How much rates vary
Facilitymedian $195 · 10th to 90th $112 to $617Professionalmedian $316 · 10th to 90th $123 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 $56.23 Median $58.88 Typical High $66.07 | Professional | 26 · Professional part | $56.23 | $58.88 | $66.07 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $63.10 Typical High $74.13 | Professional | TC · Technical part | $63.10 | $63.10 | $74.13 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $165.96 Typical High $199.53 | Professional | 26 · Professional part | $114.82 | $165.96 | $199.53 |
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 $69.18 Median $91.20 Typical High $181.97 | Professional | 26 · Professional part | $69.18 | $91.20 | $181.97 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $239.88 Typical High $575.44 | Professional | TC · Technical part | $85.11 | $239.88 | $575.44 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $104.71 Typical High $158.49 | Professional | 26 · Professional part | $81.28 | $104.71 | $158.49 |
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 $85.11 Typical High $144.54 | Professional | 26 · Professional part | $66.07 | $85.11 | $144.54 |
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 $123.03 Median $123.03 Typical High $123.03 | Facility | None | $123.03 | $123.03 | $123.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $123.03 Typical High $141.25 | Professional | None (both parts) | $123.03 | $123.03 | $141.25 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $60.26 Median $60.26 Typical High $70.79 | Professional | 52 · Reduced service | $60.26 | $60.26 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $24.55 Typical High $28.18 | Professional | 53 · Discontinued | $24.55 | $24.55 | $28.18 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $97.72 Median $97.72 Typical High $100.00 | Professional | FX · Film X-ray | $97.72 | $97.72 | $100.00 |
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 $123.03 Median $123.03 Typical High $151.36 | Facility | None | $123.03 | $123.03 | $151.36 |
Medcost Setting Professional Modifier None (both parts) Typical Low $173.78 Median $338.84 Typical High $891.25 | Professional | None (both parts) | $173.78 | $338.84 | $891.25 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $125.89 Median $204.17 Typical High $446.68 | Professional | 51 · Multiple procedures | $125.89 | $204.17 | $446.68 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $51.29 Median $83.18 Typical High $181.97 | Professional | 80 · Assistant surgeon | $51.29 | $83.18 | $181.97 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $35.48 Median $57.54 Typical High $125.89 | Professional | 81 · Minimal assistant surgeon | $35.48 | $57.54 | $125.89 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $35.48 Median $57.54 Typical High $125.89 | Professional | 82 · Assistant surgeon, no resident | $35.48 | $57.54 | $125.89 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $35.48 Median $57.54 Typical High $125.89 | Professional | AS · PA/NP assist | $35.48 | $57.54 | $125.89 |
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 4.5 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· 7th of 51
$309
AK $427UT $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.