How much rates vary
Facilitymedian $537 · 10th to 90th $316 to $1,259Professionalmedian $468 · 10th to 90th $251 to $977
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 $35.48 Median $37.15 Typical High $41.69 | Professional | 26 · Professional part | $35.48 | $37.15 | $41.69 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $436.52 Median $457.09 Typical High $549.54 | Professional | TC · Technical part | $436.52 | $457.09 | $549.54 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $91.20 Typical High $117.49 | Professional | 26 · Professional part | $66.07 | $91.20 | $117.49 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $363.08 Median $676.08 Typical High $1,445.44 | Professional | TC · Technical part | $363.08 | $676.08 | $1,445.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $54.95 Typical High $114.82 | Professional | 26 · Professional part | $40.74 | $54.95 | $114.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $263.03 Typical High $549.54 | Professional | TC · Technical part | $199.53 | $263.03 | $549.54 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $60.26 Typical High $100.00 | Professional | 26 · Professional part | $51.29 | $60.26 | $100.00 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $331.13 Median $512.86 Typical High $977.24 | Professional | TC · Technical part | $331.13 | $512.86 | $977.24 |
United Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $52.48 Typical High $93.33 | Professional | 26 · Professional part | $40.74 | $52.48 | $93.33 |
United Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $602.56 Typical High $1,230.27 | Professional | TC · Technical part | $208.93 | $602.56 | $1,230.27 |
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 $467.74 Median $467.74 Typical High $467.74 | Facility | None | $467.74 | $467.74 | $467.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $446.68 Median $467.74 Typical High $562.34 | Professional | None (both parts) | $446.68 | $467.74 | $562.34 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $223.87 Median $234.42 Typical High $281.84 | Professional | 52 · Reduced service | $223.87 | $234.42 | $281.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $89.13 Median $95.50 Typical High $112.20 | Professional | 53 · Discontinued | $89.13 | $95.50 | $112.20 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $371.54 Median $380.19 Typical High $380.19 | Professional | FX · Film X-ray | $371.54 | $380.19 | $380.19 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | None (both parts) | $102.33 | $102.33 | $102.33 |
Cigna Setting Facility Modifier None Typical Low $316.23 Median $776.25 Typical High $1,258.93 | Facility | None | $316.23 | $776.25 | $1,258.93 |
Cigna Setting Professional Modifier None (both parts) Typical Low $245.47 Median $323.59 Typical High $660.69 | Professional | None (both parts) | $245.47 | $323.59 | $660.69 |
Medcost Setting Professional Modifier None Typical Low $398.11 Median $398.11 Typical High $398.11 | Professional | None | $398.11 | $398.11 | $398.11 |
Medcost Setting Facility Modifier None Typical Low $467.74 Median $467.74 Typical High $501.19 | Facility | None | $467.74 | $467.74 | $501.19 |
Medcost Setting Professional Modifier None (both parts) Typical Low $309.03 Median $537.03 Typical High $1,000.00 | Professional | None (both parts) | $309.03 | $537.03 | $1,000.00 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $154.88 Median $269.15 Typical High $851.14 | Professional | 51 · Multiple procedures | $154.88 | $269.15 | $851.14 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $61.66 Median $107.15 Typical High $346.74 | Professional | 80 · Assistant surgeon | $61.66 | $107.15 | $346.74 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $43.65 Median $74.13 Typical High $239.88 | Professional | 81 · Minimal assistant surgeon | $43.65 | $74.13 | $239.88 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $43.65 Median $74.13 Typical High $239.88 | Professional | 82 · Assistant surgeon, no resident | $43.65 | $74.13 | $239.88 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $43.65 Median $74.13 Typical High $239.88 | Professional | AS · PA/NP assist | $43.65 | $74.13 | $239.88 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $309.03 Median $309.03 Typical High $309.03 | Professional | None (both parts) | $309.03 | $309.03 | $309.03 |
United Setting Professional Modifier None (both parts) Typical Low $251.19 Median $645.65 Typical High $1,318.26 | Professional | None (both parts) | $251.19 | $645.65 | $1,318.26 |
Where North Carolina sits
The same service costs 4.8 times more in Alaska than in New Jersey. 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· 29th of 51
$468
AK $1,000NJ $209
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.