How much rates vary
Facilitymedian $182 · 10th to 90th $138 to $617Professionalmedian $339 · 10th to 90th $145 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 $64.57 Median $83.18 Typical High $134.90 | Professional | 26 · Professional part | $64.57 | $83.18 | $134.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $61.66 Typical High $239.88 | Professional | TC · Technical part | $61.66 | $61.66 | $239.88 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $117.49 Typical High $190.55 | Professional | 26 · Professional part | $61.66 | $117.49 | $190.55 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $134.90 Typical High $234.42 | Professional | 26 · Professional part | $104.71 | $134.90 | $234.42 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $371.54 Typical High $1,000.00 | Professional | TC · Technical part | $194.98 | $371.54 | $1,000.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $93.33 Typical High $229.09 | Professional | 26 · Professional part | $64.57 | $93.33 | $229.09 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $316.23 Typical High $588.84 | Professional | TC · Technical part | $91.20 | $316.23 | $588.84 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $107.15 Typical High $204.17 | Professional | 26 · Professional part | $95.50 | $107.15 | $204.17 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $288.40 Typical High $645.65 | Professional | TC · Technical part | $89.13 | $288.40 | $645.65 |
United Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $102.33 Typical High $190.55 | Professional | 26 · Professional part | $66.07 | $102.33 | $190.55 |
United Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $144.54 Typical High $457.09 | Professional | TC · Technical part | $74.13 | $144.54 | $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 $144.54 Median $144.54 Typical High $251.19 | Facility | None | $144.54 | $144.54 | $251.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $144.54 Typical High $380.19 | Professional | None (both parts) | $144.54 | $144.54 | $380.19 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $72.44 Median $72.44 Typical High $83.18 | Professional | 52 · Reduced service | $72.44 | $72.44 | $83.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $28.84 Typical High $33.11 | Professional | 53 · Discontinued | $28.84 | $28.84 | $33.11 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $114.82 Median $114.82 Typical High $117.49 | Professional | FX · Film X-ray | $114.82 | $114.82 | $117.49 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | None (both parts) | $162.18 | $162.18 | $162.18 |
Cigna Setting Facility Modifier None Typical Low $109.65 Median $316.23 Typical High $2,884.03 | Facility | None | $109.65 | $316.23 | $2,884.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $186.21 Median $467.74 Typical High $691.83 | Professional | None (both parts) | $186.21 | $467.74 | $691.83 |
Medcost Setting Professional Modifier None Typical Low $870.96 Median $870.96 Typical High $870.96 | Professional | None | $870.96 | $870.96 | $870.96 |
Medcost Setting Facility Modifier None Typical Low $144.54 Median $144.54 Typical High $181.97 | Facility | None | $144.54 | $144.54 | $181.97 |
Medcost Setting Professional Modifier None (both parts) Typical Low $204.17 Median $389.05 Typical High $851.14 | Professional | None (both parts) | $204.17 | $389.05 | $851.14 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $147.91 Median $239.88 Typical High $426.58 | Professional | 51 · Multiple procedures | $147.91 | $239.88 | $426.58 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $58.88 Median $95.50 Typical High $173.78 | Professional | 80 · Assistant surgeon | $58.88 | $95.50 | $173.78 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $41.69 Median $67.61 Typical High $120.23 | Professional | 81 · Minimal assistant surgeon | $41.69 | $67.61 | $120.23 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $41.69 Median $67.61 Typical High $120.23 | Professional | 82 · Assistant surgeon, no resident | $41.69 | $67.61 | $120.23 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $41.69 Median $67.61 Typical High $120.23 | Professional | AS · PA/NP assist | $41.69 | $67.61 | $120.23 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $691.83 Median $691.83 Typical High $691.83 | Professional | None (both parts) | $691.83 | $691.83 | $691.83 |
United Setting Professional Modifier None (both parts) Typical Low $169.82 Median $295.12 Typical High $524.81 | Professional | None (both parts) | $169.82 | $295.12 | $524.81 |
Where North Carolina sits
The same service costs 5.1 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
$331
AK $513UT $100
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.