How much rates vary
Facilitymedian $170 · 10th to 90th $170 to $302Professionalmedian $204 · 10th to 90th $155 to $417
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 $75.86 Median $77.62 Typical High $128.82 | Professional | 26 · Professional part | $75.86 | $77.62 | $128.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $93.33 Typical High $154.88 | Professional | TC · Technical part | $70.79 | $93.33 | $154.88 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $134.90 Median $177.83 Typical High $257.04 | Professional | 26 · Professional part | $134.90 | $177.83 | $257.04 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $120.23 Typical High $251.19 | Professional | TC · Technical part | $72.44 | $120.23 | $251.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $109.65 Typical High $223.87 | Professional | 26 · Professional part | $89.13 | $109.65 | $223.87 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $87.10 Typical High $275.42 | Professional | TC · Technical part | $51.29 | $87.10 | $275.42 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $138.04 Typical High $177.83 | Professional | 26 · Professional part | $107.15 | $138.04 | $177.83 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $89.13 Typical High $169.82 | Professional | TC · Technical part | $87.10 | $89.13 | $169.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $97.72 Typical High $204.17 | Professional | 26 · Professional part | $79.43 | $97.72 | $204.17 |
United Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $114.82 Typical High $229.09 | Professional | TC · Technical part | $67.61 | $114.82 | $229.09 |
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 $169.82 Median $169.82 Typical High $177.83 | Facility | None | $169.82 | $169.82 | $177.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $169.82 Typical High $281.84 | Professional | None (both parts) | $158.49 | $169.82 | $281.84 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $81.28 Median $85.11 Typical High $91.20 | Professional | 52 · Reduced service | $81.28 | $85.11 | $91.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $33.88 Typical High $36.31 | Professional | 53 · Discontinued | $32.36 | $33.88 | $36.31 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $134.90 Median $138.04 Typical High $138.04 | Professional | FX · Film X-ray | $134.90 | $138.04 | $138.04 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $269.15 Median $269.15 Typical High $346.74 | Professional | None (both parts) | $269.15 | $269.15 | $346.74 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $229.09 Median $229.09 Typical High $229.09 | Professional | None (both parts) | $229.09 | $229.09 | $229.09 |
Cigna Setting Facility Modifier None Typical Low $389.05 Median $389.05 Typical High $389.05 | Facility | None | $389.05 | $389.05 | $389.05 |
Cigna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $204.17 Typical High $489.78 | Professional | None (both parts) | $154.88 | $204.17 | $489.78 |
Medcost Setting Professional Modifier None Typical Low $208.93 Median $208.93 Typical High $446.68 | Professional | None | $208.93 | $208.93 | $446.68 |
Medcost Setting Facility Modifier None Typical Low $169.82 Median $169.82 Typical High $218.78 | Facility | None | $169.82 | $169.82 | $218.78 |
Medcost Setting Professional Modifier None (both parts) Typical Low $213.80 Median $223.87 Typical High $309.03 | Professional | None (both parts) | $213.80 | $223.87 | $309.03 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $107.15 Median $112.20 Typical High $275.42 | Professional | 51 · Multiple procedures | $107.15 | $112.20 | $275.42 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $42.66 Median $44.67 Typical High $109.65 | Professional | 80 · Assistant surgeon | $42.66 | $44.67 | $109.65 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $29.51 Median $31.62 Typical High $77.62 | Professional | 81 · Minimal assistant surgeon | $29.51 | $31.62 | $77.62 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $29.51 Median $31.62 Typical High $77.62 | Professional | 82 · Assistant surgeon, no resident | $29.51 | $31.62 | $77.62 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $29.51 Median $31.62 Typical High $77.62 | Professional | AS · PA/NP assist | $29.51 | $31.62 | $77.62 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $89.13 Median $181.97 Typical High $354.81 | Professional | None (both parts) | $89.13 | $181.97 | $354.81 |
United Setting Professional Modifier None (both parts) Typical Low $151.36 Median $208.93 Typical High $416.87 | Professional | None (both parts) | $151.36 | $208.93 | $416.87 |
Where North Carolina sits
The same service costs 5.8 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· 31st of 51
$204
AK $589UT $102
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.