How much rates vary
Facilitymedian $151 · 10th to 90th $100 to $603Professionalmedian $138 · 10th to 90th $100 to $288
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 Facility Modifier TC · Technical part Typical Low $69.18 Median $69.18 Typical High $114.82 | Facility | TC · Technical part | $69.18 | $69.18 | $114.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $31.62 Typical High $53.70 | Professional | 26 · Professional part | $31.62 | $31.62 | $53.70 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $69.18 Typical High $120.23 | Professional | TC · Technical part | $66.07 | $69.18 | $120.23 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $83.18 Typical High $104.71 | Professional | 26 · Professional part | $56.23 | $83.18 | $104.71 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $125.89 Typical High $186.21 | Professional | TC · Technical part | $91.20 | $125.89 | $186.21 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $44.67 Typical High $91.20 | Professional | 26 · Professional part | $35.48 | $44.67 | $91.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $91.20 Typical High $257.04 | Professional | TC · Technical part | $61.66 | $91.20 | $257.04 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $57.54 Typical High $79.43 | Professional | 26 · Professional part | $47.86 | $57.54 | $79.43 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $93.33 Typical High $141.25 | Professional | TC · Technical part | $87.10 | $93.33 | $141.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $40.74 Typical High $83.18 | Professional | 26 · Professional part | $32.36 | $40.74 | $83.18 |
United Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $107.15 Typical High $218.78 | Professional | TC · Technical part | $70.79 | $107.15 | $218.78 |
20 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 $100.00 Median $100.00 Typical High $162.18 | Facility | None | $100.00 | $100.00 | $162.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $100.00 Typical High $169.82 | Professional | None (both parts) | $97.72 | $100.00 | $169.82 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $48.98 Median $50.12 Typical High $52.48 | Professional | 52 · Reduced service | $48.98 | $50.12 | $52.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $19.95 Typical High $20.89 | Professional | 53 · Discontinued | $19.95 | $19.95 | $20.89 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $79.43 Median $81.28 Typical High $81.28 | Professional | FX · Film X-ray | $79.43 | $81.28 | $81.28 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | None (both parts) | $134.90 | $134.90 | $134.90 |
BCBS North Carolina Setting Facility Modifier None Typical Low $144.54 Median $144.54 Typical High $173.78 | Facility | None | $144.54 | $144.54 | $173.78 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | None (both parts) | $93.33 | $93.33 | $93.33 |
Cigna Setting Facility Modifier None Typical Low $107.15 Median $354.81 Typical High $602.56 | Facility | None | $107.15 | $354.81 | $602.56 |
Cigna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $138.04 Typical High $346.74 | Professional | None (both parts) | $102.33 | $138.04 | $346.74 |
Medcost Setting Professional Modifier None Typical Low $138.04 Median $138.04 Typical High $309.03 | Professional | None | $138.04 | $138.04 | $309.03 |
Medcost Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $138.04 | Facility | None | $100.00 | $100.00 | $138.04 |
Medcost Setting Professional Modifier None (both parts) Typical Low $128.82 Median $138.04 Typical High $208.93 | Professional | None (both parts) | $128.82 | $138.04 | $208.93 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $69.18 Median $75.86 Typical High $158.49 | Professional | 51 · Multiple procedures | $69.18 | $75.86 | $158.49 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $28.18 Median $30.20 Typical High $63.10 | Professional | 80 · Assistant surgeon | $28.18 | $30.20 | $63.10 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $19.50 Median $21.38 Typical High $44.67 | Professional | 81 · Minimal assistant surgeon | $19.50 | $21.38 | $44.67 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $19.50 Median $21.38 Typical High $44.67 | Professional | 82 · Assistant surgeon, no resident | $19.50 | $21.38 | $44.67 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $19.50 Median $21.38 Typical High $44.67 | Professional | AS · PA/NP assist | $19.50 | $21.38 | $44.67 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $36.31 Median $109.65 Typical High $239.88 | Professional | None (both parts) | $36.31 | $109.65 | $239.88 |
United Setting Professional Modifier None (both parts) Typical Low $102.33 Median $144.54 Typical High $295.12 | Professional | None (both parts) | $102.33 | $144.54 | $295.12 |
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· 34th of 51
$138
AK $363TX $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.