How much rates vary
Facilitymedian $56 · 10th to 90th $40 to $126Professionalmedian $71 · 10th to 90th $40 to $129
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 $21.38 Median $21.38 Typical High $38.90 | Professional | 26 · Professional part | $21.38 | $21.38 | $38.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $18.62 Typical High $38.02 | Professional | TC · Technical part | $18.62 | $18.62 | $38.02 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $34.67 Typical High $56.23 | Professional | 26 · Professional part | $34.67 | $34.67 | $56.23 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $57.54 Typical High $69.18 | Professional | 26 · Professional part | $38.90 | $57.54 | $69.18 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $54.95 Typical High $109.65 | Professional | TC · Technical part | $31.62 | $54.95 | $109.65 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $31.62 Typical High $63.10 | Professional | 26 · Professional part | $25.12 | $31.62 | $63.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $53.70 Typical High $74.13 | Professional | TC · Technical part | $25.12 | $53.70 | $74.13 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $38.90 Typical High $53.70 | Professional | 26 · Professional part | $30.20 | $38.90 | $53.70 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $34.67 Typical High $83.18 | Professional | TC · Technical part | $27.54 | $34.67 | $83.18 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $27.54 Typical High $57.54 | Professional | 26 · Professional part | $22.91 | $27.54 | $57.54 |
United Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $36.31 Typical High $61.66 | Professional | TC · Technical part | $19.50 | $36.31 | $61.66 |
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 $39.81 Median $39.81 Typical High $70.79 | Facility | None | $39.81 | $39.81 | $70.79 |
Aetna Setting Professional Modifier None (both parts) Typical Low $39.81 Median $39.81 Typical High $79.43 | Professional | None (both parts) | $39.81 | $39.81 | $79.43 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | FX · Film X-ray | $32.36 | $32.36 | $32.36 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $50.12 Median $75.86 Typical High $102.33 | Professional | None (both parts) | $50.12 | $75.86 | $102.33 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | None (both parts) | $66.07 | $66.07 | $66.07 |
Cigna Setting Facility Modifier None Typical Low $31.62 Median $91.20 Typical High $125.89 | Facility | None | $31.62 | $91.20 | $125.89 |
Cigna Setting Professional Modifier None (both parts) Typical Low $52.48 Median $93.33 Typical High $128.82 | Professional | None (both parts) | $52.48 | $93.33 | $128.82 |
Medcost Setting Professional Modifier None Typical Low $102.33 Median $128.82 Typical High $144.54 | Professional | None | $102.33 | $128.82 | $144.54 |
Medcost Setting Facility Modifier None Typical Low $39.81 Median $39.81 Typical High $51.29 | Facility | None | $39.81 | $39.81 | $51.29 |
Medcost Setting Professional Modifier None (both parts) Typical Low $54.95 Median $79.43 Typical High $147.91 | Professional | None (both parts) | $54.95 | $79.43 | $147.91 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $33.88 Median $52.48 Typical High $74.13 | Professional | 51 · Multiple procedures | $33.88 | $52.48 | $74.13 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $13.49 Median $20.89 Typical High $29.51 | Professional | 80 · Assistant surgeon | $13.49 | $20.89 | $29.51 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $9.55 Median $14.79 Typical High $20.89 | Professional | 81 · Minimal assistant surgeon | $9.55 | $14.79 | $20.89 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $9.55 Median $14.79 Typical High $20.89 | Professional | 82 · Assistant surgeon, no resident | $9.55 | $14.79 | $20.89 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $9.55 Median $14.79 Typical High $20.89 | Professional | AS · PA/NP assist | $9.55 | $14.79 | $20.89 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $21.38 Median $41.69 Typical High $83.18 | Professional | None (both parts) | $21.38 | $41.69 | $83.18 |
United Setting Professional Modifier None (both parts) Typical Low $42.66 Median $69.18 Typical High $123.03 | Professional | None (both parts) | $42.66 | $69.18 | $123.03 |
Where North Carolina sits
The same service costs 4.5 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· 13th of 51
$70.79
AK $141UT $31.62
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.