How much rates vary
Facilitymedian $191 · 10th to 90th $107 to $603Professionalmedian $302 · 10th to 90th $115 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 $52.48 Median $53.70 Typical High $85.11 | Professional | 26 · Professional part | $52.48 | $53.70 | $85.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $61.66 Typical High $165.96 | Professional | TC · Technical part | $61.66 | $61.66 | $165.96 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $128.82 Typical High $181.97 | Professional | 26 · Professional part | $104.71 | $128.82 | $181.97 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $338.84 Typical High $891.25 | Professional | TC · Technical part | $190.55 | $338.84 | $891.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $83.18 Typical High $165.96 | Professional | 26 · Professional part | $63.10 | $83.18 | $165.96 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $239.88 Typical High $575.44 | Professional | TC · Technical part | $83.18 | $239.88 | $575.44 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $95.50 Typical High $169.82 | Professional | 26 · Professional part | $75.86 | $95.50 | $169.82 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $229.09 Typical High $630.96 | Professional | TC · Technical part | $89.13 | $229.09 | $630.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $77.62 Typical High $131.83 | Professional | 26 · Professional part | $61.66 | $77.62 | $131.83 |
United Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $131.83 Typical High $457.09 | Professional | TC · Technical part | $75.86 | $131.83 | $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 $114.82 Median $114.82 Typical High $117.49 | Facility | None | $114.82 | $114.82 | $117.49 |
Aetna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $114.82 Typical High $275.42 | Professional | None (both parts) | $114.82 | $114.82 | $275.42 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $57.54 Median $57.54 Typical High $66.07 | Professional | 52 · Reduced service | $57.54 | $57.54 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $22.91 Typical High $26.30 | Professional | 53 · Discontinued | $22.91 | $22.91 | $26.30 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $91.20 Median $91.20 Typical High $95.50 | Professional | FX · Film X-ray | $91.20 | $91.20 | $95.50 |
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 $107.15 Median $316.23 Typical High $2,884.03 | Facility | None | $107.15 | $316.23 | $2,884.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $398.11 Typical High $691.83 | Professional | None (both parts) | $151.36 | $398.11 | $691.83 |
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 $114.82 Median $114.82 Typical High $144.54 | Facility | None | $114.82 | $114.82 | $144.54 |
Medcost Setting Professional Modifier None (both parts) Typical Low $165.96 Median $323.59 Typical High $676.08 | Professional | None (both parts) | $165.96 | $323.59 | $676.08 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $120.23 Median $199.53 Typical High $338.84 | Professional | 51 · Multiple procedures | $120.23 | $199.53 | $338.84 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $47.86 Median $79.43 Typical High $134.90 | Professional | 80 · Assistant surgeon | $47.86 | $79.43 | $134.90 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $33.88 Median $54.95 Typical High $95.50 | Professional | 81 · Minimal assistant surgeon | $33.88 | $54.95 | $95.50 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $33.88 Median $54.95 Typical High $95.50 | Professional | 82 · Assistant surgeon, no resident | $33.88 | $54.95 | $95.50 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $33.88 Median $54.95 Typical High $95.50 | Professional | AS · PA/NP assist | $33.88 | $54.95 | $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 $138.04 Median $234.42 Typical High $524.81 | Professional | None (both parts) | $138.04 | $234.42 | $524.81 |
Where North Carolina sits
The same service costs 5.4 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· 6th of 51
$295
AK $407UT $75.86
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.