How much rates vary
Facilitymedian $209 · 10th to 90th $174 to $316Professionalmedian $209 · 10th to 90th $112 to $447
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 $173.78 Median $208.93 Typical High $208.93 | Facility | None | $173.78 | $208.93 | $208.93 |
Aetna Setting Professional Modifier None (both parts) Typical Low $186.21 Median $208.93 Typical High $295.12 | Professional | None (both parts) | $186.21 | $208.93 | $295.12 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $20.42 Typical High $36.31 | Professional | 26 · Professional part | $20.42 | $20.42 | $36.31 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $186.21 Typical High $257.04 | Professional | TC · Technical part | $162.18 | $186.21 | $257.04 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $29.51 Typical High $29.51 | Professional | 26 · Professional part | $29.51 | $29.51 | $29.51 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $54.95 Typical High $72.44 | Professional | 26 · Professional part | $36.31 | $54.95 | $72.44 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $245.47 Typical High $398.11 | Professional | TC · Technical part | $134.90 | $245.47 | $398.11 |
Cigna Setting Facility Modifier None Typical Low $457.09 Median $457.09 Typical High $457.09 | Facility | None | $457.09 | $457.09 | $457.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $239.88 Typical High $467.74 | Professional | None (both parts) | $100.00 | $239.88 | $467.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $33.88 Typical High $60.26 | Professional | 26 · Professional part | $23.99 | $33.88 | $60.26 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $213.80 Typical High $416.87 | Professional | TC · Technical part | $72.44 | $213.80 | $416.87 |
Medcost Setting Facility Modifier None Typical Low $208.93 Median $316.23 Typical High $316.23 | Facility | None | $208.93 | $316.23 | $316.23 |
Medcost Setting Professional Modifier None (both parts) Typical Low $112.20 Median $208.93 Typical High $363.08 | Professional | None (both parts) | $112.20 | $208.93 | $363.08 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $35.48 Typical High $50.12 | Professional | 26 · Professional part | $26.30 | $35.48 | $50.12 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $173.78 Typical High $323.59 | Professional | TC · Technical part | $147.91 | $173.78 | $323.59 |
United Setting Professional Modifier None (both parts) Typical Low $131.83 Median $223.87 Typical High $467.74 | Professional | None (both parts) | $131.83 | $223.87 | $467.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $28.84 Typical High $46.77 | Professional | 26 · Professional part | $23.44 | $28.84 | $46.77 |
United Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $190.55 Typical High $416.87 | Professional | TC · Technical part | $109.65 | $190.55 | $416.87 |
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 $97.72 Median $104.71 Typical High $104.71 | Professional | 52 · Reduced service | $97.72 | $104.71 | $104.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $41.69 Typical High $41.69 | Professional | 53 · Discontinued | $38.90 | $41.69 | $41.69 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $154.88 Median $165.96 Typical High $165.96 | Professional | FX · Film X-ray | $154.88 | $165.96 | $165.96 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $56.23 Median $104.71 Typical High $295.12 | Professional | 51 · Multiple procedures | $56.23 | $104.71 | $295.12 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $22.39 Median $41.69 Typical High $117.49 | Professional | 80 · Assistant surgeon | $22.39 | $41.69 | $117.49 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $15.85 Median $29.51 Typical High $83.18 | Professional | 81 · Minimal assistant surgeon | $15.85 | $29.51 | $83.18 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $15.85 Median $29.51 Typical High $83.18 | Professional | 82 · Assistant surgeon, no resident | $15.85 | $29.51 | $83.18 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $15.85 Median $29.51 Typical High $83.18 | Professional | AS · PA/NP assist | $15.85 | $29.51 | $83.18 |
Where North Carolina sits
The same service costs 4.3 times more in Alaska than in Kentucky. 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· 42nd of 51
$209
AK $661KY $155
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.