How much rates vary
Facilitymedian $120 · 10th to 90th $98 to $398Professionalmedian $117 · 10th to 90th $87 to $240
Distribution of negotiated rates across all payers (price axis is log-scale). 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 26 · Professional part Typical Low $24.55 Median $26.30 Typical High $42.66 | Facility | 26 · Professional part | $24.55 | $26.30 | $42.66 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $74.13 Median $75.86 Typical High $125.89 | Facility | TC · Technical part | $74.13 | $75.86 | $125.89 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $24.55 Typical High $43.65 | Professional | 26 · Professional part | $24.55 | $24.55 | $43.65 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $74.13 Typical High $138.04 | Professional | TC · Technical part | $72.44 | $74.13 | $138.04 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $38.90 Typical High $51.29 | Professional | 26 · Professional part | $20.42 | $38.90 | $51.29 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $104.71 Typical High $181.97 | Professional | TC · Technical part | $52.48 | $104.71 | $181.97 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $61.66 Typical High $79.43 | Professional | 26 · Professional part | $41.69 | $61.66 | $79.43 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $154.88 Typical High $234.42 | Professional | TC · Technical part | $112.20 | $154.88 | $234.42 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $33.88 Typical High $69.18 | Professional | 26 · Professional part | $26.92 | $33.88 | $69.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $79.43 Typical High $213.80 | Professional | TC · Technical part | $57.54 | $79.43 | $213.80 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $43.65 Typical High $67.61 | Professional | 26 · Professional part | $39.81 | $43.65 | $67.61 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $112.20 Typical High $147.91 | Professional | TC · Technical part | $100.00 | $112.20 | $147.91 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $30.90 Typical High $63.10 | Professional | 26 · Professional part | $23.99 | $30.90 | $63.10 |
United Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $89.13 Typical High $181.97 | Professional | TC · Technical part | $63.10 | $89.13 | $181.97 |
20 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 $97.72 Median $102.33 Typical High $169.82 | Facility | None | $97.72 | $102.33 | $169.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $97.72 Typical High $186.21 | Professional | None (both parts) | $97.72 | $97.72 | $186.21 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $46.77 Median $48.98 Typical High $51.29 | Professional | 52 · Reduced service | $46.77 | $48.98 | $51.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $19.50 Typical High $20.42 | Professional | 53 · Discontinued | $18.62 | $19.50 | $20.42 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $77.62 Median $79.43 Typical High $79.43 | Professional | FX · Film X-ray | $77.62 | $79.43 | $79.43 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $81.28 Median $109.65 Typical High $204.17 | Professional | None (both parts) | $81.28 | $109.65 | $204.17 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | None (both parts) | $69.18 | $69.18 | $69.18 |
Cigna Setting Facility Modifier None Typical Low $120.23 Median $302.00 Typical High $501.19 | Facility | None | $120.23 | $302.00 | $501.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $114.82 Typical High $288.40 | Professional | None (both parts) | $87.10 | $114.82 | $288.40 |
Medcost Setting Professional Modifier None Typical Low $120.23 Median $120.23 Typical High $257.04 | Professional | None | $120.23 | $120.23 | $257.04 |
Medcost Setting Facility Modifier None Typical Low $97.72 Median $97.72 Typical High $120.23 | Facility | None | $97.72 | $97.72 | $120.23 |
Medcost Setting Professional Modifier None (both parts) Typical Low $120.23 Median $151.36 Typical High $213.80 | Professional | None (both parts) | $120.23 | $151.36 | $213.80 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $58.88 Median $75.86 Typical High $158.49 | Professional | 51 · Multiple procedures | $58.88 | $75.86 | $158.49 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $23.99 Median $30.20 Typical High $63.10 | Professional | 80 · Assistant surgeon | $23.99 | $30.20 | $63.10 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $16.60 Median $21.38 Typical High $44.67 | Professional | 81 · Minimal assistant surgeon | $16.60 | $21.38 | $44.67 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $16.60 Median $21.38 Typical High $44.67 | Professional | 82 · Assistant surgeon, no resident | $16.60 | $21.38 | $44.67 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $16.60 Median $21.38 Typical High $44.67 | Professional | AS · PA/NP assist | $16.60 | $21.38 | $44.67 |
Oscar Health Setting Facility Modifier None Typical Low $245.47 Median $245.47 Typical High $245.47 | Facility | None | $245.47 | $245.47 | $245.47 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $27.54 Median $91.20 Typical High $194.98 | Professional | None (both parts) | $27.54 | $91.20 | $194.98 |
United Setting Professional Modifier None (both parts) Typical Low $87.10 Median $117.49 Typical High $239.88 | Professional | None (both parts) | $87.10 | $117.49 | $239.88 |
Where North Carolina sits
The same service costs 4.1 times more in Minnesota 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· 37th of 51
$117
MN $363FL $89.13
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.