How much rates vary
Facilitymedian $162 · 10th to 90th $89 to $355Professionalmedian $117 · 10th to 90th $78 to $257
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 $33.88 Median $44.67 Typical High $75.86 | Professional | 26 · Professional part | $33.88 | $44.67 | $75.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $52.48 Typical High $104.71 | Professional | TC · Technical part | $52.48 | $52.48 | $104.71 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $81.28 Typical High $81.28 | Professional | 26 · Professional part | $37.15 | $81.28 | $81.28 |
BCBS Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $74.13 Typical High $107.15 | Professional | 26 · Professional part | $56.23 | $74.13 | $107.15 |
BCBS Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $128.82 Typical High $208.93 | Professional | TC · Technical part | $77.62 | $128.82 | $208.93 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $47.86 Typical High $104.71 | Professional | 26 · Professional part | $34.67 | $47.86 | $104.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $74.13 Typical High $186.21 | Professional | TC · Technical part | $38.02 | $74.13 | $186.21 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $57.54 Typical High $89.13 | Professional | 26 · Professional part | $51.29 | $57.54 | $89.13 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $93.33 Typical High $144.54 | Professional | TC · Technical part | $83.18 | $93.33 | $144.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $44.67 Typical High $93.33 | Professional | 26 · Professional part | $33.11 | $44.67 | $93.33 |
United Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $85.11 Typical High $147.91 | Professional | TC · Technical part | $56.23 | $85.11 | $147.91 |
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 $97.72 Median $97.72 Typical High $165.96 | Facility | None | $97.72 | $97.72 | $165.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $97.72 Typical High $181.97 | Professional | None (both parts) | $91.20 | $97.72 | $181.97 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $45.71 Median $48.98 Typical High $52.48 | Professional | 52 · Reduced service | $45.71 | $48.98 | $52.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $19.50 Typical High $20.89 | Professional | 53 · Discontinued | $18.20 | $19.50 | $20.89 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | FX · Film X-ray | $77.62 | $77.62 | $77.62 |
BCBS Setting Professional Modifier None (both parts) Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | None (both parts) | $87.10 | $87.10 | $87.10 |
Cigna Setting Facility Modifier None Typical Low $89.13 Median $257.04 Typical High $1,445.44 | Facility | None | $89.13 | $257.04 | $1,445.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $77.62 Median $123.03 Typical High $295.12 | Professional | None (both parts) | $77.62 | $123.03 | $295.12 |
Medcost Setting Professional Modifier None Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | None | $134.90 | $134.90 | $134.90 |
Medcost Setting Facility Modifier None Typical Low $97.72 Median $97.72 Typical High $120.23 | Facility | None | $97.72 | $97.72 | $120.23 |
Medcost Setting Professional Modifier None (both parts) Typical Low $102.33 Median $134.90 Typical High $245.47 | Professional | None (both parts) | $102.33 | $134.90 | $245.47 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $57.54 Median $83.18 Typical High $147.91 | Professional | 51 · Multiple procedures | $57.54 | $83.18 | $147.91 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $22.91 Median $33.11 Typical High $58.88 | Professional | 80 · Assistant surgeon | $22.91 | $33.11 | $58.88 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $16.22 Median $22.91 Typical High $41.69 | Professional | 81 · Minimal assistant surgeon | $16.22 | $22.91 | $41.69 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $16.22 Median $22.91 Typical High $41.69 | Professional | 82 · Assistant surgeon, no resident | $16.22 | $22.91 | $41.69 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $16.22 Median $22.91 Typical High $41.69 | Professional | AS · PA/NP assist | $16.22 | $22.91 | $41.69 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | None (both parts) | $89.13 | $89.13 | $89.13 |
United Setting Professional Modifier None (both parts) Typical Low $89.13 Median $125.89 Typical High $234.42 | Professional | None (both parts) | $89.13 | $125.89 | $234.42 |
Where North Carolina sits
The same service costs 4.2 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· 34th of 51
$117
AK $316UT $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.