How much rates vary
Facilitymedian $42 · 10th to 90th $35 to $65Professionalmedian $40 · 10th to 90th $32 to $76
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 $12.02 Median $12.30 Typical High $22.39 | Facility | 26 · Professional part | $12.02 | $12.30 | $22.39 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $22.39 Median $22.39 Typical High $35.48 | Facility | TC · Technical part | $22.39 | $22.39 | $35.48 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $12.30 Typical High $22.91 | Professional | 26 · Professional part | $12.02 | $12.30 | $22.91 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $22.39 Typical High $38.90 | Professional | TC · Technical part | $19.50 | $22.39 | $38.90 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $16.22 Typical High $31.62 | Professional | 26 · Professional part | $10.47 | $16.22 | $31.62 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $33.88 Typical High $41.69 | Professional | 26 · Professional part | $22.91 | $33.88 | $41.69 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $45.71 Typical High $56.23 | Professional | TC · Technical part | $29.51 | $45.71 | $56.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $18.20 Typical High $35.48 | Professional | 26 · Professional part | $15.14 | $18.20 | $35.48 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $20.89 Typical High $51.29 | Professional | TC · Technical part | $17.38 | $20.89 | $51.29 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $23.99 Typical High $47.86 | Professional | 26 · Professional part | $19.50 | $23.99 | $47.86 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $28.18 Typical High $38.90 | Professional | TC · Technical part | $25.12 | $28.18 | $38.90 |
United Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $16.60 Typical High $30.90 | Professional | 26 · Professional part | $13.80 | $16.60 | $30.90 |
United Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $22.39 Typical High $45.71 | Professional | TC · Technical part | $15.85 | $22.39 | $45.71 |
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 $34.67 Median $34.67 Typical High $56.23 | Facility | None | $34.67 | $34.67 | $56.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $32.36 Median $34.67 Typical High $63.10 | Professional | None (both parts) | $32.36 | $34.67 | $63.10 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $16.22 Median $17.38 Typical High $17.38 | Professional | 52 · Reduced service | $16.22 | $17.38 | $17.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.46 Median $6.92 Typical High $6.92 | Professional | 53 · Discontinued | $6.46 | $6.92 | $6.92 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $25.70 Median $27.54 Typical High $27.54 | Professional | FX · Film X-ray | $25.70 | $27.54 | $27.54 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $30.20 Median $30.20 Typical High $38.02 | Professional | None (both parts) | $30.20 | $30.20 | $38.02 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | None (both parts) | $39.81 | $39.81 | $39.81 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $66.07 Typical High $66.07 | Facility | None | $66.07 | $66.07 | $66.07 |
Cigna Setting Professional Modifier None (both parts) Typical Low $32.36 Median $38.90 Typical High $83.18 | Professional | None (both parts) | $32.36 | $38.90 | $83.18 |
Medcost Setting Professional Modifier None Typical Low $47.86 Median $47.86 Typical High $83.18 | Professional | None | $47.86 | $47.86 | $83.18 |
Medcost Setting Facility Modifier None Typical Low $41.69 Median $64.57 Typical High $64.57 | Facility | None | $41.69 | $64.57 | $64.57 |
Medcost Setting Professional Modifier None (both parts) Typical Low $42.66 Median $52.48 Typical High $64.57 | Professional | None (both parts) | $42.66 | $52.48 | $64.57 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $23.44 Median $26.30 Typical High $50.12 | Professional | 51 · Multiple procedures | $23.44 | $26.30 | $50.12 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $9.33 Median $10.47 Typical High $19.95 | Professional | 80 · Assistant surgeon | $9.33 | $10.47 | $19.95 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $6.61 Median $7.41 Typical High $14.13 | Professional | 81 · Minimal assistant surgeon | $6.61 | $7.41 | $14.13 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $6.61 Median $7.41 Typical High $14.13 | Professional | 82 · Assistant surgeon, no resident | $6.61 | $7.41 | $14.13 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $6.61 Median $7.41 Typical High $14.13 | Professional | AS · PA/NP assist | $6.61 | $7.41 | $14.13 |
Oscar Health Setting Facility Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $1,862.09 | Facility | None | $1,862.09 | $1,862.09 | $1,862.09 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $15.14 Median $32.36 Typical High $75.86 | Professional | None (both parts) | $15.14 | $32.36 | $75.86 |
United Setting Professional Modifier None (both parts) Typical Low $29.51 Median $38.02 Typical High $75.86 | Professional | None (both parts) | $29.51 | $38.02 | $75.86 |
Where North Carolina sits
The same service costs 4.1 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· 27th of 51
$39.81
AK $117FL $28.84
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.