How much rates vary
Facilitymedian $263 · 10th to 90th $132 to $676Professionalmedian $339 · 10th to 90th $132 to $708
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 $48.98 Typical High $53.70 | Professional | 26 · Professional part | $46.77 | $48.98 | $53.70 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $83.18 Typical High $97.72 | Professional | TC · Technical part | $83.18 | $83.18 | $97.72 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $123.03 Typical High $165.96 | Professional | 26 · Professional part | $91.20 | $123.03 | $165.96 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $354.81 Typical High $954.99 | Professional | TC · Technical part | $218.78 | $354.81 | $954.99 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $72.44 Typical High $147.91 | Professional | 26 · Professional part | $56.23 | $72.44 | $147.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $288.40 Typical High $588.84 | Professional | TC · Technical part | $109.65 | $288.40 | $588.84 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $85.11 Typical High $128.82 | Professional | 26 · Professional part | $67.61 | $85.11 | $128.82 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $257.04 Typical High $630.96 | Professional | TC · Technical part | $120.23 | $257.04 | $630.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $67.61 Typical High $117.49 | Professional | 26 · Professional part | $54.95 | $67.61 | $117.49 |
United Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $177.83 Typical High $457.09 | Professional | TC · Technical part | $100.00 | $177.83 | $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 $131.83 Median $131.83 Typical High $131.83 | Facility | None | $131.83 | $131.83 | $131.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $131.83 Typical High $151.36 | Professional | None (both parts) | $131.83 | $131.83 | $151.36 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $66.07 Median $66.07 Typical High $75.86 | Professional | 52 · Reduced service | $66.07 | $66.07 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $26.30 Typical High $30.90 | Professional | 53 · Discontinued | $26.30 | $26.30 | $30.90 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $104.71 Median $104.71 Typical High $109.65 | Professional | FX · Film X-ray | $104.71 | $104.71 | $109.65 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | None (both parts) | $141.25 | $141.25 | $141.25 |
Cigna Setting Facility Modifier None Typical Low $154.88 Median $446.68 Typical High $2,884.03 | Facility | None | $154.88 | $446.68 | $2,884.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $173.78 Median $446.68 Typical High $676.08 | Professional | None (both parts) | $173.78 | $446.68 | $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 $131.83 Median $131.83 Typical High $169.82 | Facility | None | $131.83 | $131.83 | $169.82 |
Medcost Setting Professional Modifier None (both parts) Typical Low $186.21 Median $363.08 Typical High $870.96 | Professional | None (both parts) | $186.21 | $363.08 | $870.96 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $138.04 Median $223.87 Typical High $436.52 | Professional | 51 · Multiple procedures | $138.04 | $223.87 | $436.52 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $54.95 Median $89.13 Typical High $173.78 | Professional | 80 · Assistant surgeon | $54.95 | $89.13 | $173.78 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $38.02 Median $63.10 Typical High $123.03 | Professional | 81 · Minimal assistant surgeon | $38.02 | $63.10 | $123.03 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $38.02 Median $63.10 Typical High $123.03 | Professional | 82 · Assistant surgeon, no resident | $38.02 | $63.10 | $123.03 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $38.02 Median $63.10 Typical High $123.03 | Professional | AS · PA/NP assist | $38.02 | $63.10 | $123.03 |
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 4.4 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· 5th of 51
$339
AK $457UT $105
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.