How much rates vary
Facilitymedian $263 · 10th to 90th $141 to $708Professionalmedian $316 · 10th to 90th $141 to $708
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 $51.29 Median $52.48 Typical High $63.10 | Professional | 26 · Professional part | $51.29 | $52.48 | $63.10 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $89.13 Typical High $154.88 | Professional | TC · Technical part | $89.13 | $89.13 | $154.88 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $141.25 Typical High $165.96 | Professional | 26 · Professional part | $91.20 | $141.25 | $165.96 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $338.84 Typical High $912.01 | Professional | TC · Technical part | $204.17 | $338.84 | $912.01 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $75.86 Typical High $158.49 | Professional | 26 · Professional part | $56.23 | $75.86 | $158.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $302.00 Typical High $575.44 | Professional | TC · Technical part | $112.20 | $302.00 | $575.44 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $83.18 Typical High $141.25 | Professional | 26 · Professional part | $74.13 | $83.18 | $141.25 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $239.88 Typical High $588.84 | Professional | TC · Technical part | $134.90 | $239.88 | $588.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $74.13 Typical High $128.82 | Professional | 26 · Professional part | $56.23 | $74.13 | $128.82 |
United Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $169.82 Typical High $457.09 | Professional | TC · Technical part | $107.15 | $169.82 | $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 $141.25 Median $141.25 Typical High $141.25 | Facility | None | $141.25 | $141.25 | $141.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $141.25 Typical High $234.42 | Professional | None (both parts) | $141.25 | $141.25 | $234.42 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $67.61 Median $70.79 Typical High $83.18 | Professional | 52 · Reduced service | $67.61 | $70.79 | $83.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $28.18 Typical High $33.11 | Professional | 53 · Discontinued | $27.54 | $28.18 | $33.11 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $112.20 Median $112.20 Typical High $117.49 | Professional | FX · Film X-ray | $112.20 | $112.20 | $117.49 |
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 $158.49 Median $467.74 Typical High $2,884.03 | Facility | None | $158.49 | $467.74 | $2,884.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $173.78 Median $426.58 Typical High $676.08 | Professional | None (both parts) | $173.78 | $426.58 | $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 $141.25 Median $141.25 Typical High $204.17 | Facility | None | $141.25 | $141.25 | $204.17 |
Medcost Setting Professional Modifier None (both parts) Typical Low $204.17 Median $380.19 Typical High $870.96 | Professional | None (both parts) | $204.17 | $380.19 | $870.96 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $134.90 Median $229.09 Typical High $436.52 | Professional | 51 · Multiple procedures | $134.90 | $229.09 | $436.52 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $54.95 Median $91.20 Typical High $173.78 | Professional | 80 · Assistant surgeon | $54.95 | $91.20 | $173.78 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $38.02 Median $63.10 Typical High $123.03 | Professional | 81 · Minimal assistant surgeon | $38.02 | $63.10 | $123.03 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $38.02 Median $63.10 Typical High $123.03 | Professional | 82 · Assistant surgeon, no resident | $38.02 | $63.10 | $123.03 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $38.02 Median $63.10 Typical High $123.03 | Professional | AS · PA/NP assist | $38.02 | $63.10 | $123.03 |
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 $165.96 Median $269.15 Typical High $512.86 | Professional | None (both parts) | $165.96 | $269.15 | $512.86 |
Where North Carolina sits
The same service costs 3.8 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· 12th of 51
$316
AK $468UT $123
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.