How much rates vary
Facilitymedian $138 · 10th to 90th $100 to $417Professionalmedian $135 · 10th to 90th $100 to $269
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 $45.71 Median $45.71 Typical High $79.43 | Professional | 26 · Professional part | $45.71 | $45.71 | $79.43 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $56.23 Typical High $109.65 | Professional | TC · Technical part | $56.23 | $56.23 | $109.65 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $104.71 Typical High $151.36 | Professional | 26 · Professional part | $75.86 | $104.71 | $151.36 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $138.04 Typical High $190.55 | Professional | TC · Technical part | $97.72 | $138.04 | $190.55 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $66.07 Typical High $131.83 | Professional | 26 · Professional part | $52.48 | $66.07 | $131.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $74.13 Typical High $165.96 | Professional | TC · Technical part | $63.10 | $74.13 | $165.96 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $79.43 Typical High $114.82 | Professional | 26 · Professional part | $64.57 | $79.43 | $114.82 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $102.33 Typical High $128.82 | Professional | TC · Technical part | $83.18 | $102.33 | $128.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $57.54 Typical High $120.23 | Professional | 26 · Professional part | $46.77 | $57.54 | $120.23 |
United Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $72.44 Typical High $144.54 | Professional | TC · Technical part | $57.54 | $72.44 | $144.54 |
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 $100.00 Median $100.00 Typical High $158.49 | Facility | None | $100.00 | $100.00 | $158.49 |
Aetna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $100.00 Typical High $190.55 | Professional | None (both parts) | $100.00 | $100.00 | $190.55 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $48.98 Median $50.12 Typical High $54.95 | Professional | 52 · Reduced service | $48.98 | $50.12 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $20.42 Typical High $21.88 | Professional | 53 · Discontinued | $19.50 | $20.42 | $21.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | FX · Film X-ray | $81.28 | $81.28 | $81.28 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $158.49 Median $199.53 Typical High $275.42 | Professional | None (both parts) | $158.49 | $199.53 | $275.42 |
BCBS North Carolina Setting Facility Modifier None Typical Low $223.87 Median $223.87 Typical High $269.15 | Facility | None | $223.87 | $223.87 | $269.15 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | None (both parts) | $134.90 | $134.90 | $134.90 |
Cigna Setting Facility Modifier None Typical Low $107.15 Median $245.47 Typical High $416.87 | Facility | None | $107.15 | $245.47 | $416.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $141.25 Typical High $309.03 | Professional | None (both parts) | $114.82 | $141.25 | $309.03 |
Medcost Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $257.04 | Professional | None | $165.96 | $165.96 | $257.04 |
Medcost Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $138.04 | Facility | None | $100.00 | $100.00 | $138.04 |
Medcost Setting Professional Modifier None (both parts) Typical Low $134.90 Median $165.96 Typical High $229.09 | Professional | None (both parts) | $134.90 | $165.96 | $229.09 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $81.28 Median $85.11 Typical High $162.18 | Professional | 51 · Multiple procedures | $81.28 | $85.11 | $162.18 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $33.11 Median $33.88 Typical High $64.57 | Professional | 80 · Assistant surgeon | $33.11 | $33.88 | $64.57 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $22.91 Median $23.44 Typical High $45.71 | Professional | 81 · Minimal assistant surgeon | $22.91 | $23.44 | $45.71 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $22.91 Median $23.44 Typical High $45.71 | Professional | 82 · Assistant surgeon, no resident | $22.91 | $23.44 | $45.71 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $22.91 Median $23.44 Typical High $45.71 | Professional | AS · PA/NP assist | $22.91 | $23.44 | $45.71 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $52.48 Median $112.20 Typical High $223.87 | Professional | None (both parts) | $52.48 | $112.20 | $223.87 |
United Setting Professional Modifier None (both parts) Typical Low $104.71 Median $131.83 Typical High $257.04 | Professional | None (both parts) | $104.71 | $131.83 | $257.04 |
Where North Carolina sits
The same service costs 3.9 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
$135
AK $363TX $93.33
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.