How much rates vary
Facilitymedian $178 · 10th to 90th $105 to $550Professionalmedian $257 · 10th to 90th $105 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 $46.77 Median $47.86 Typical High $64.57 | Professional | 26 · Professional part | $46.77 | $47.86 | $64.57 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $57.54 Typical High $158.49 | Professional | TC · Technical part | $57.54 | $57.54 | $158.49 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $36.31 Typical High $91.20 | Professional | 26 · Professional part | $36.31 | $36.31 | $91.20 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $117.49 Typical High $158.49 | Professional | 26 · Professional part | $91.20 | $117.49 | $158.49 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $338.84 Typical High $891.25 | Professional | TC · Technical part | $177.83 | $338.84 | $891.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $72.44 Typical High $144.54 | Professional | 26 · Professional part | $54.95 | $72.44 | $144.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $234.42 Typical High $575.44 | Professional | TC · Technical part | $77.62 | $234.42 | $575.44 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $93.33 Typical High $131.83 | Professional | 26 · Professional part | $66.07 | $93.33 | $131.83 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $223.87 Typical High $630.96 | Professional | TC · Technical part | $85.11 | $223.87 | $630.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $66.07 Typical High $117.49 | Professional | 26 · Professional part | $52.48 | $66.07 | $117.49 |
United Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $123.03 Typical High $457.09 | Professional | TC · Technical part | $70.79 | $123.03 | $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 $104.71 Median $104.71 Typical High $186.21 | Facility | None | $104.71 | $104.71 | $186.21 |
Aetna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $104.71 Typical High $223.87 | Professional | None (both parts) | $104.71 | $104.71 | $223.87 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $52.48 Median $52.48 Typical High $60.26 | Professional | 52 · Reduced service | $52.48 | $52.48 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $20.89 Typical High $24.55 | Professional | 53 · Discontinued | $20.89 | $20.89 | $24.55 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $85.11 Median $85.11 Typical High $87.10 | Professional | FX · Film X-ray | $85.11 | $85.11 | $87.10 |
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 $100.00 Median $288.40 Typical High $1,445.44 | Facility | None | $100.00 | $288.40 | $1,445.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $363.08 Typical High $660.69 | Professional | None (both parts) | $138.04 | $363.08 | $660.69 |
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 $104.71 Median $104.71 Typical High $131.83 | Facility | None | $104.71 | $104.71 | $131.83 |
Medcost Setting Professional Modifier None (both parts) Typical Low $151.36 Median $309.03 Typical High $851.14 | Professional | None (both parts) | $151.36 | $309.03 | $851.14 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $109.65 Median $181.97 Typical High $426.58 | Professional | 51 · Multiple procedures | $109.65 | $181.97 | $426.58 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $43.65 Median $72.44 Typical High $169.82 | Professional | 80 · Assistant surgeon | $43.65 | $72.44 | $169.82 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $30.90 Median $50.12 Typical High $117.49 | Professional | 81 · Minimal assistant surgeon | $30.90 | $50.12 | $117.49 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $30.90 Median $50.12 Typical High $117.49 | Professional | 82 · Assistant surgeon, no resident | $30.90 | $50.12 | $117.49 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $30.90 Median $50.12 Typical High $117.49 | Professional | AS · PA/NP assist | $30.90 | $50.12 | $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 $125.89 Median $213.80 Typical High $512.86 | Professional | None (both parts) | $125.89 | $213.80 | $512.86 |
Where North Carolina sits
The same service costs 4.8 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· 8th of 51
$251
AK $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.