How much rates vary
Facilitymedian $195 · 10th to 90th $110 to $617Professionalmedian $282 · 10th to 90th $110 to $676
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 $60.26 | Professional | 26 · Professional part | $46.77 | $47.86 | $60.26 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $63.10 Typical High $162.18 | Professional | TC · Technical part | $63.10 | $63.10 | $162.18 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $144.54 Typical High $162.18 | Professional | 26 · Professional part | $91.20 | $144.54 | $162.18 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $338.84 Typical High $912.01 | Professional | TC · Technical part | $190.55 | $338.84 | $912.01 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $74.13 Typical High $147.91 | Professional | 26 · Professional part | $56.23 | $74.13 | $147.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $245.47 Typical High $575.44 | Professional | TC · Technical part | $85.11 | $245.47 | $575.44 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $85.11 Typical High $131.83 | Professional | 26 · Professional part | $66.07 | $85.11 | $131.83 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $229.09 Typical High $588.84 | Professional | TC · Technical part | $93.33 | $229.09 | $588.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $69.18 Typical High $117.49 | Professional | 26 · Professional part | $54.95 | $69.18 | $117.49 |
United Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $134.90 Typical High $457.09 | Professional | TC · Technical part | $77.62 | $134.90 | $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 $109.65 Median $109.65 Typical High $109.65 | Facility | None | $109.65 | $109.65 | $109.65 |
Aetna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $109.65 Typical High $234.42 | Professional | None (both parts) | $109.65 | $109.65 | $234.42 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $54.95 Median $54.95 Typical High $64.57 | Professional | 52 · Reduced service | $54.95 | $54.95 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $22.39 Typical High $25.70 | Professional | 53 · Discontinued | $22.39 | $22.39 | $25.70 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $89.13 Median $89.13 Typical High $91.20 | Professional | FX · Film X-ray | $89.13 | $89.13 | $91.20 |
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 $112.20 Median $323.59 Typical High $2,884.03 | Facility | None | $112.20 | $323.59 | $2,884.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $380.19 Typical High $676.08 | Professional | None (both parts) | $147.91 | $380.19 | $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 $109.65 Median $109.65 Typical High $144.54 | Facility | None | $109.65 | $109.65 | $144.54 |
Medcost Setting Professional Modifier None (both parts) Typical Low $158.49 Median $316.23 Typical High $676.08 | Professional | None (both parts) | $158.49 | $316.23 | $676.08 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $117.49 Median $190.55 Typical High $338.84 | Professional | 51 · Multiple procedures | $117.49 | $190.55 | $338.84 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $46.77 Median $75.86 Typical High $134.90 | Professional | 80 · Assistant surgeon | $46.77 | $75.86 | $134.90 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $32.36 Median $53.70 Typical High $93.33 | Professional | 81 · Minimal assistant surgeon | $32.36 | $53.70 | $93.33 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $32.36 Median $53.70 Typical High $93.33 | Professional | 82 · Assistant surgeon, no resident | $32.36 | $53.70 | $93.33 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $32.36 Median $53.70 Typical High $93.33 | Professional | AS · PA/NP assist | $32.36 | $53.70 | $93.33 |
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 $131.83 Median $223.87 Typical High $512.86 | Professional | None (both parts) | $131.83 | $223.87 | $512.86 |
Where North Carolina sits
The same service costs 4.1 times more in Alaska than in Texas. 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· 5th of 51
$282
AK $389TX $95.50
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.