How much rates vary
Facilitymedian $10 · 10th to 90th $5 to $25Professionalmedian $14 · 10th to 90th $10 to $29
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 $6.92 Median $6.92 Typical High $12.30 | Professional | 26 · Professional part | $6.92 | $6.92 | $12.30 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $3.16 Median $3.16 Typical High $5.62 | Professional | TC · Technical part | $3.16 | $3.16 | $5.62 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $14.45 Typical High $23.44 | Professional | 26 · Professional part | $7.41 | $14.45 | $23.44 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $3.63 Median $3.89 Typical High $10.96 | Professional | TC · Technical part | $3.63 | $3.89 | $10.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $11.22 Typical High $22.91 | Professional | 26 · Professional part | $8.71 | $11.22 | $22.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $2.19 Median $3.55 Typical High $10.47 | Professional | TC · Technical part | $2.19 | $3.55 | $10.47 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $13.18 Typical High $17.38 | Professional | 26 · Professional part | $12.59 | $13.18 | $17.38 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $4.57 Median $5.37 Typical High $7.59 | Professional | TC · Technical part | $4.57 | $5.37 | $7.59 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $10.00 Typical High $20.42 | Professional | 26 · Professional part | $7.94 | $10.00 | $20.42 |
United Setting Professional Modifier TC · Technical part Typical Low $2.75 Median $4.37 Typical High $9.77 | Professional | TC · Technical part | $2.75 | $4.37 | $9.77 |
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 $7.24 Median $10.00 Typical High $10.00 | Facility | None | $7.24 | $10.00 | $10.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $10.00 Median $10.00 Typical High $18.20 | Professional | None (both parts) | $10.00 | $10.00 | $18.20 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $5.01 Median $5.01 Typical High $5.75 | Professional | 52 · Reduced service | $5.01 | $5.01 | $5.75 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.00 Median $2.00 Typical High $2.29 | Professional | 53 · Discontinued | $2.00 | $2.00 | $2.29 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $8.13 Median $8.13 Typical High $8.51 | Professional | FX · Film X-ray | $8.13 | $8.13 | $8.51 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $8.91 Median $9.77 Typical High $16.22 | Professional | None (both parts) | $8.91 | $9.77 | $16.22 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $23.44 Median $23.44 Typical High $23.44 | Professional | None (both parts) | $23.44 | $23.44 | $23.44 |
Cigna Setting Facility Modifier None Typical Low $5.50 Median $15.85 Typical High $25.12 | Facility | None | $5.50 | $15.85 | $25.12 |
Cigna Setting Professional Modifier None (both parts) Typical Low $12.02 Median $14.79 Typical High $33.11 | Professional | None (both parts) | $12.02 | $14.79 | $33.11 |
Medcost Setting Professional Modifier None Typical Low $17.38 Median $17.38 Typical High $24.55 | Professional | None | $17.38 | $17.38 | $24.55 |
Medcost Setting Facility Modifier None Typical Low $10.00 Median $10.00 Typical High $13.18 | Facility | None | $10.00 | $10.00 | $13.18 |
Medcost Setting Professional Modifier None (both parts) Typical Low $14.13 Median $18.62 Typical High $26.92 | Professional | None (both parts) | $14.13 | $18.62 | $26.92 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $9.33 Median $9.77 Typical High $16.60 | Professional | 51 · Multiple procedures | $9.33 | $9.77 | $16.60 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $3.72 Median $3.89 Typical High $6.76 | Professional | 80 · Assistant surgeon | $3.72 | $3.89 | $6.76 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $2.63 Median $2.75 Typical High $4.68 | Professional | 81 · Minimal assistant surgeon | $2.63 | $2.75 | $4.68 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $2.63 Median $2.75 Typical High $4.68 | Professional | 82 · Assistant surgeon, no resident | $2.63 | $2.75 | $4.68 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $2.63 Median $2.75 Typical High $4.68 | Professional | AS · PA/NP assist | $2.63 | $2.75 | $4.68 |
United Setting Professional Modifier None (both parts) Typical Low $10.72 Median $14.13 Typical High $28.84 | Professional | None (both parts) | $10.72 | $14.13 | $28.84 |
Where North Carolina sits
The same service costs 3.9 times more in Alaska than in Florida. 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· 27th of 51
$14.13
AK $35.48FL $9.12
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.