How much rates vary
Facilitymedian $129 · 10th to 90th $105 to $372Professionalmedian $138 · 10th to 90th $105 to $263
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 $34.67 Median $38.90 Typical High $61.66 | Facility | 26 · Professional part | $34.67 | $38.90 | $61.66 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $69.18 Median $74.13 Typical High $138.04 | Facility | TC · Technical part | $69.18 | $74.13 | $138.04 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $34.67 Typical High $61.66 | Professional | 26 · Professional part | $34.67 | $34.67 | $61.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $69.18 Typical High $134.90 | Professional | TC · Technical part | $69.18 | $69.18 | $134.90 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $54.95 Typical High $72.44 | Professional | 26 · Professional part | $28.84 | $54.95 | $72.44 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $85.11 Typical High $169.82 | Professional | TC · Technical part | $57.54 | $85.11 | $169.82 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $91.20 Typical High $117.49 | Professional | 26 · Professional part | $61.66 | $91.20 | $117.49 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $181.97 Typical High $245.47 | Professional | TC · Technical part | $128.82 | $181.97 | $245.47 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $48.98 Typical High $100.00 | Professional | 26 · Professional part | $39.81 | $48.98 | $100.00 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $93.33 Typical High $204.17 | Professional | TC · Technical part | $79.43 | $93.33 | $204.17 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $63.10 Typical High $107.15 | Professional | 26 · Professional part | $52.48 | $63.10 | $107.15 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $128.82 Typical High $151.36 | Professional | TC · Technical part | $102.33 | $128.82 | $151.36 |
United Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $44.67 Typical High $93.33 | Professional | 26 · Professional part | $35.48 | $44.67 | $93.33 |
United Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $95.50 Typical High $190.55 | Professional | TC · Technical part | $72.44 | $95.50 | $190.55 |
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 $104.71 Median $112.20 Typical High $190.55 | Facility | None | $104.71 | $112.20 | $190.55 |
Aetna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $104.71 Typical High $208.93 | Professional | None (both parts) | $104.71 | $104.71 | $208.93 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $51.29 Median $51.29 Typical High $56.23 | Professional | 52 · Reduced service | $51.29 | $51.29 | $56.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $20.89 Typical High $22.39 | Professional | 53 · Discontinued | $20.42 | $20.89 | $22.39 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | FX · Film X-ray | $83.18 | $83.18 | $83.18 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $87.10 Median $117.49 Typical High $213.80 | Professional | None (both parts) | $87.10 | $117.49 | $213.80 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | None (both parts) | $102.33 | $102.33 | $102.33 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $302.00 Typical High $467.74 | Facility | None | $117.49 | $302.00 | $467.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $144.54 Typical High $302.00 | Professional | None (both parts) | $120.23 | $144.54 | $302.00 |
Medcost Setting Professional Modifier None Typical Low $169.82 Median $169.82 Typical High $263.03 | Professional | None | $169.82 | $169.82 | $263.03 |
Medcost Setting Facility Modifier None Typical Low $104.71 Median $104.71 Typical High $128.82 | Facility | None | $104.71 | $104.71 | $128.82 |
Medcost Setting Professional Modifier None (both parts) Typical Low $141.25 Median $186.21 Typical High $263.03 | Professional | None (both parts) | $141.25 | $186.21 | $263.03 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $93.33 Median $95.50 Typical High $169.82 | Professional | 51 · Multiple procedures | $93.33 | $95.50 | $169.82 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $37.15 Median $38.02 Typical High $67.61 | Professional | 80 · Assistant surgeon | $37.15 | $38.02 | $67.61 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $25.70 Median $26.30 Typical High $46.77 | Professional | 81 · Minimal assistant surgeon | $25.70 | $26.30 | $46.77 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $25.70 Median $26.30 Typical High $46.77 | Professional | 82 · Assistant surgeon, no resident | $25.70 | $26.30 | $46.77 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $25.70 Median $26.30 Typical High $46.77 | Professional | AS · PA/NP assist | $25.70 | $26.30 | $46.77 |
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 $39.81 Median $85.11 Typical High $208.93 | Professional | None (both parts) | $39.81 | $85.11 | $208.93 |
United Setting Professional Modifier None (both parts) Typical Low $109.65 Median $138.04 Typical High $275.42 | Professional | None (both parts) | $109.65 | $138.04 | $275.42 |
Where North Carolina sits
The same service costs 3.8 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· 28th of 51
$138
AK $355TX $93.33
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.