How much rates vary
Facilitymedian $78 · 10th to 90th $78 to $138Professionalmedian $107 · 10th to 90th $78 to $214
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 Professional Modifier 26 · Professional part Typical Low $41.69 Median $41.69 Typical High $75.86 | Professional | 26 · Professional part | $41.69 | $41.69 | $75.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $36.31 Typical High $63.10 | Professional | TC · Technical part | $36.31 | $36.31 | $63.10 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $112.20 Typical High $147.91 | Professional | 26 · Professional part | $74.13 | $112.20 | $147.91 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $112.20 Typical High $134.90 | Professional | TC · Technical part | $69.18 | $112.20 | $134.90 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $60.26 Typical High $123.03 | Professional | 26 · Professional part | $47.86 | $60.26 | $123.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $52.48 Typical High $107.15 | Professional | TC · Technical part | $44.67 | $52.48 | $107.15 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $77.62 Typical High $107.15 | Professional | 26 · Professional part | $63.10 | $77.62 | $107.15 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $70.79 Typical High $87.10 | Professional | TC · Technical part | $53.70 | $70.79 | $87.10 |
United Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $53.70 Typical High $112.20 | Professional | 26 · Professional part | $43.65 | $53.70 | $112.20 |
United Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $51.29 Typical High $93.33 | Professional | TC · Technical part | $39.81 | $51.29 | $93.33 |
19 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 $77.62 Median $77.62 Typical High $134.90 | Facility | None | $77.62 | $77.62 | $134.90 |
Aetna Setting Professional Modifier None (both parts) Typical Low $77.62 Median $77.62 Typical High $138.04 | Professional | None (both parts) | $77.62 | $77.62 | $138.04 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $38.90 Median $38.90 Typical High $41.69 | Professional | 52 · Reduced service | $38.90 | $38.90 | $41.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.49 Median $15.49 Typical High $16.60 | Professional | 53 · Discontinued | $15.49 | $15.49 | $16.60 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | FX · Film X-ray | $63.10 | $63.10 | $63.10 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | None (both parts) | $158.49 | $158.49 | $158.49 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | None (both parts) | $125.89 | $125.89 | $125.89 |
Cigna Setting Facility Modifier None Typical Low $165.96 Median $165.96 Typical High $165.96 | Facility | None | $165.96 | $165.96 | $165.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $114.82 Typical High $245.47 | Professional | None (both parts) | $93.33 | $114.82 | $245.47 |
Medcost Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $199.53 | Professional | None | $141.25 | $141.25 | $199.53 |
Medcost Setting Facility Modifier None Typical Low $77.62 Median $77.62 Typical High $100.00 | Facility | None | $77.62 | $77.62 | $100.00 |
Medcost Setting Professional Modifier None (both parts) Typical Low $107.15 Median $141.25 Typical High $204.17 | Professional | None (both parts) | $107.15 | $141.25 | $204.17 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $66.07 Median $89.13 Typical High $125.89 | Professional | 51 · Multiple procedures | $66.07 | $89.13 | $125.89 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $26.30 Median $35.48 Typical High $51.29 | Professional | 80 · Assistant surgeon | $26.30 | $35.48 | $51.29 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $18.62 Median $24.55 Typical High $35.48 | Professional | 81 · Minimal assistant surgeon | $18.62 | $24.55 | $35.48 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $18.62 Median $24.55 Typical High $35.48 | Professional | 82 · Assistant surgeon, no resident | $18.62 | $24.55 | $35.48 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $18.62 Median $24.55 Typical High $35.48 | Professional | AS · PA/NP assist | $18.62 | $24.55 | $35.48 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $41.69 Median $83.18 Typical High $162.18 | Professional | None (both parts) | $41.69 | $83.18 | $162.18 |
United Setting Professional Modifier None (both parts) Typical Low $85.11 Median $102.33 Typical High $213.80 | Professional | None (both parts) | $85.11 | $102.33 | $213.80 |
Where North Carolina sits
The same service costs 4.2 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
$107
AK $275TX $66.07
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.