How much rates vary
Facilitymedian $200 · 10th to 90th $95 to $501Professionalmedian $120 · 10th to 90th $78 to $282
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 $28.18 Median $30.20 Typical High $33.11 | Professional | 26 · Professional part | $28.18 | $30.20 | $33.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $64.57 Typical High $77.62 | Professional | TC · Technical part | $64.57 | $64.57 | $77.62 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $72.44 Typical High $100.00 | Professional | 26 · Professional part | $56.23 | $72.44 | $100.00 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $154.88 Typical High $398.11 | Professional | TC · Technical part | $83.18 | $154.88 | $398.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $43.65 Typical High $93.33 | Professional | 26 · Professional part | $33.88 | $43.65 | $93.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $83.18 Typical High $223.87 | Professional | TC · Technical part | $38.02 | $83.18 | $223.87 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $50.12 Typical High $75.86 | Professional | 26 · Professional part | $41.69 | $50.12 | $75.86 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $112.20 Typical High $177.83 | Professional | TC · Technical part | $85.11 | $112.20 | $177.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $41.69 Typical High $74.13 | Professional | 26 · Professional part | $33.11 | $41.69 | $74.13 |
United Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $95.50 Typical High $194.98 | Professional | TC · Technical part | $63.10 | $95.50 | $194.98 |
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 $95.50 Median $95.50 Typical High $95.50 | Facility | None | $95.50 | $95.50 | $95.50 |
Aetna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $95.50 Typical High $112.20 | Professional | None (both parts) | $95.50 | $95.50 | $112.20 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $46.77 Median $46.77 Typical High $54.95 | Professional | 52 · Reduced service | $46.77 | $46.77 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $19.05 Typical High $22.39 | Professional | 53 · Discontinued | $19.05 | $19.05 | $22.39 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $75.86 Median $75.86 Typical High $81.28 | Professional | FX · Film X-ray | $75.86 | $75.86 | $81.28 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | None (both parts) | $87.10 | $87.10 | $87.10 |
Cigna Setting Facility Modifier None Typical Low $114.82 Median $331.13 Typical High $549.54 | Facility | None | $114.82 | $331.13 | $549.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $77.62 Median $125.89 Typical High $323.59 | Professional | None (both parts) | $77.62 | $125.89 | $323.59 |
Medcost Setting Professional Modifier None Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | None | $181.97 | $181.97 | $181.97 |
Medcost Setting Facility Modifier None Typical Low $95.50 Median $95.50 Typical High $117.49 | Facility | None | $95.50 | $95.50 | $117.49 |
Medcost Setting Professional Modifier None (both parts) Typical Low $91.20 Median $134.90 Typical High $251.19 | Professional | None (both parts) | $91.20 | $134.90 | $251.19 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $45.71 Median $83.18 Typical High $158.49 | Professional | 51 · Multiple procedures | $45.71 | $83.18 | $158.49 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $18.20 Median $33.11 Typical High $64.57 | Professional | 80 · Assistant surgeon | $18.20 | $33.11 | $64.57 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $12.88 Median $23.44 Typical High $44.67 | Professional | 81 · Minimal assistant surgeon | $12.88 | $23.44 | $44.67 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $12.88 Median $23.44 Typical High $44.67 | Professional | 82 · Assistant surgeon, no resident | $12.88 | $23.44 | $44.67 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $12.88 Median $23.44 Typical High $44.67 | Professional | AS · PA/NP assist | $12.88 | $23.44 | $44.67 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | None (both parts) | $89.13 | $89.13 | $89.13 |
United Setting Professional Modifier None (both parts) Typical Low $95.50 Median $134.90 Typical High $269.15 | Professional | None (both parts) | $95.50 | $134.90 | $269.15 |
Where North Carolina sits
The same service costs 4.6 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· 35th of 51
$120
AK $324TX $70.79
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.