How much rates vary
Facilitymedian $100 · 10th to 90th $83 to $295Professionalmedian $117 · 10th to 90th $83 to $209
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 None Typical Low $83.18 Median $83.18 Typical High $83.18 | Facility | None | $83.18 | $83.18 | $83.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $81.28 Median $83.18 Typical High $89.13 | Professional | None (both parts) | $81.28 | $83.18 | $89.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $31.62 Typical High $34.67 | Professional | 26 · Professional part | $30.20 | $31.62 | $34.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $51.29 Typical High $54.95 | Professional | TC · Technical part | $50.12 | $51.29 | $54.95 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | 26 · Professional part | $57.54 | $57.54 | $57.54 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $70.79 Typical High $95.50 | Professional | 26 · Professional part | $51.29 | $70.79 | $95.50 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $104.71 Typical High $158.49 | Professional | TC · Technical part | $85.11 | $104.71 | $158.49 |
Cigna Setting Facility Modifier None Typical Low $186.21 Median $186.21 Typical High $186.21 | Facility | None | $186.21 | $186.21 | $186.21 |
Cigna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $128.82 Typical High $223.87 | Professional | None (both parts) | $93.33 | $128.82 | $223.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $48.98 Typical High $85.11 | Professional | 26 · Professional part | $34.67 | $48.98 | $85.11 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $81.28 Typical High $141.25 | Professional | TC · Technical part | $60.26 | $81.28 | $141.25 |
Medcost Setting Facility Modifier None Typical Low $87.10 Median $295.12 Typical High $295.12 | Facility | None | $87.10 | $295.12 | $295.12 |
Medcost Setting Professional Modifier None (both parts) Typical Low $100.00 Median $134.90 Typical High $154.88 | Professional | None (both parts) | $100.00 | $134.90 | $154.88 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $51.29 Typical High $64.57 | Professional | 26 · Professional part | $40.74 | $51.29 | $64.57 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $93.33 Typical High $102.33 | Professional | TC · Technical part | $66.07 | $93.33 | $102.33 |
United Setting Professional Modifier None (both parts) Typical Low $91.20 Median $120.23 Typical High $257.04 | Professional | None (both parts) | $91.20 | $120.23 | $257.04 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $40.74 Typical High $87.10 | Professional | 26 · Professional part | $33.11 | $40.74 | $87.10 |
United Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $77.62 Typical High $173.78 | Professional | TC · Technical part | $56.23 | $77.62 | $173.78 |
8 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 Professional Modifier 52 · Reduced service Typical Low $39.81 Median $41.69 Typical High $41.69 | Professional | 52 · Reduced service | $39.81 | $41.69 | $41.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $16.60 Typical High $16.60 | Professional | 53 · Discontinued | $15.85 | $16.60 | $16.60 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $63.10 Median $66.07 Typical High $66.07 | Professional | FX · Film X-ray | $63.10 | $66.07 | $66.07 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $50.12 Median $72.44 Typical High $128.82 | Professional | 51 · Multiple procedures | $50.12 | $72.44 | $128.82 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $19.95 Median $29.51 Typical High $51.29 | Professional | 80 · Assistant surgeon | $19.95 | $29.51 | $51.29 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $13.80 Median $20.42 Typical High $36.31 | Professional | 81 · Minimal assistant surgeon | $13.80 | $20.42 | $36.31 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $13.80 Median $20.42 Typical High $36.31 | Professional | 82 · Assistant surgeon, no resident | $13.80 | $20.42 | $36.31 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $13.80 Median $20.42 Typical High $36.31 | Professional | AS · PA/NP assist | $13.80 | $20.42 | $36.31 |
Where North Carolina sits
The same service costs 4.6 times more in Alaska than in Oregon. 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· 24th of 51
$117
AK $282OR $61.66
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.