How much rates vary
Facilitymedian $1,259 · 10th to 90th $316 to $2,570Professionalmedian $537 · 10th to 90th $295 to $4,074
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 $57.54 | Professional | 26 · Professional part | $45.71 | $47.86 | $57.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $2,089.30 Median $2,454.71 Typical High $2,630.27 | Professional | TC · Technical part | $2,089.30 | $2,454.71 | $2,630.27 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $134.90 Typical High $162.18 | Professional | 26 · Professional part | $93.33 | $134.90 | $162.18 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $363.08 Median $676.08 Typical High $6,309.57 | Professional | TC · Technical part | $363.08 | $676.08 | $6,309.57 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $72.44 Typical High $147.91 | Professional | 26 · Professional part | $54.95 | $72.44 | $147.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $288.40 Typical High $562.34 | Professional | TC · Technical part | $213.80 | $288.40 | $562.34 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | 26 · Professional part | $102.33 | $102.33 | $102.33 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $85.11 Typical High $125.89 | Professional | 26 · Professional part | $66.07 | $85.11 | $125.89 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $371.54 Median $512.86 Typical High $4,897.79 | Professional | TC · Technical part | $371.54 | $512.86 | $4,897.79 |
United Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $70.79 Typical High $120.23 | Professional | 26 · Professional part | $53.70 | $70.79 | $120.23 |
United Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $2,630.27 Typical High $5,888.44 | Professional | TC · Technical part | $263.03 | $2,630.27 | $5,888.44 |
17 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 $2,454.71 Median $2,454.71 Typical High $2,454.71 | Facility | None | $2,454.71 | $2,454.71 | $2,454.71 |
Aetna Setting Professional Modifier None (both parts) Typical Low $2,137.96 Median $2,454.71 Typical High $2,630.27 | Professional | None (both parts) | $2,137.96 | $2,454.71 | $2,630.27 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,148.15 Median $1,230.27 Typical High $1,318.26 | Professional | 52 · Reduced service | $1,148.15 | $1,230.27 | $1,318.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $457.09 Median $489.78 Typical High $524.81 | Professional | 53 · Discontinued | $457.09 | $489.78 | $524.81 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $1,905.46 Median $1,949.84 Typical High $1,949.84 | Professional | FX · Film X-ray | $1,905.46 | $1,949.84 | $1,949.84 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | None (both parts) | $144.54 | $144.54 | $144.54 |
Cigna Setting Facility Modifier None Typical Low $316.23 Median $912.01 Typical High $2,884.03 | Facility | None | $316.23 | $912.01 | $2,884.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $269.15 Median $371.54 Typical High $707.95 | Professional | None (both parts) | $269.15 | $371.54 | $707.95 |
Medcost Setting Facility Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $2,570.40 | Facility | None | $2,454.71 | $2,454.71 | $2,570.40 |
Medcost Setting Professional Modifier None (both parts) Typical Low $363.08 Median $537.03 Typical High $4,897.79 | Professional | None (both parts) | $363.08 | $537.03 | $4,897.79 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $181.97 Median $269.15 Typical High $3,715.35 | Professional | 51 · Multiple procedures | $181.97 | $269.15 | $3,715.35 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $72.44 Median $107.15 Typical High $1,479.11 | Professional | 80 · Assistant surgeon | $72.44 | $107.15 | $1,479.11 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $51.29 Median $74.13 Typical High $1,047.13 | Professional | 81 · Minimal assistant surgeon | $51.29 | $74.13 | $1,047.13 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $51.29 Median $74.13 Typical High $1,047.13 | Professional | 82 · Assistant surgeon, no resident | $51.29 | $74.13 | $1,047.13 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $51.29 Median $74.13 Typical High $1,047.13 | Professional | AS · PA/NP assist | $51.29 | $74.13 | $1,047.13 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $363.08 Median $363.08 Typical High $363.08 | Professional | None (both parts) | $363.08 | $363.08 | $363.08 |
United Setting Professional Modifier None (both parts) Typical Low $309.03 Median $2,691.53 Typical High $6,025.60 | Professional | None (both parts) | $309.03 | $2,691.53 | $6,025.60 |
Where North Carolina sits
The same service costs 15.1 times more in Colorado 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· 31st of 51
$537
CO $3,890NJ $257
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.