How much rates vary
Facilitymedian $251 · 10th to 90th $123 to $1,000Professionalmedian $148 · 10th to 90th $117 to $295
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 $28.84 Median $28.84 Typical High $51.29 | Professional | 26 · Professional part | $28.84 | $28.84 | $51.29 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $93.33 Typical High $141.25 | Professional | TC · Technical part | $85.11 | $93.33 | $141.25 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $69.18 Typical High $100.00 | Professional | 26 · Professional part | $52.48 | $69.18 | $100.00 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $144.54 Typical High $239.88 | Professional | TC · Technical part | $83.18 | $144.54 | $239.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $41.69 Typical High $83.18 | Professional | 26 · Professional part | $33.88 | $41.69 | $83.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $100.00 Typical High $302.00 | Professional | TC · Technical part | $81.28 | $100.00 | $302.00 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $54.95 Typical High $72.44 | Professional | 26 · Professional part | $43.65 | $54.95 | $72.44 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $141.25 Typical High $173.78 | Professional | TC · Technical part | $123.03 | $141.25 | $173.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $37.15 Typical High $77.62 | Professional | 26 · Professional part | $30.90 | $37.15 | $77.62 |
United Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $117.49 Typical High $309.03 | Professional | TC · Technical part | $77.62 | $117.49 | $309.03 |
19 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 $123.03 Median $123.03 Typical High $144.54 | Facility | None | $123.03 | $123.03 | $144.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $123.03 Typical High $194.98 | Professional | None (both parts) | $114.82 | $123.03 | $194.98 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $57.54 Median $60.26 Typical High $60.26 | Professional | 52 · Reduced service | $57.54 | $60.26 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $24.55 Typical High $24.55 | Professional | 53 · Discontinued | $22.91 | $24.55 | $24.55 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $91.20 Median $97.72 Typical High $97.72 | Professional | FX · Film X-ray | $91.20 | $97.72 | $97.72 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $91.20 Median $91.20 Typical High $158.49 | Professional | None (both parts) | $91.20 | $91.20 | $158.49 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | None (both parts) | $87.10 | $87.10 | $87.10 |
Cigna Setting Facility Modifier None Typical Low $131.83 Median $588.84 Typical High $1,000.00 | Facility | None | $131.83 | $588.84 | $1,000.00 |
Cigna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $141.25 Typical High $371.54 | Professional | None (both parts) | $120.23 | $141.25 | $371.54 |
Medcost Setting Professional Modifier None Typical Low $154.88 Median $154.88 Typical High $426.58 | Professional | None | $154.88 | $154.88 | $426.58 |
Medcost Setting Facility Modifier None Typical Low $123.03 Median $123.03 Typical High $134.90 | Facility | None | $123.03 | $123.03 | $134.90 |
Medcost Setting Professional Modifier None (both parts) Typical Low $128.82 Median $186.21 Typical High $223.87 | Professional | None (both parts) | $128.82 | $186.21 | $223.87 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $89.13 Median $93.33 Typical High $181.97 | Professional | 51 · Multiple procedures | $89.13 | $93.33 | $181.97 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $35.48 Median $37.15 Typical High $74.13 | Professional | 80 · Assistant surgeon | $35.48 | $37.15 | $74.13 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $25.12 Median $26.30 Typical High $51.29 | Professional | 81 · Minimal assistant surgeon | $25.12 | $26.30 | $51.29 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $25.12 Median $26.30 Typical High $51.29 | Professional | 82 · Assistant surgeon, no resident | $25.12 | $26.30 | $51.29 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $25.12 Median $26.30 Typical High $51.29 | Professional | AS · PA/NP assist | $25.12 | $26.30 | $51.29 |
Oscar Health Setting Facility Modifier None Typical Low $831.76 Median $831.76 Typical High $831.76 | Facility | None | $831.76 | $831.76 | $831.76 |
United Setting Professional Modifier None (both parts) Typical Low $109.65 Median $151.36 Typical High $371.54 | Professional | None (both parts) | $109.65 | $151.36 | $371.54 |
Where North Carolina sits
The same service costs 4.9 times more in Wyoming 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· 36th of 51
$148
WY $501UT $102
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.