How much rates vary
Facilitymedian $219 · 10th to 90th $117 to $646Professionalmedian $302 · 10th to 90th $117 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 $45.71 Median $47.86 Typical High $53.70 | Professional | 26 · Professional part | $45.71 | $47.86 | $53.70 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $69.18 Typical High $109.65 | Professional | TC · Technical part | $69.18 | $69.18 | $109.65 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $141.25 Typical High $158.49 | Professional | 26 · Professional part | $91.20 | $141.25 | $158.49 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $346.74 Typical High $912.01 | Professional | TC · Technical part | $218.78 | $346.74 | $912.01 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $72.44 Typical High $144.54 | Professional | 26 · Professional part | $54.95 | $72.44 | $144.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $275.42 Typical High $575.44 | Professional | TC · Technical part | $93.33 | $275.42 | $575.44 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $83.18 Typical High $125.89 | Professional | 26 · Professional part | $66.07 | $83.18 | $125.89 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $245.47 Typical High $630.96 | Professional | TC · Technical part | $100.00 | $245.47 | $630.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $67.61 Typical High $117.49 | Professional | 26 · Professional part | $53.70 | $67.61 | $117.49 |
United Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $151.36 Typical High $457.09 | Professional | TC · Technical part | $83.18 | $151.36 | $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 $117.49 Median $117.49 Typical High $117.49 | Facility | None | $117.49 | $117.49 | $117.49 |
Aetna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $117.49 Typical High $204.17 | Professional | None (both parts) | $117.49 | $117.49 | $204.17 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $58.88 Median $58.88 Typical High $67.61 | Professional | 52 · Reduced service | $58.88 | $58.88 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $23.44 Typical High $26.92 | Professional | 53 · Discontinued | $23.44 | $23.44 | $26.92 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $93.33 Median $93.33 Typical High $95.50 | Professional | FX · Film X-ray | $93.33 | $93.33 | $95.50 |
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 $128.82 Median $371.54 Typical High $2,884.03 | Facility | None | $128.82 | $371.54 | $2,884.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $398.11 Typical High $676.08 | Professional | None (both parts) | $151.36 | $398.11 | $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 $117.49 Median $117.49 Typical High $151.36 | Facility | None | $117.49 | $117.49 | $151.36 |
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 $48.98 Median $79.43 Typical High $134.90 | Professional | 80 · Assistant surgeon | $48.98 | $79.43 | $134.90 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $33.88 Median $56.23 Typical High $93.33 | Professional | 81 · Minimal assistant surgeon | $33.88 | $56.23 | $93.33 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $33.88 Median $56.23 Typical High $93.33 | Professional | 82 · Assistant surgeon, no resident | $33.88 | $56.23 | $93.33 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $33.88 Median $56.23 Typical High $93.33 | Professional | AS · PA/NP assist | $33.88 | $56.23 | $93.33 |
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 $138.04 Median $239.88 Typical High $512.86 | Professional | None (both parts) | $138.04 | $239.88 | $512.86 |
Where North Carolina sits
The same service costs 4.3 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
$302
AK $407UT $95.50
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.