How much rates vary
Facilitymedian $112 · 10th to 90th $78 to $331Professionalmedian $110 · 10th to 90th $78 to $204
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 $30.20 Median $30.20 Typical High $47.86 | Professional | 26 · Professional part | $30.20 | $30.20 | $47.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $47.86 Typical High $81.28 | Professional | TC · Technical part | $47.86 | $47.86 | $81.28 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $77.62 Typical High $97.72 | Professional | 26 · Professional part | $53.70 | $77.62 | $97.72 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $120.23 Typical High $165.96 | Professional | TC · Technical part | $81.28 | $120.23 | $165.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $43.65 Typical High $89.13 | Professional | 26 · Professional part | $34.67 | $43.65 | $89.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $70.79 Typical High $144.54 | Professional | TC · Technical part | $57.54 | $70.79 | $144.54 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $54.95 Typical High $79.43 | Professional | 26 · Professional part | $45.71 | $54.95 | $79.43 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $89.13 Typical High $102.33 | Professional | TC · Technical part | $70.79 | $89.13 | $102.33 |
United Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $38.90 Typical High $81.28 | Professional | 26 · Professional part | $31.62 | $38.90 | $81.28 |
United Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $67.61 Typical High $125.89 | Professional | TC · Technical part | $52.48 | $67.61 | $125.89 |
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 $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 $128.82 | Professional | None (both parts) | $77.62 | $77.62 | $128.82 |
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 $120.23 Median $120.23 Typical High $204.17 | Professional | None (both parts) | $120.23 | $120.23 | $204.17 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | None (both parts) | $91.20 | $91.20 | $91.20 |
Cigna Setting Facility Modifier None Typical Low $83.18 Median $213.80 Typical High $331.13 | Facility | None | $83.18 | $213.80 | $331.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $114.82 Typical High $229.09 | Professional | None (both parts) | $95.50 | $114.82 | $229.09 |
Medcost Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $204.17 | Professional | None | $141.25 | $141.25 | $204.17 |
Medcost Setting Facility Modifier None Typical Low $77.62 Median $77.62 Typical High $102.33 | Facility | None | $77.62 | $77.62 | $102.33 |
Medcost Setting Professional Modifier None (both parts) Typical Low $104.71 Median $141.25 Typical High $177.83 | Professional | None (both parts) | $104.71 | $141.25 | $177.83 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $64.57 Median $81.28 Typical High $125.89 | Professional | 51 · Multiple procedures | $64.57 | $81.28 | $125.89 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $25.70 Median $32.36 Typical High $50.12 | Professional | 80 · Assistant surgeon | $25.70 | $32.36 | $50.12 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $18.20 Median $22.91 Typical High $34.67 | Professional | 81 · Minimal assistant surgeon | $18.20 | $22.91 | $34.67 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $18.20 Median $22.91 Typical High $34.67 | Professional | 82 · Assistant surgeon, no resident | $18.20 | $22.91 | $34.67 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $18.20 Median $22.91 Typical High $34.67 | Professional | AS · PA/NP assist | $18.20 | $22.91 | $34.67 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $35.48 Median $83.18 Typical High $165.96 | Professional | None (both parts) | $35.48 | $83.18 | $165.96 |
United Setting Professional Modifier None (both parts) Typical Low $87.10 Median $107.15 Typical High $199.53 | Professional | None (both parts) | $87.10 | $107.15 | $199.53 |
Where North Carolina sits
The same service costs 3.7 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
$110
AK $269TX $72.44
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.