How much rates vary
Facilitymedian $170 · 10th to 90th $141 to $324Professionalmedian $182 · 10th to 90th $141 to $282
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 $87.10 Median $89.13 Typical High $100.00 | Professional | 26 · Professional part | $87.10 | $89.13 | $100.00 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $51.29 Typical High $60.26 | Professional | TC · Technical part | $51.29 | $51.29 | $60.26 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $141.25 Typical High $181.97 | Professional | 26 · Professional part | $141.25 | $141.25 | $181.97 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $144.54 Median $223.87 Typical High $275.42 | Professional | 26 · Professional part | $144.54 | $223.87 | $275.42 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $120.23 Typical High $194.98 | Professional | TC · Technical part | $93.33 | $120.23 | $194.98 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $117.49 Typical High $204.17 | Professional | 26 · Professional part | $102.33 | $117.49 | $204.17 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $66.07 Typical High $120.23 | Professional | TC · Technical part | $64.57 | $66.07 | $120.23 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $147.91 Typical High $165.96 | Professional | 26 · Professional part | $114.82 | $147.91 | $165.96 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $87.10 Typical High $104.71 | Professional | TC · Technical part | $67.61 | $87.10 | $104.71 |
United Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $102.33 Typical High $181.97 | Professional | 26 · Professional part | $93.33 | $102.33 | $181.97 |
United Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $66.07 Typical High $117.49 | Professional | TC · Technical part | $57.54 | $66.07 | $117.49 |
18 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 $141.25 Median $141.25 Typical High $141.25 | Facility | None | $141.25 | $141.25 | $141.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $141.25 Typical High $151.36 | Professional | None (both parts) | $138.04 | $141.25 | $151.36 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $69.18 Median $70.79 Typical High $74.13 | Professional | 52 · Reduced service | $69.18 | $70.79 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $28.18 Typical High $30.20 | Professional | 53 · Discontinued | $27.54 | $28.18 | $30.20 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | FX · Film X-ray | $112.20 | $112.20 | $112.20 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $70.79 Median $70.79 Typical High $251.19 | Professional | None (both parts) | $70.79 | $70.79 | $251.19 |
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 $165.96 Median $181.97 Typical High $323.59 | Professional | None (both parts) | $165.96 | $181.97 | $323.59 |
Medcost Setting Professional Modifier None Typical Low $309.03 Median $309.03 Typical High $309.03 | Professional | None | $309.03 | $309.03 | $309.03 |
Medcost Setting Facility Modifier None Typical Low $147.91 Median $323.59 Typical High $323.59 | Facility | None | $147.91 | $323.59 | $323.59 |
Medcost Setting Professional Modifier None (both parts) Typical Low $147.91 Median $234.42 Typical High $281.84 | Professional | None (both parts) | $147.91 | $234.42 | $281.84 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $74.13 Median $141.25 Typical High $141.25 | Professional | 51 · Multiple procedures | $74.13 | $141.25 | $141.25 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $29.51 Median $56.23 Typical High $56.23 | Professional | 80 · Assistant surgeon | $29.51 | $56.23 | $56.23 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $20.89 Median $39.81 Typical High $39.81 | Professional | 81 · Minimal assistant surgeon | $20.89 | $39.81 | $39.81 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $20.89 Median $39.81 Typical High $39.81 | Professional | 82 · Assistant surgeon, no resident | $20.89 | $39.81 | $39.81 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $20.89 Median $39.81 Typical High $39.81 | Professional | AS · PA/NP assist | $20.89 | $39.81 | $39.81 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $194.98 Median $194.98 Typical High $208.93 | Professional | None (both parts) | $194.98 | $194.98 | $208.93 |
United Setting Professional Modifier None (both parts) Typical Low $151.36 Median $165.96 Typical High $302.00 | Professional | None (both parts) | $151.36 | $165.96 | $302.00 |
Where North Carolina sits
The same service costs 4.2 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· 31st of 51
$182
AK $501FL $120
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.