How much rates vary
Facilitymedian $126 · 10th to 90th $105 to $257Professionalmedian $138 · 10th to 90th $105 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 Professional Modifier 26 · Professional part Typical Low $56.23 Median $57.54 Typical High $63.10 | Professional | 26 · Professional part | $56.23 | $57.54 | $63.10 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $46.77 Typical High $52.48 | Professional | TC · Technical part | $46.77 | $46.77 | $52.48 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $144.54 Typical High $181.97 | Professional | 26 · Professional part | $93.33 | $144.54 | $181.97 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $109.65 Typical High $169.82 | Professional | TC · Technical part | $83.18 | $109.65 | $169.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $75.86 Typical High $134.90 | Professional | 26 · Professional part | $66.07 | $75.86 | $134.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $61.66 Typical High $109.65 | Professional | TC · Technical part | $57.54 | $61.66 | $109.65 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $89.13 Typical High $97.72 | Professional | 26 · Professional part | $74.13 | $89.13 | $97.72 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $79.43 Typical High $93.33 | Professional | TC · Technical part | $60.26 | $79.43 | $93.33 |
United Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $67.61 Typical High $120.23 | Professional | 26 · Professional part | $60.26 | $67.61 | $120.23 |
United Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $67.61 Typical High $120.23 | Professional | TC · Technical part | $52.48 | $67.61 | $120.23 |
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 $104.71 Median $104.71 Typical High $104.71 | Facility | None | $104.71 | $104.71 | $104.71 |
Aetna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $104.71 Typical High $114.82 | Professional | None (both parts) | $102.33 | $104.71 | $114.82 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $51.29 Median $51.29 Typical High $56.23 | Professional | 52 · Reduced service | $51.29 | $51.29 | $56.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $20.89 Typical High $22.91 | Professional | 53 · Discontinued | $20.42 | $20.89 | $22.91 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | FX · Film X-ray | $83.18 | $83.18 | $83.18 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $70.79 Median $70.79 Typical High $169.82 | Professional | None (both parts) | $70.79 | $70.79 | $169.82 |
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 $123.03 Median $138.04 Typical High $245.47 | Professional | None (both parts) | $123.03 | $138.04 | $245.47 |
Medcost Setting Professional Modifier None Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | None | $208.93 | $208.93 | $208.93 |
Medcost Setting Facility Modifier None Typical Low $109.65 Median $257.04 Typical High $257.04 | Facility | None | $109.65 | $257.04 | $257.04 |
Medcost Setting Professional Modifier None (both parts) Typical Low $109.65 Median $162.18 Typical High $177.83 | Professional | None (both parts) | $109.65 | $162.18 | $177.83 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $54.95 Median $87.10 Typical High $102.33 | Professional | 51 · Multiple procedures | $54.95 | $87.10 | $102.33 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $22.39 Median $34.67 Typical High $40.74 | Professional | 80 · Assistant surgeon | $22.39 | $34.67 | $40.74 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $15.49 Median $24.55 Typical High $28.84 | Professional | 81 · Minimal assistant surgeon | $15.49 | $24.55 | $28.84 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $15.49 Median $24.55 Typical High $28.84 | Professional | 82 · Assistant surgeon, no resident | $15.49 | $24.55 | $28.84 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $15.49 Median $24.55 Typical High $28.84 | Professional | AS · PA/NP assist | $15.49 | $24.55 | $28.84 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $158.49 Median $158.49 Typical High $169.82 | Professional | None (both parts) | $158.49 | $158.49 | $169.82 |
United Setting Professional Modifier None (both parts) Typical Low $117.49 Median $138.04 Typical High $245.47 | Professional | None (both parts) | $117.49 | $138.04 | $245.47 |
Where North Carolina sits
The same service costs 4.5 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· 29th of 51
$138
AK $372FL $83.18
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.