How much rates vary
Facilitymedian $200 · 10th to 90th $112 to $550Professionalmedian $302 · 10th to 90th $112 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 $48.98 Typical High $53.70 | Professional | 26 · Professional part | $46.77 | $48.98 | $53.70 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $64.57 Typical High $75.86 | Professional | TC · Technical part | $64.57 | $64.57 | $75.86 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $114.82 Typical High $165.96 | Professional | 26 · Professional part | $66.07 | $114.82 | $165.96 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $354.81 Typical High $954.99 | Professional | TC · Technical part | $186.21 | $354.81 | $954.99 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $74.13 Typical High $147.91 | Professional | 26 · Professional part | $54.95 | $74.13 | $147.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $288.40 Typical High $575.44 | Professional | TC · Technical part | $87.10 | $288.40 | $575.44 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $85.11 Typical High $128.82 | Professional | 26 · Professional part | $67.61 | $85.11 | $128.82 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $288.40 Typical High $645.65 | Professional | TC · Technical part | $95.50 | $288.40 | $645.65 |
United Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $70.79 Typical High $117.49 | Professional | 26 · Professional part | $53.70 | $70.79 | $117.49 |
United Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $141.25 Typical High $457.09 | Professional | TC · Technical part | $79.43 | $141.25 | $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 $112.20 Median $112.20 Typical High $112.20 | Facility | None | $112.20 | $112.20 | $112.20 |
Aetna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $112.20 Typical High $131.83 | Professional | None (both parts) | $112.20 | $112.20 | $131.83 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $56.23 Median $56.23 Typical High $66.07 | Professional | 52 · Reduced service | $56.23 | $56.23 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $22.91 Typical High $26.30 | Professional | 53 · Discontinued | $22.91 | $22.91 | $26.30 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $91.20 Median $91.20 Typical High $93.33 | Professional | FX · Film X-ray | $91.20 | $91.20 | $93.33 |
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 $114.82 Median $331.13 Typical High $691.83 | Facility | None | $114.82 | $331.13 | $691.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $407.38 Typical High $676.08 | Professional | None (both parts) | $147.91 | $407.38 | $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 $112.20 Median $112.20 Typical High $141.25 | Facility | None | $112.20 | $112.20 | $141.25 |
Medcost Setting Professional Modifier None (both parts) Typical Low $162.18 Median $371.54 Typical High $676.08 | Professional | None (both parts) | $162.18 | $371.54 | $676.08 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $125.89 Median $194.98 Typical High $338.84 | Professional | 51 · Multiple procedures | $125.89 | $194.98 | $338.84 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $50.12 Median $77.62 Typical High $134.90 | Professional | 80 · Assistant surgeon | $50.12 | $77.62 | $134.90 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $35.48 Median $54.95 Typical High $93.33 | Professional | 81 · Minimal assistant surgeon | $35.48 | $54.95 | $93.33 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $35.48 Median $54.95 Typical High $93.33 | Professional | 82 · Assistant surgeon, no resident | $35.48 | $54.95 | $93.33 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $35.48 Median $54.95 Typical High $93.33 | Professional | AS · PA/NP assist | $35.48 | $54.95 | $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 $134.90 Median $239.88 Typical High $512.86 | Professional | None (both parts) | $134.90 | $239.88 | $512.86 |
Where North Carolina sits
The same service costs 4.9 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
$295
AK $398TX $81.28
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.