How much rates vary
Facilitymedian $191 · 10th to 90th $112 to $603Professionalmedian $309 · 10th to 90th $120 to $692
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 $54.95 Median $57.54 Typical High $64.57 | Professional | 26 · Professional part | $54.95 | $57.54 | $64.57 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $61.66 Typical High $74.13 | Professional | TC · Technical part | $61.66 | $61.66 | $74.13 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $154.88 Typical High $199.53 | Professional | 26 · Professional part | $114.82 | $154.88 | $199.53 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $338.84 Typical High $891.25 | Professional | TC · Technical part | $190.55 | $338.84 | $891.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $89.13 Typical High $177.83 | Professional | 26 · Professional part | $67.61 | $89.13 | $177.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $234.42 Typical High $575.44 | Professional | TC · Technical part | $83.18 | $234.42 | $575.44 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $104.71 Typical High $181.97 | Professional | 26 · Professional part | $81.28 | $104.71 | $181.97 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $229.09 Typical High $630.96 | Professional | TC · Technical part | $91.20 | $229.09 | $630.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $83.18 Typical High $144.54 | Professional | 26 · Professional part | $66.07 | $83.18 | $144.54 |
United Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $134.90 Typical High $457.09 | Professional | TC · Technical part | $75.86 | $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 $120.23 Median $120.23 Typical High $120.23 | Facility | None | $120.23 | $120.23 | $120.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $120.23 Typical High $138.04 | Professional | None (both parts) | $120.23 | $120.23 | $138.04 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $60.26 Median $60.26 Typical High $69.18 | Professional | 52 · Reduced service | $60.26 | $60.26 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $23.99 Typical High $27.54 | Professional | 53 · Discontinued | $23.99 | $23.99 | $27.54 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $95.50 Median $95.50 Typical High $97.72 | Professional | FX · Film X-ray | $95.50 | $95.50 | $97.72 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | None (both parts) | $177.83 | $177.83 | $177.83 |
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 $158.49 Median $416.87 Typical High $691.83 | Professional | None (both parts) | $158.49 | $416.87 | $691.83 |
Medcost Setting Professional Modifier None Typical Low $870.96 Median $870.96 Typical High $870.96 | Professional | None | $870.96 | $870.96 | $870.96 |
Medcost Setting Facility Modifier None Typical Low $120.23 Median $120.23 Typical High $151.36 | Facility | None | $120.23 | $120.23 | $151.36 |
Medcost Setting Professional Modifier None (both parts) Typical Low $173.78 Median $331.13 Typical High $691.83 | Professional | None (both parts) | $173.78 | $331.13 | $691.83 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $125.89 Median $204.17 Typical High $346.74 | Professional | 51 · Multiple procedures | $125.89 | $204.17 | $346.74 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $50.12 Median $81.28 Typical High $138.04 | Professional | 80 · Assistant surgeon | $50.12 | $81.28 | $138.04 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $35.48 Median $57.54 Typical High $95.50 | Professional | 81 · Minimal assistant surgeon | $35.48 | $57.54 | $95.50 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $35.48 Median $57.54 Typical High $95.50 | Professional | 82 · Assistant surgeon, no resident | $35.48 | $57.54 | $95.50 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $35.48 Median $57.54 Typical High $95.50 | Professional | AS · PA/NP assist | $35.48 | $57.54 | $95.50 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $691.83 Median $691.83 Typical High $691.83 | Professional | None (both parts) | $691.83 | $691.83 | $691.83 |
United Setting Professional Modifier None (both parts) Typical Low $144.54 Median $245.47 Typical High $524.81 | Professional | None (both parts) | $144.54 | $245.47 | $524.81 |
Where North Carolina sits
The same service costs 4.7 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
$309
AK $427TX $91.20
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.