How much rates vary
Facilitymedian $71 · 10th to 90th $51 to $186Professionalmedian $87 · 10th to 90th $51 to $166
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 $25.12 Median $26.92 Typical High $44.67 | Facility | 26 · Professional part | $25.12 | $26.92 | $44.67 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $26.30 Median $31.62 Typical High $87.10 | Facility | TC · Technical part | $26.30 | $31.62 | $87.10 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $25.12 Typical High $44.67 | Professional | 26 · Professional part | $23.99 | $25.12 | $44.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $26.30 Typical High $72.44 | Professional | TC · Technical part | $26.30 | $26.30 | $72.44 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $33.88 Typical High $44.67 | Professional | 26 · Professional part | $13.49 | $33.88 | $44.67 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $60.26 Typical High $79.43 | Professional | 26 · Professional part | $41.69 | $60.26 | $79.43 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $107.15 Typical High $162.18 | Professional | TC · Technical part | $70.79 | $107.15 | $162.18 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $33.11 Typical High $70.79 | Professional | 26 · Professional part | $26.30 | $33.11 | $70.79 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $56.23 Typical High $128.82 | Professional | TC · Technical part | $50.12 | $56.23 | $128.82 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $44.67 Typical High $58.88 | Professional | 26 · Professional part | $37.15 | $44.67 | $58.88 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $77.62 Typical High $93.33 | Professional | TC · Technical part | $56.23 | $77.62 | $93.33 |
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 $44.67 Median $57.54 Typical High $93.33 | Professional | TC · Technical part | $44.67 | $57.54 | $93.33 |
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 $51.29 Median $58.88 Typical High $128.82 | Facility | None | $51.29 | $58.88 | $128.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $51.29 Median $51.29 Typical High $109.65 | Professional | None (both parts) | $51.29 | $51.29 | $109.65 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $25.70 Median $25.70 Typical High $33.88 | Professional | 52 · Reduced service | $25.70 | $25.70 | $33.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.23 Median $10.23 Typical High $13.80 | Professional | 53 · Discontinued | $10.23 | $10.23 | $13.80 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $40.74 Median $40.74 Typical High $45.71 | Professional | FX · Film X-ray | $40.74 | $40.74 | $45.71 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | None (both parts) | $57.54 | $57.54 | $57.54 |
BCBS North Carolina Setting Facility Modifier None Typical Low $144.54 Median $144.54 Typical High $173.78 | Facility | None | $144.54 | $144.54 | $173.78 |
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 $47.86 Median $120.23 Typical High $186.21 | Facility | None | $47.86 | $120.23 | $186.21 |
Cigna Setting Professional Modifier None (both parts) Typical Low $77.62 Median $91.20 Typical High $199.53 | Professional | None (both parts) | $77.62 | $91.20 | $199.53 |
Medcost Setting Professional Modifier None Typical Low $112.20 Median $112.20 Typical High $141.25 | Professional | None | $112.20 | $112.20 | $141.25 |
Medcost Setting Facility Modifier None Typical Low $51.29 Median $51.29 Typical High $69.18 | Facility | None | $51.29 | $51.29 | $69.18 |
Medcost Setting Professional Modifier None (both parts) Typical Low $91.20 Median $117.49 Typical High $158.49 | Professional | None (both parts) | $91.20 | $117.49 | $158.49 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $58.88 Median $61.66 Typical High $104.71 | Professional | 51 · Multiple procedures | $58.88 | $61.66 | $104.71 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $23.44 Median $24.55 Typical High $41.69 | Professional | 80 · Assistant surgeon | $23.44 | $24.55 | $41.69 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $16.22 Median $17.38 Typical High $29.51 | Professional | 81 · Minimal assistant surgeon | $16.22 | $17.38 | $29.51 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $16.22 Median $17.38 Typical High $29.51 | Professional | 82 · Assistant surgeon, no resident | $16.22 | $17.38 | $29.51 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $16.22 Median $17.38 Typical High $29.51 | Professional | AS · PA/NP assist | $16.22 | $17.38 | $29.51 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $29.51 Median $56.23 Typical High $112.20 | Professional | None (both parts) | $29.51 | $56.23 | $112.20 |
United Setting Professional Modifier None (both parts) Typical Low $70.79 Median $87.10 Typical High $162.18 | Professional | None (both parts) | $70.79 | $87.10 | $162.18 |
Where North Carolina sits
The same service costs 4.1 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· 26th of 51
$87.10
AK $195TX $47.86
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.