How much rates vary
Facilitymedian $89 · 10th to 90th $54 to $214Professionalmedian $76 · 10th to 90th $54 to $141
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 $21.88 Median $22.39 Typical High $39.81 | Professional | 26 · Professional part | $21.88 | $22.39 | $39.81 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $30.90 Typical High $60.26 | Professional | TC · Technical part | $30.20 | $30.90 | $60.26 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $61.66 Typical High $77.62 | Professional | 26 · Professional part | $43.65 | $61.66 | $77.62 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $72.44 Typical High $95.50 | Professional | TC · Technical part | $60.26 | $72.44 | $95.50 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $33.88 Typical High $69.18 | Professional | 26 · Professional part | $26.30 | $33.88 | $69.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $45.71 Typical High $91.20 | Professional | TC · Technical part | $33.11 | $45.71 | $91.20 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $43.65 Typical High $58.88 | Professional | 26 · Professional part | $30.90 | $43.65 | $58.88 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $58.88 Typical High $77.62 | Professional | TC · Technical part | $39.81 | $58.88 | $77.62 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $31.62 Typical High $54.95 | Professional | 26 · Professional part | $25.12 | $31.62 | $54.95 |
United Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $41.69 Typical High $70.79 | Professional | TC · Technical part | $30.90 | $41.69 | $70.79 |
19 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 $53.70 Median $53.70 Typical High $89.13 | Facility | None | $53.70 | $53.70 | $89.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $52.48 Median $53.70 Typical High $104.71 | Professional | None (both parts) | $52.48 | $53.70 | $104.71 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $25.70 Median $26.92 Typical High $30.20 | Professional | 52 · Reduced service | $25.70 | $26.92 | $30.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.23 Median $10.72 Typical High $12.02 | Professional | 53 · Discontinued | $10.23 | $10.72 | $12.02 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | FX · Film X-ray | $42.66 | $42.66 | $42.66 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | None (both parts) | $158.49 | $158.49 | $158.49 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $67.61 Median $67.61 Typical High $67.61 | Professional | None (both parts) | $67.61 | $67.61 | $67.61 |
Cigna Setting Facility Modifier None Typical Low $53.70 Median $158.49 Typical High $489.78 | Facility | None | $53.70 | $158.49 | $489.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $58.88 Median $81.28 Typical High $158.49 | Professional | None (both parts) | $58.88 | $81.28 | $158.49 |
Medcost Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | None | $109.65 | $109.65 | $109.65 |
Medcost Setting Facility Modifier None Typical Low $53.70 Median $53.70 Typical High $66.07 | Facility | None | $53.70 | $53.70 | $66.07 |
Medcost Setting Professional Modifier None (both parts) Typical Low $64.57 Median $95.50 Typical High $128.82 | Professional | None (both parts) | $64.57 | $95.50 | $128.82 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $42.66 Median $53.70 Typical High $81.28 | Professional | 51 · Multiple procedures | $42.66 | $53.70 | $81.28 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $16.98 Median $21.38 Typical High $32.36 | Professional | 80 · Assistant surgeon | $16.98 | $21.38 | $32.36 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $12.02 Median $15.14 Typical High $22.91 | Professional | 81 · Minimal assistant surgeon | $12.02 | $15.14 | $22.91 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $12.02 Median $15.14 Typical High $22.91 | Professional | 82 · Assistant surgeon, no resident | $12.02 | $15.14 | $22.91 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $12.02 Median $15.14 Typical High $22.91 | Professional | AS · PA/NP assist | $12.02 | $15.14 | $22.91 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | None (both parts) | $85.11 | $85.11 | $85.11 |
United Setting Professional Modifier None (both parts) Typical Low $56.23 Median $74.13 Typical High $125.89 | Professional | None (both parts) | $56.23 | $74.13 | $125.89 |
Where North Carolina sits
The same service costs 3.8 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· 22nd of 51
$75.86
AK $178TX $46.77
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.