How much rates vary
Facilitymedian $117 · 10th to 90th $93 to $490Professionalmedian $115 · 10th to 90th $93 to $224
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 $23.44 Median $24.55 Typical High $34.67 | Facility | 26 · Professional part | $23.44 | $24.55 | $34.67 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $70.79 Median $70.79 Typical High $104.71 | Facility | TC · Technical part | $70.79 | $70.79 | $104.71 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $23.44 Typical High $40.74 | Professional | 26 · Professional part | $23.44 | $23.44 | $40.74 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $70.79 Typical High $123.03 | Professional | TC · Technical part | $64.57 | $70.79 | $123.03 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $60.26 Typical High $81.28 | Professional | 26 · Professional part | $43.65 | $60.26 | $81.28 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $134.90 Typical High $190.55 | Professional | TC · Technical part | $104.71 | $134.90 | $190.55 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $33.88 Typical High $67.61 | Professional | 26 · Professional part | $28.84 | $33.88 | $67.61 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $81.28 Typical High $169.82 | Professional | TC · Technical part | $69.18 | $81.28 | $169.82 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $41.69 Typical High $52.48 | Professional | 26 · Professional part | $35.48 | $41.69 | $52.48 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $93.33 Typical High $128.82 | Professional | TC · Technical part | $93.33 | $93.33 | $128.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $30.90 Typical High $61.66 | Professional | 26 · Professional part | $25.70 | $30.90 | $61.66 |
United Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $85.11 Typical High $158.49 | Professional | TC · Technical part | $54.95 | $85.11 | $158.49 |
15 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 $93.33 Median $93.33 Typical High $141.25 | Facility | None | $93.33 | $93.33 | $141.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $93.33 Typical High $165.96 | Professional | None (both parts) | $87.10 | $93.33 | $165.96 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | FX · Film X-ray | $75.86 | $75.86 | $75.86 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | None (both parts) | $199.53 | $199.53 | $199.53 |
Cigna Setting Facility Modifier None Typical Low $120.23 Median $316.23 Typical High $489.78 | Facility | None | $120.23 | $316.23 | $489.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $117.49 Typical High $245.47 | Professional | None (both parts) | $97.72 | $117.49 | $245.47 |
Medcost Setting Professional Modifier None Typical Low $234.42 Median $234.42 Typical High $234.42 | Professional | None | $234.42 | $234.42 | $234.42 |
Medcost Setting Facility Modifier None Typical Low $93.33 Median $93.33 Typical High $117.49 | Facility | None | $93.33 | $93.33 | $117.49 |
Medcost Setting Professional Modifier None (both parts) Typical Low $125.89 Median $134.90 Typical High $169.82 | Professional | None (both parts) | $125.89 | $134.90 | $169.82 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $67.61 Median $67.61 Typical High $154.88 | Professional | 51 · Multiple procedures | $67.61 | $67.61 | $154.88 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $26.92 Median $26.92 Typical High $61.66 | Professional | 80 · Assistant surgeon | $26.92 | $26.92 | $61.66 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $19.05 Median $19.05 Typical High $43.65 | Professional | 81 · Minimal assistant surgeon | $19.05 | $19.05 | $43.65 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $19.05 Median $19.05 Typical High $43.65 | Professional | 82 · Assistant surgeon, no resident | $19.05 | $19.05 | $43.65 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $19.05 Median $19.05 Typical High $43.65 | Professional | AS · PA/NP assist | $19.05 | $19.05 | $43.65 |
United Setting Professional Modifier None (both parts) Typical Low $81.28 Median $114.82 Typical High $213.80 | Professional | None (both parts) | $81.28 | $114.82 | $213.80 |
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· 30th of 51
$115
AK $316TX $83.18
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.