How much rates vary
Facilitymedian $65 · 10th to 90th $37 to $148Professionalmedian $81 · 10th to 90th $41 to $158
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 $19.50 Median $19.50 Typical High $30.20 | Professional | 26 · Professional part | $19.50 | $19.50 | $30.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $20.89 Typical High $48.98 | Professional | TC · Technical part | $20.89 | $20.89 | $48.98 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $56.23 Typical High $75.86 | Professional | 26 · Professional part | $40.74 | $56.23 | $75.86 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $83.18 Typical High $117.49 | Professional | TC · Technical part | $51.29 | $83.18 | $117.49 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $33.11 Typical High $64.57 | Professional | 26 · Professional part | $25.70 | $33.11 | $64.57 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $48.98 Typical High $85.11 | Professional | TC · Technical part | $33.11 | $48.98 | $85.11 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $40.74 Typical High $48.98 | Professional | 26 · Professional part | $32.36 | $40.74 | $48.98 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $52.48 Typical High $72.44 | Professional | TC · Technical part | $37.15 | $52.48 | $72.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $30.90 Typical High $61.66 | Professional | 26 · Professional part | $22.91 | $30.90 | $61.66 |
United Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $42.66 Typical High $70.79 | Professional | TC · Technical part | $23.99 | $42.66 | $70.79 |
17 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 $40.74 Median $40.74 Typical High $40.74 | Facility | None | $40.74 | $40.74 | $40.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $40.74 Median $40.74 Typical High $77.62 | Professional | None (both parts) | $40.74 | $40.74 | $77.62 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $20.42 Median $20.42 Typical High $23.99 | Professional | 52 · Reduced service | $20.42 | $20.42 | $23.99 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.13 Median $8.13 Typical High $9.77 | Professional | 53 · Discontinued | $8.13 | $8.13 | $9.77 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $32.36 Median $32.36 Typical High $35.48 | Professional | FX · Film X-ray | $32.36 | $32.36 | $35.48 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | None (both parts) | $72.44 | $72.44 | $72.44 |
Cigna Setting Facility Modifier None Typical Low $37.15 Median $109.65 Typical High $147.91 | Facility | None | $37.15 | $109.65 | $147.91 |
Cigna Setting Professional Modifier None (both parts) Typical Low $64.57 Median $81.28 Typical High $147.91 | Professional | None (both parts) | $64.57 | $81.28 | $147.91 |
Medcost Setting Professional Modifier None Typical Low $70.79 Median $70.79 Typical High $123.03 | Professional | None | $70.79 | $70.79 | $123.03 |
Medcost Setting Facility Modifier None Typical Low $40.74 Median $40.74 Typical High $53.70 | Facility | None | $40.74 | $40.74 | $53.70 |
Medcost Setting Professional Modifier None (both parts) Typical Low $60.26 Median $97.72 Typical High $158.49 | Professional | None (both parts) | $60.26 | $97.72 | $158.49 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $46.77 Median $58.88 Typical High $79.43 | Professional | 51 · Multiple procedures | $46.77 | $58.88 | $79.43 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $18.62 Median $23.99 Typical High $32.36 | Professional | 80 · Assistant surgeon | $18.62 | $23.99 | $32.36 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $13.18 Median $16.60 Typical High $22.39 | Professional | 81 · Minimal assistant surgeon | $13.18 | $16.60 | $22.39 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $13.18 Median $16.60 Typical High $22.39 | Professional | 82 · Assistant surgeon, no resident | $13.18 | $16.60 | $22.39 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $13.18 Median $16.60 Typical High $22.39 | Professional | AS · PA/NP assist | $13.18 | $16.60 | $22.39 |
United Setting Professional Modifier None (both parts) Typical Low $46.77 Median $74.13 Typical High $131.83 | Professional | None (both parts) | $46.77 | $74.13 | $131.83 |
Where North Carolina sits
The same service costs 4.5 times more in Alaska than in Utah. 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
$81.28
AK $141UT $31.62
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.