How much rates vary
Facilitymedian $123 · 10th to 90th $102 to $479Professionalmedian $120 · 10th to 90th $93 to $245
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 $26.92 Median $27.54 Typical High $46.77 | Professional | 26 · Professional part | $26.92 | $27.54 | $46.77 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $74.13 Typical High $120.23 | Professional | TC · Technical part | $67.61 | $74.13 | $120.23 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $39.81 Typical High $56.23 | Professional | 26 · Professional part | $30.90 | $39.81 | $56.23 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $72.44 Typical High $93.33 | Professional | 26 · Professional part | $50.12 | $72.44 | $93.33 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $123.03 Typical High $190.55 | Professional | TC · Technical part | $91.20 | $123.03 | $190.55 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $40.74 Typical High $79.43 | Professional | 26 · Professional part | $32.36 | $40.74 | $79.43 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $79.43 Typical High $208.93 | Professional | TC · Technical part | $57.54 | $79.43 | $208.93 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $50.12 Typical High $69.18 | Professional | 26 · Professional part | $41.69 | $50.12 | $69.18 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $93.33 Typical High $134.90 | Professional | TC · Technical part | $87.10 | $93.33 | $134.90 |
United Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $35.48 Typical High $74.13 | Professional | 26 · Professional part | $29.51 | $35.48 | $74.13 |
United Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $89.13 Typical High $177.83 | Professional | TC · Technical part | $61.66 | $89.13 | $177.83 |
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 $102.33 Median $102.33 Typical High $147.91 | Facility | None | $102.33 | $102.33 | $147.91 |
Aetna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $102.33 Typical High $186.21 | Professional | None (both parts) | $93.33 | $102.33 | $186.21 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $46.77 Median $51.29 Typical High $51.29 | Professional | 52 · Reduced service | $46.77 | $51.29 | $51.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $20.42 Typical High $20.42 | Professional | 53 · Discontinued | $19.05 | $20.42 | $20.42 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $77.62 Median $81.28 Typical High $81.28 | Professional | FX · Film X-ray | $77.62 | $81.28 | $81.28 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | None (both parts) | $83.18 | $83.18 | $83.18 |
Cigna Setting Facility Modifier None Typical Low $120.23 Median $302.00 Typical High $478.63 | Facility | None | $120.23 | $302.00 | $478.63 |
Cigna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $120.23 Typical High $288.40 | Professional | None (both parts) | $93.33 | $120.23 | $288.40 |
Medcost Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $257.04 | Professional | None | $125.89 | $125.89 | $257.04 |
Medcost Setting Facility Modifier None Typical Low $102.33 Median $102.33 Typical High $123.03 | Facility | None | $102.33 | $102.33 | $123.03 |
Medcost Setting Professional Modifier None (both parts) Typical Low $131.83 Median $138.04 Typical High $181.97 | Professional | None (both parts) | $131.83 | $138.04 | $181.97 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $66.07 Median $69.18 Typical High $158.49 | Professional | 51 · Multiple procedures | $66.07 | $69.18 | $158.49 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $26.30 Median $27.54 Typical High $63.10 | Professional | 80 · Assistant surgeon | $26.30 | $27.54 | $63.10 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $18.62 Median $19.50 Typical High $44.67 | Professional | 81 · Minimal assistant surgeon | $18.62 | $19.50 | $44.67 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $18.62 Median $19.50 Typical High $44.67 | Professional | 82 · Assistant surgeon, no resident | $18.62 | $19.50 | $44.67 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $18.62 Median $19.50 Typical High $44.67 | Professional | AS · PA/NP assist | $18.62 | $19.50 | $44.67 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $31.62 Median $89.13 Typical High $199.53 | Professional | None (both parts) | $31.62 | $89.13 | $199.53 |
United Setting Professional Modifier None (both parts) Typical Low $91.20 Median $120.23 Typical High $245.47 | Professional | None (both parts) | $91.20 | $120.23 | $245.47 |
Where North Carolina sits
The same service costs 3.9 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· 34th of 51
$120
AK $339TX $87.10
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.