How much rates vary
Facilitymedian $132 · 10th to 90th $105 to $407Professionalmedian $145 · 10th to 90th $100 to $240
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 $29.51 Median $32.36 Typical High $51.29 | Facility | 26 · Professional part | $29.51 | $32.36 | $51.29 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $75.86 Median $77.62 Typical High $128.82 | Facility | TC · Technical part | $75.86 | $77.62 | $128.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $29.51 Typical High $54.95 | Professional | 26 · Professional part | $29.51 | $29.51 | $54.95 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $75.86 Typical High $141.25 | Professional | TC · Technical part | $74.13 | $75.86 | $141.25 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $47.86 Typical High $63.10 | Professional | 26 · Professional part | $31.62 | $47.86 | $63.10 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $67.61 Typical High $190.55 | Professional | TC · Technical part | $53.70 | $67.61 | $190.55 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $77.62 Typical High $100.00 | Professional | 26 · Professional part | $52.48 | $77.62 | $100.00 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $125.89 Typical High $234.42 | Professional | TC · Technical part | $85.11 | $125.89 | $234.42 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $41.69 Typical High $85.11 | Professional | 26 · Professional part | $33.11 | $41.69 | $85.11 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $83.18 Typical High $213.80 | Professional | TC · Technical part | $61.66 | $83.18 | $213.80 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $64.57 Typical High $89.13 | Professional | 26 · Professional part | $48.98 | $64.57 | $89.13 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $114.82 Typical High $158.49 | Professional | TC · Technical part | $100.00 | $114.82 | $158.49 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $38.02 Typical High $79.43 | Professional | 26 · Professional part | $30.20 | $38.02 | $79.43 |
United Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $89.13 Typical High $181.97 | Professional | TC · Technical part | $63.10 | $89.13 | $181.97 |
21 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 $104.71 Median $109.65 Typical High $177.83 | Facility | None | $104.71 | $109.65 | $177.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $104.71 Typical High $199.53 | Professional | None (both parts) | $104.71 | $104.71 | $199.53 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $51.29 Median $52.48 Typical High $54.95 | Professional | 52 · Reduced service | $51.29 | $52.48 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $21.38 Typical High $21.88 | Professional | 53 · Discontinued | $20.42 | $21.38 | $21.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $83.18 Median $85.11 Typical High $85.11 | Professional | FX · Film X-ray | $83.18 | $85.11 | $85.11 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $89.13 Median $147.91 Typical High $218.78 | Professional | None (both parts) | $89.13 | $147.91 | $218.78 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $120.23 Median $120.23 Typical High $208.93 | Professional | 59 · Distinct service | $120.23 | $120.23 | $208.93 |
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 $208.93 Median $208.93 Typical High $234.42 | Professional | None (both parts) | $208.93 | $208.93 | $234.42 |
Cigna Setting Facility Modifier None Typical Low $120.23 Median $302.00 Typical High $512.86 | Facility | None | $120.23 | $302.00 | $512.86 |
Cigna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $125.89 Typical High $302.00 | Professional | None (both parts) | $100.00 | $125.89 | $302.00 |
Medcost Setting Professional Modifier None Typical Low $134.90 Median $134.90 Typical High $275.42 | Professional | None | $134.90 | $134.90 | $275.42 |
Medcost Setting Facility Modifier None Typical Low $104.71 Median $104.71 Typical High $131.83 | Facility | None | $104.71 | $104.71 | $131.83 |
Medcost Setting Professional Modifier None (both parts) Typical Low $134.90 Median $162.18 Typical High $229.09 | Professional | None (both parts) | $134.90 | $162.18 | $229.09 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $67.61 Median $81.28 Typical High $169.82 | Professional | 51 · Multiple procedures | $67.61 | $81.28 | $169.82 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $26.92 Median $32.36 Typical High $67.61 | Professional | 80 · Assistant surgeon | $26.92 | $32.36 | $67.61 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $19.05 Median $22.91 Typical High $46.77 | Professional | 81 · Minimal assistant surgeon | $19.05 | $22.91 | $46.77 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $19.05 Median $22.91 Typical High $46.77 | Professional | 82 · Assistant surgeon, no resident | $19.05 | $22.91 | $46.77 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $19.05 Median $22.91 Typical High $46.77 | Professional | AS · PA/NP assist | $19.05 | $22.91 | $46.77 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $34.67 Median $95.50 Typical High $213.80 | Professional | None (both parts) | $34.67 | $95.50 | $213.80 |
United Setting Professional Modifier None (both parts) Typical Low $93.33 Median $125.89 Typical High $251.19 | Professional | None (both parts) | $93.33 | $125.89 | $251.19 |
Where North Carolina sits
The same service costs 3.6 times more in Alaska than in Florida. 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· 21st of 51
$141
AK $355FL $97.72
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.