How much rates vary
Facilitymedian $151 · 10th to 90th $100 to $550Professionalmedian $245 · 10th to 90th $100 to $759
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 $46.77 Median $46.77 Typical High $79.43 | Professional | 26 · Professional part | $46.77 | $46.77 | $79.43 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $53.70 Typical High $177.83 | Professional | TC · Technical part | $53.70 | $53.70 | $177.83 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | 26 · Professional part | $91.20 | $91.20 | $91.20 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $114.82 Typical High $158.49 | Professional | 26 · Professional part | $91.20 | $114.82 | $158.49 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $338.84 Typical High $891.25 | Professional | TC · Technical part | $169.82 | $338.84 | $891.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $72.44 Typical High $147.91 | Professional | 26 · Professional part | $56.23 | $72.44 | $147.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $229.09 Typical High $575.44 | Professional | TC · Technical part | $74.13 | $229.09 | $575.44 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $95.50 Typical High $134.90 | Professional | 26 · Professional part | $66.07 | $95.50 | $134.90 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $223.87 Typical High $630.96 | Professional | TC · Technical part | $79.43 | $223.87 | $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 $66.07 Median $114.82 Typical High $457.09 | Professional | TC · Technical part | $66.07 | $114.82 | $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 $100.00 Median $100.00 Typical High $177.83 | Facility | None | $100.00 | $100.00 | $177.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $100.00 Typical High $281.84 | Professional | None (both parts) | $100.00 | $100.00 | $281.84 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $50.12 Median $50.12 Typical High $58.88 | Professional | 52 · Reduced service | $50.12 | $50.12 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $19.95 Typical High $23.44 | Professional | 53 · Discontinued | $19.95 | $19.95 | $23.44 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $79.43 Median $79.43 Typical High $85.11 | Professional | FX · Film X-ray | $79.43 | $79.43 | $85.11 |
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 $93.33 Median $275.42 Typical High $2,884.03 | Facility | None | $93.33 | $275.42 | $2,884.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $354.81 Typical High $676.08 | Professional | None (both parts) | $134.90 | $354.81 | $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 $100.00 Median $100.00 Typical High $128.82 | Facility | None | $100.00 | $100.00 | $128.82 |
Medcost Setting Professional Modifier None (both parts) Typical Low $144.54 Median $302.00 Typical High $851.14 | Professional | None (both parts) | $144.54 | $302.00 | $851.14 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $107.15 Median $173.78 Typical High $426.58 | Professional | 51 · Multiple procedures | $107.15 | $173.78 | $426.58 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $42.66 Median $69.18 Typical High $169.82 | Professional | 80 · Assistant surgeon | $42.66 | $69.18 | $169.82 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $30.20 Median $48.98 Typical High $117.49 | Professional | 81 · Minimal assistant surgeon | $30.20 | $48.98 | $117.49 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $30.20 Median $48.98 Typical High $117.49 | Professional | 82 · Assistant surgeon, no resident | $30.20 | $48.98 | $117.49 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $30.20 Median $48.98 Typical High $117.49 | Professional | AS · PA/NP assist | $30.20 | $48.98 | $117.49 |
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 $120.23 Median $208.93 Typical High $512.86 | Professional | None (both parts) | $120.23 | $208.93 | $512.86 |
Where North Carolina sits
The same service costs 4.8 times more in Kansas 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· 8th of 51
$245
KS $363UT $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.