How much rates vary
Facilitymedian $240 · 10th to 90th $112 to $1,096Professionalmedian $191 · 10th to 90th $112 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 Facility Modifier None Typical Low $112.20 Median $177.83 Typical High $1,258.93 | Facility | None | $112.20 | $177.83 | $1,258.93 |
Aetna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $112.20 Typical High $275.42 | Professional | None (both parts) | $112.20 | $112.20 | $275.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $54.95 Typical High $87.10 | Professional | 26 · Professional part | $54.95 | $54.95 | $87.10 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $57.54 Typical High $147.91 | Professional | TC · Technical part | $57.54 | $57.54 | $147.91 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $128.82 Typical High $165.96 | Professional | 26 · Professional part | $83.18 | $128.82 | $165.96 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $158.49 Typical High $223.87 | Professional | TC · Technical part | $107.15 | $158.49 | $223.87 |
Cigna Setting Facility Modifier None Typical Low $275.42 Median $275.42 Typical High $275.42 | Facility | None | $275.42 | $275.42 | $275.42 |
Cigna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $190.55 Typical High $288.40 | Professional | None (both parts) | $141.25 | $190.55 | $288.40 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $79.43 Typical High $141.25 | Professional | 26 · Professional part | $57.54 | $79.43 | $141.25 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $123.03 Typical High $162.18 | Professional | TC · Technical part | $74.13 | $123.03 | $162.18 |
Medcost Setting Facility Modifier None Typical Low $125.89 Median $239.88 Typical High $338.84 | Facility | None | $125.89 | $239.88 | $338.84 |
Medcost Setting Professional Modifier None (both parts) Typical Low $138.04 Median $190.55 Typical High $281.84 | Professional | None (both parts) | $138.04 | $190.55 | $281.84 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $91.20 Typical High $125.89 | Professional | 26 · Professional part | $69.18 | $91.20 | $125.89 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $102.33 Typical High $173.78 | Professional | TC · Technical part | $70.79 | $102.33 | $173.78 |
United Setting Professional Modifier None (both parts) Typical Low $117.49 Median $165.96 Typical High $229.09 | Professional | None (both parts) | $117.49 | $165.96 | $229.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $69.18 Typical High $114.82 | Professional | 26 · Professional part | $56.23 | $69.18 | $114.82 |
United Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $97.72 Typical High $128.82 | Professional | TC · Technical part | $58.88 | $97.72 | $128.82 |
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 $56.23 Median $56.23 Typical High $102.33 | Professional | 52 · Reduced service | $56.23 | $56.23 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $22.39 Typical High $40.74 | Professional | 53 · Discontinued | $22.39 | $22.39 | $40.74 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $89.13 Median $89.13 Typical High $134.90 | Professional | FX · Film X-ray | $89.13 | $89.13 | $134.90 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $75.86 Median $120.23 Typical High $165.96 | Professional | 51 · Multiple procedures | $75.86 | $120.23 | $165.96 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $30.90 Median $47.86 Typical High $66.07 | Professional | 80 · Assistant surgeon | $30.90 | $47.86 | $66.07 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $21.38 Median $33.88 Typical High $45.71 | Professional | 81 · Minimal assistant surgeon | $21.38 | $33.88 | $45.71 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $21.38 Median $33.88 Typical High $45.71 | Professional | 82 · Assistant surgeon, no resident | $21.38 | $33.88 | $45.71 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $21.38 Median $33.88 Typical High $45.71 | Professional | AS · PA/NP assist | $21.38 | $33.88 | $45.71 |
Where North Carolina sits
The same service costs 5.6 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· 12th of 51
$191
AK $447TX $79.43
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.