How much rates vary
Facilitymedian $282 · 10th to 90th $138 to $741Professionalmedian $347 · 10th to 90th $138 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 $47.86 Median $48.98 Typical High $56.23 | Professional | 26 · Professional part | $47.86 | $48.98 | $56.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $89.13 Typical High $125.89 | Professional | TC · Technical part | $89.13 | $89.13 | $125.89 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $147.91 Typical High $169.82 | Professional | 26 · Professional part | $93.33 | $147.91 | $169.82 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $645.65 Typical High $954.99 | Professional | TC · Technical part | $239.88 | $645.65 | $954.99 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $77.62 Typical High $147.91 | Professional | 26 · Professional part | $57.54 | $77.62 | $147.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $295.12 Typical High $588.84 | Professional | TC · Technical part | $112.20 | $295.12 | $588.84 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $97.72 Typical High $134.90 | Professional | 26 · Professional part | $66.07 | $97.72 | $134.90 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $257.04 Typical High $645.65 | Professional | TC · Technical part | $123.03 | $257.04 | $645.65 |
United Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $70.79 Typical High $120.23 | Professional | 26 · Professional part | $54.95 | $70.79 | $120.23 |
United Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $181.97 Typical High $457.09 | Professional | TC · Technical part | $102.33 | $181.97 | $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 $138.04 Median $138.04 Typical High $138.04 | Facility | None | $138.04 | $138.04 | $138.04 |
Aetna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $138.04 Typical High $190.55 | Professional | None (both parts) | $138.04 | $138.04 | $190.55 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $67.61 Median $69.18 Typical High $79.43 | Professional | 52 · Reduced service | $67.61 | $69.18 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $27.54 Typical High $31.62 | Professional | 53 · Discontinued | $26.92 | $27.54 | $31.62 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $109.65 Median $109.65 Typical High $114.82 | Professional | FX · Film X-ray | $109.65 | $109.65 | $114.82 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | None (both parts) | $147.91 | $147.91 | $147.91 |
Cigna Setting Facility Modifier None Typical Low $165.96 Median $478.63 Typical High $2,884.03 | Facility | None | $165.96 | $478.63 | $2,884.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $177.83 Median $457.09 Typical High $676.08 | Professional | None (both parts) | $177.83 | $457.09 | $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 $138.04 Median $138.04 Typical High $186.21 | Facility | None | $138.04 | $138.04 | $186.21 |
Medcost Setting Professional Modifier None (both parts) Typical Low $190.55 Median $371.54 Typical High $851.14 | Professional | None (both parts) | $190.55 | $371.54 | $851.14 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $131.83 Median $223.87 Typical High $426.58 | Professional | 51 · Multiple procedures | $131.83 | $223.87 | $426.58 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $52.48 Median $89.13 Typical High $169.82 | Professional | 80 · Assistant surgeon | $52.48 | $89.13 | $169.82 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $36.31 Median $63.10 Typical High $120.23 | Professional | 81 · Minimal assistant surgeon | $36.31 | $63.10 | $120.23 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $36.31 Median $63.10 Typical High $120.23 | Professional | 82 · Assistant surgeon, no resident | $36.31 | $63.10 | $120.23 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $36.31 Median $63.10 Typical High $120.23 | Professional | AS · PA/NP assist | $36.31 | $63.10 | $120.23 |
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 $269.15 Typical High $512.86 | Professional | None (both parts) | $158.49 | $269.15 | $512.86 |
Where North Carolina sits
The same service costs 4.0 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
$347
AK $479TX $120
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.