How much rates vary
Facilitymedian $851 · 10th to 90th $851 to $1,349Professionalmedian $1,175 · 10th to 90th $851 to $2,089
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 Facility Modifier None Typical Low $851.14 Median $851.14 Typical High $851.14 | Facility | None | $851.14 | $851.14 | $851.14 |
Aetna Setting Professional Modifier None (both parts) Typical Low $794.33 Median $851.14 Typical High $1,071.52 | Professional | None (both parts) | $794.33 | $851.14 | $1,071.52 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $61.66 Typical High $117.49 | Professional | 26 · Professional part | $58.88 | $61.66 | $117.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $741.31 Median $794.33 Typical High $1,000.00 | Professional | TC · Technical part | $741.31 | $794.33 | $1,000.00 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $144.54 Typical High $213.80 | Professional | 26 · Professional part | $95.50 | $144.54 | $213.80 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $1,047.13 Median $1,584.89 Typical High $2,884.03 | Professional | TC · Technical part | $1,047.13 | $1,584.89 | $2,884.03 |
Cigna Setting Facility Modifier None Typical Low $186.21 Median $186.21 Typical High $186.21 | Facility | None | $186.21 | $186.21 | $186.21 |
Cigna Setting Professional Modifier None (both parts) Typical Low $933.25 Median $1,258.93 Typical High $2,290.87 | Professional | None (both parts) | $933.25 | $1,258.93 | $2,290.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $89.13 Typical High $165.96 | Professional | 26 · Professional part | $64.57 | $89.13 | $165.96 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $870.96 Median $1,174.90 Typical High $2,137.96 | Professional | TC · Technical part | $870.96 | $1,174.90 | $2,137.96 |
Medcost Setting Facility Modifier None Typical Low $851.14 Median $954.99 Typical High $1,819.70 | Facility | None | $851.14 | $954.99 | $1,819.70 |
Medcost Setting Professional Modifier None (both parts) Typical Low $912.01 Median $1,348.96 Typical High $1,584.89 | Professional | None (both parts) | $912.01 | $1,348.96 | $1,584.89 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $102.33 Typical High $151.36 | Professional | 26 · Professional part | $85.11 | $102.33 | $151.36 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $1,047.13 Median $1,230.27 Typical High $1,479.11 | Professional | TC · Technical part | $1,047.13 | $1,230.27 | $1,479.11 |
United Setting Professional Modifier None (both parts) Typical Low $933.25 Median $1,174.90 Typical High $2,041.74 | Professional | None (both parts) | $933.25 | $1,174.90 | $2,041.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $81.28 Typical High $144.54 | Professional | 26 · Professional part | $64.57 | $81.28 | $144.54 |
United Setting Professional Modifier TC · Technical part Typical Low $870.96 Median $1,096.48 Typical High $1,905.46 | Professional | TC · Technical part | $870.96 | $1,096.48 | $1,905.46 |
8 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 Professional Modifier 52 · Reduced service Typical Low $407.38 Median $426.58 Typical High $467.74 | Professional | 52 · Reduced service | $407.38 | $426.58 | $467.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $162.18 Median $169.82 Typical High $186.21 | Professional | 53 · Discontinued | $162.18 | $169.82 | $186.21 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $645.65 Median $676.08 Typical High $676.08 | Professional | FX · Film X-ray | $645.65 | $676.08 | $676.08 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $457.09 Median $776.25 Typical High $1,380.38 | Professional | 51 · Multiple procedures | $457.09 | $776.25 | $1,380.38 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $181.97 Median $309.03 Typical High $549.54 | Professional | 80 · Assistant surgeon | $181.97 | $309.03 | $549.54 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $128.82 Median $218.78 Typical High $389.05 | Professional | 81 · Minimal assistant surgeon | $128.82 | $218.78 | $389.05 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $128.82 Median $218.78 Typical High $389.05 | Professional | 82 · Assistant surgeon, no resident | $128.82 | $218.78 | $389.05 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $128.82 Median $218.78 Typical High $389.05 | Professional | AS · PA/NP assist | $128.82 | $218.78 | $389.05 |
Where North Carolina sits
The same service costs 20.4 times more in Alaska than in Oregon. 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· 13th of 51
$1,148
AK $2,754OR $135
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.