How much rates vary
Facilitymedian $110 · 10th to 90th $89 to $427Professionalmedian $112 · 10th to 90th $89 to $200
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 $27.54 Median $30.20 Typical High $48.98 | Facility | 26 · Professional part | $27.54 | $30.20 | $48.98 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $61.66 Median $64.57 Typical High $114.82 | Facility | TC · Technical part | $61.66 | $64.57 | $114.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $27.54 Typical High $48.98 | Professional | 26 · Professional part | $27.54 | $27.54 | $48.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $61.66 Typical High $114.82 | Professional | TC · Technical part | $60.26 | $61.66 | $114.82 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $47.86 Typical High $57.54 | Professional | 26 · Professional part | $30.90 | $47.86 | $57.54 |
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 $104.71 Median $147.91 Typical High $218.78 | Professional | TC · Technical part | $104.71 | $147.91 | $218.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $38.90 Typical High $79.43 | Professional | 26 · Professional part | $31.62 | $38.90 | $79.43 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $72.44 Typical High $165.96 | Professional | TC · Technical part | $61.66 | $72.44 | $165.96 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $50.12 Typical High $74.13 | Professional | 26 · Professional part | $41.69 | $50.12 | $74.13 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $112.20 Typical High $128.82 | Professional | TC · Technical part | $83.18 | $112.20 | $128.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $34.67 Typical High $72.44 | Professional | 26 · Professional part | $28.84 | $34.67 | $72.44 |
United Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $77.62 Typical High $134.90 | Professional | TC · Technical part | $58.88 | $77.62 | $134.90 |
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 $89.13 Median $95.50 Typical High $154.88 | Facility | None | $89.13 | $95.50 | $154.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $89.13 Typical High $165.96 | Professional | None (both parts) | $89.13 | $89.13 | $165.96 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $42.66 Median $44.67 Typical High $46.77 | Professional | 52 · Reduced service | $42.66 | $44.67 | $46.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $17.78 Typical High $18.62 | Professional | 53 · Discontinued | $16.98 | $17.78 | $18.62 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | FX · Film X-ray | $70.79 | $70.79 | $70.79 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $74.13 Median $100.00 Typical High $186.21 | Professional | None (both parts) | $74.13 | $100.00 | $186.21 |
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 $79.43 Median $79.43 Typical High $79.43 | Professional | None (both parts) | $79.43 | $79.43 | $79.43 |
Cigna Setting Facility Modifier None Typical Low $107.15 Median $269.15 Typical High $426.58 | Facility | None | $107.15 | $269.15 | $426.58 |
Cigna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $109.65 Typical High $239.88 | Professional | None (both parts) | $97.72 | $109.65 | $239.88 |
Medcost Setting Professional Modifier None Typical Low $131.83 Median $131.83 Typical High $229.09 | Professional | None | $131.83 | $131.83 | $229.09 |
Medcost Setting Facility Modifier None Typical Low $89.13 Median $89.13 Typical High $109.65 | Facility | None | $89.13 | $89.13 | $109.65 |
Medcost Setting Professional Modifier None (both parts) Typical Low $120.23 Median $162.18 Typical High $204.17 | Professional | None (both parts) | $120.23 | $162.18 | $204.17 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $75.86 Median $85.11 Typical High $144.54 | Professional | 51 · Multiple procedures | $75.86 | $85.11 | $144.54 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $30.20 Median $33.88 Typical High $57.54 | Professional | 80 · Assistant surgeon | $30.20 | $33.88 | $57.54 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $21.38 Median $23.44 Typical High $40.74 | Professional | 81 · Minimal assistant surgeon | $21.38 | $23.44 | $40.74 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $21.38 Median $23.44 Typical High $40.74 | Professional | 82 · Assistant surgeon, no resident | $21.38 | $23.44 | $40.74 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $21.38 Median $23.44 Typical High $40.74 | Professional | AS · PA/NP assist | $21.38 | $23.44 | $40.74 |
Oscar Health Setting Facility Modifier None Typical Low $794.33 Median $794.33 Typical High $794.33 | Facility | None | $794.33 | $794.33 | $794.33 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $31.62 Median $75.86 Typical High $177.83 | Professional | None (both parts) | $31.62 | $75.86 | $177.83 |
United Setting Professional Modifier None (both parts) Typical Low $87.10 Median $114.82 Typical High $194.98 | Professional | None (both parts) | $87.10 | $114.82 | $194.98 |
Where North Carolina sits
The same service costs 4.2 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· 32nd of 51
$112
AK $302UT $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.