How much rates vary
Facilitymedian $288 · 10th to 90th $148 to $794Professionalmedian $372 · 10th to 90th $148 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 $51.29 Median $54.95 Typical High $60.26 | Professional | 26 · Professional part | $51.29 | $54.95 | $60.26 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $93.33 Typical High $107.15 | Professional | TC · Technical part | $93.33 | $93.33 | $107.15 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $131.83 Typical High $190.55 | Professional | 26 · Professional part | $107.15 | $131.83 | $190.55 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $380.19 Typical High $1,023.29 | Professional | TC · Technical part | $269.15 | $380.19 | $1,023.29 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $83.18 Typical High $165.96 | Professional | 26 · Professional part | $64.57 | $83.18 | $165.96 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $316.23 Typical High $588.84 | Professional | TC · Technical part | $117.49 | $316.23 | $588.84 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $100.00 Typical High $144.54 | Professional | 26 · Professional part | $75.86 | $100.00 | $144.54 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $295.12 Typical High $588.84 | Professional | TC · Technical part | $125.89 | $295.12 | $588.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $79.43 Typical High $131.83 | Professional | 26 · Professional part | $61.66 | $79.43 | $131.83 |
United Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $190.55 Typical High $457.09 | Professional | TC · Technical part | $104.71 | $190.55 | $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 $147.91 Median $147.91 Typical High $147.91 | Facility | None | $147.91 | $147.91 | $147.91 |
Aetna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $147.91 Typical High $169.82 | Professional | None (both parts) | $144.54 | $147.91 | $169.82 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $72.44 Median $74.13 Typical High $85.11 | Professional | 52 · Reduced service | $72.44 | $74.13 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $29.51 Typical High $33.88 | Professional | 53 · Discontinued | $28.84 | $29.51 | $33.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $117.49 Median $117.49 Typical High $123.03 | Professional | FX · Film X-ray | $117.49 | $117.49 | $123.03 |
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 $173.78 Median $501.19 Typical High $2,884.03 | Facility | None | $173.78 | $501.19 | $2,884.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $467.74 Typical High $707.95 | Professional | None (both parts) | $190.55 | $467.74 | $707.95 |
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 $147.91 Median $147.91 Typical High $194.98 | Facility | None | $147.91 | $147.91 | $194.98 |
Medcost Setting Professional Modifier None (both parts) Typical Low $204.17 Median $407.38 Typical High $676.08 | Professional | None (both parts) | $204.17 | $407.38 | $676.08 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $147.91 Median $239.88 Typical High $338.84 | Professional | 51 · Multiple procedures | $147.91 | $239.88 | $338.84 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $58.88 Median $97.72 Typical High $134.90 | Professional | 80 · Assistant surgeon | $58.88 | $97.72 | $134.90 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $41.69 Median $67.61 Typical High $95.50 | Professional | 81 · Minimal assistant surgeon | $41.69 | $67.61 | $95.50 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $41.69 Median $67.61 Typical High $95.50 | Professional | 82 · Assistant surgeon, no resident | $41.69 | $67.61 | $95.50 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $41.69 Median $67.61 Typical High $95.50 | Professional | AS · PA/NP assist | $41.69 | $67.61 | $95.50 |
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 $309.03 Typical High $537.03 | Professional | None (both parts) | $169.82 | $309.03 | $537.03 |
Where North Carolina sits
The same service costs 4.4 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· 5th of 51
$372
AK $513TX $117
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.