How much rates vary
Facilitymedian $186 · 10th to 90th $129 to $708Professionalmedian $148 · 10th to 90th $117 to $331
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 Facility Modifier TC · Technical part Typical Low $75.86 Median $77.62 Typical High $138.04 | Facility | TC · Technical part | $75.86 | $77.62 | $138.04 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $52.48 Typical High $81.28 | Professional | 26 · Professional part | $50.12 | $52.48 | $81.28 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $75.86 Typical High $138.04 | Professional | TC · Technical part | $72.44 | $75.86 | $138.04 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $100.00 Typical High $102.33 | Professional | 26 · Professional part | $100.00 | $100.00 | $102.33 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $128.82 Typical High $169.82 | Professional | 26 · Professional part | $85.11 | $128.82 | $169.82 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $144.54 Typical High $245.47 | Professional | TC · Technical part | $85.11 | $144.54 | $245.47 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $67.61 Typical High $147.91 | Professional | 26 · Professional part | $53.70 | $67.61 | $147.91 |
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 $75.86 Median $91.20 Typical High $117.49 | Professional | 26 · Professional part | $75.86 | $91.20 | $117.49 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $95.50 Typical High $169.82 | Professional | TC · Technical part | $95.50 | $95.50 | $169.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $63.10 Typical High $128.82 | Professional | 26 · Professional part | $48.98 | $63.10 | $128.82 |
United Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $85.11 Typical High $204.17 | Professional | TC · Technical part | $58.88 | $85.11 | $204.17 |
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 $128.82 Median $128.82 Typical High $218.78 | Facility | None | $128.82 | $128.82 | $218.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $128.82 Typical High $218.78 | Professional | None (both parts) | $123.03 | $128.82 | $218.78 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $64.57 Median $64.57 Typical High $66.07 | Professional | 52 · Reduced service | $64.57 | $64.57 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $25.70 Typical High $26.30 | Professional | 53 · Discontinued | $25.70 | $25.70 | $26.30 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | FX · Film X-ray | $102.33 | $102.33 | $102.33 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | None (both parts) | $138.04 | $138.04 | $138.04 |
Cigna Setting Facility Modifier None Typical Low $131.83 Median $426.58 Typical High $707.95 | Facility | None | $131.83 | $426.58 | $707.95 |
Cigna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $144.54 Typical High $380.19 | Professional | None (both parts) | $112.20 | $144.54 | $380.19 |
Medcost Setting Professional Modifier None Typical Low $158.49 Median $158.49 Typical High $316.23 | Professional | None | $158.49 | $158.49 | $316.23 |
Medcost Setting Facility Modifier None Typical Low $128.82 Median $128.82 Typical High $190.55 | Facility | None | $128.82 | $128.82 | $190.55 |
Medcost Setting Professional Modifier None (both parts) Typical Low $154.88 Median $177.83 Typical High $269.15 | Professional | None (both parts) | $154.88 | $177.83 | $269.15 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $87.10 Median $87.10 Typical High $194.98 | Professional | 51 · Multiple procedures | $87.10 | $87.10 | $194.98 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $34.67 Median $35.48 Typical High $79.43 | Professional | 80 · Assistant surgeon | $34.67 | $35.48 | $79.43 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $23.99 Median $24.55 Typical High $54.95 | Professional | 81 · Minimal assistant surgeon | $23.99 | $24.55 | $54.95 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $23.99 Median $24.55 Typical High $54.95 | Professional | 82 · Assistant surgeon, no resident | $23.99 | $24.55 | $54.95 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $23.99 Median $24.55 Typical High $54.95 | Professional | AS · PA/NP assist | $23.99 | $24.55 | $54.95 |
United Setting Professional Modifier None (both parts) Typical Low $107.15 Median $147.91 Typical High $338.84 | Professional | None (both parts) | $107.15 | $147.91 | $338.84 |
Where North Carolina sits
The same service costs 4.9 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· 38th of 51
$151
AK $468UT $95.50
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.