How much rates vary
Facilitymedian $100 · 10th to 90th $72 to $302Professionalmedian $100 · 10th to 90th $72 to $186
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 $28.18 Median $29.51 Typical High $48.98 | Facility | 26 · Professional part | $28.18 | $29.51 | $48.98 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $43.65 Median $47.86 Typical High $89.13 | Facility | TC · Technical part | $43.65 | $47.86 | $89.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $28.18 Typical High $48.98 | Professional | 26 · Professional part | $28.18 | $28.18 | $48.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $43.65 Typical High $87.10 | Professional | TC · Technical part | $43.65 | $43.65 | $87.10 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $44.67 Typical High $70.79 | Professional | 26 · Professional part | $32.36 | $44.67 | $70.79 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $66.07 Typical High $77.62 | Professional | TC · Technical part | $33.88 | $66.07 | $77.62 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $70.79 Typical High $93.33 | Professional | 26 · Professional part | $48.98 | $70.79 | $93.33 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $112.20 Typical High $158.49 | Professional | TC · Technical part | $79.43 | $112.20 | $158.49 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $39.81 Typical High $79.43 | Professional | 26 · Professional part | $31.62 | $39.81 | $79.43 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $63.10 Typical High $131.83 | Professional | TC · Technical part | $53.70 | $63.10 | $131.83 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $54.95 Typical High $74.13 | Professional | 26 · Professional part | $41.69 | $54.95 | $74.13 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $83.18 Typical High $102.33 | Professional | TC · Technical part | $63.10 | $83.18 | $102.33 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $35.48 Typical High $74.13 | Professional | 26 · Professional part | $28.84 | $35.48 | $74.13 |
United Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $60.26 Typical High $114.82 | Professional | TC · Technical part | $48.98 | $60.26 | $114.82 |
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 $72.44 Median $75.86 Typical High $131.83 | Facility | None | $72.44 | $75.86 | $131.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $72.44 Median $72.44 Typical High $138.04 | Professional | None (both parts) | $72.44 | $72.44 | $138.04 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $35.48 Median $36.31 Typical High $38.02 | Professional | 52 · Reduced service | $35.48 | $36.31 | $38.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $14.45 Typical High $15.14 | Professional | 53 · Discontinued | $14.13 | $14.45 | $15.14 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | FX · Film X-ray | $57.54 | $57.54 | $57.54 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $66.07 Median $109.65 Typical High $144.54 | Professional | None (both parts) | $66.07 | $109.65 | $144.54 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | None (both parts) | $81.28 | $81.28 | $81.28 |
Cigna Setting Facility Modifier None Typical Low $75.86 Median $194.98 Typical High $302.00 | Facility | None | $75.86 | $194.98 | $302.00 |
Cigna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $104.71 Typical High $213.80 | Professional | None (both parts) | $87.10 | $104.71 | $213.80 |
Medcost Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $186.21 | Professional | None | $125.89 | $125.89 | $186.21 |
Medcost Setting Facility Modifier None Typical Low $72.44 Median $72.44 Typical High $91.20 | Facility | None | $72.44 | $72.44 | $91.20 |
Medcost Setting Professional Modifier None (both parts) Typical Low $97.72 Median $123.03 Typical High $169.82 | Professional | None (both parts) | $97.72 | $123.03 | $169.82 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $60.26 Median $63.10 Typical High $114.82 | Professional | 51 · Multiple procedures | $60.26 | $63.10 | $114.82 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $24.55 Median $25.12 Typical High $46.77 | Professional | 80 · Assistant surgeon | $24.55 | $25.12 | $46.77 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $16.98 Median $17.78 Typical High $32.36 | Professional | 81 · Minimal assistant surgeon | $16.98 | $17.78 | $32.36 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $16.98 Median $17.78 Typical High $32.36 | Professional | 82 · Assistant surgeon, no resident | $16.98 | $17.78 | $32.36 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $16.98 Median $17.78 Typical High $32.36 | Professional | AS · PA/NP assist | $16.98 | $17.78 | $32.36 |
Oscar Health Setting Facility Modifier None Typical Low $2,951.21 Median $2,951.21 Typical High $2,951.21 | Facility | None | $2,951.21 | $2,951.21 | $2,951.21 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $32.36 Median $69.18 Typical High $147.91 | Professional | None (both parts) | $32.36 | $69.18 | $147.91 |
United Setting Professional Modifier None (both parts) Typical Low $77.62 Median $95.50 Typical High $181.97 | Professional | None (both parts) | $77.62 | $95.50 | $181.97 |
Where North Carolina sits
The same service costs 3.6 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· 23rd of 51
$100
AK $245TX $67.61
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.