15 | $107.15 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | None (both parts) | $112.20 | $112.20 | $112.20 |
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 $102.33 Median $302.00 Typical High $2,884.03 | Facility | None | $102.33 | $302.00 | $2,884.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $457.09 Typical High $676.08 | Professional | None (both parts) | $169.82 | $457.09 | $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 $134.90 Median $134.90 Typical High $165.96 | Facility | None | $134.90 | $134.90 | $165.96 |
Medcost Setting Professional Modifier None (both parts) Typical Low $190.55 Median $346.74 Typical High $851.14 | Professional | None (both parts) | $190.55 | $346.74 | $851.14 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $123.03 Median $218.78 Typical High $426.58 | Professional | 51 · Multiple procedures | $123.03 | $218.78 | $426.58 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $48.98 Median $89.13 Typical High $169.82 | Professional | 80 · Assistant surgeon | $48.98 | $89.13 | $169.82 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $34.67 Median $61.66 Typical High $117.49 | Professional | 81 · Minimal assistant surgeon | $34.67 | $61.66 | $117.49 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $34.67 Median $61.66 Typical High $117.49 | Professional | 82 · Assistant surgeon, no resident | $34.67 | $61.66 | $117.49 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $34.67 Median $61.66 Typical High $117.49 | Professional | AS · PA/NP assist | $34.67 | $61.66 | $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 $158.49 Median $263.03 Typical High $512.86 | Professional | None (both parts) | $158.49 | $263.03 | $512.86 |
Where North Carolina sits
The same service costs 4.1 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· 9th of 51
$302
AK $468TX $115
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.