How much rates vary
Facilitymedian $54 · 10th to 90th $51 to $162Professionalmedian $132 · 10th to 90th $51 to $251
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 $27.54 Median $28.84 Typical High $48.98 | Facility | 26 · Professional part | $27.54 | $28.84 | $48.98 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $23.44 Median $25.70 Typical High $120.23 | Facility | TC · Technical part | $23.44 | $25.70 | $120.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $27.54 Typical High $54.95 | Professional | 26 · Professional part | $27.54 | $27.54 | $54.95 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $23.44 Typical High $151.36 | Professional | TC · Technical part | $23.44 | $23.44 | $151.36 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $40.74 Typical High $57.54 | Professional | 26 · Professional part | $33.11 | $40.74 | $57.54 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $75.86 Typical High $123.03 | Professional | 26 · Professional part | $51.29 | $75.86 | $123.03 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $223.87 Typical High $398.11 | Professional | TC · Technical part | $77.62 | $223.87 | $398.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $40.74 Typical High $79.43 | Professional | 26 · Professional part | $32.36 | $40.74 | $79.43 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $112.20 Typical High $165.96 | Professional | TC · Technical part | $31.62 | $112.20 | $165.96 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $58.88 Typical High $89.13 | Professional | 26 · Professional part | $42.66 | $58.88 | $89.13 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $114.82 Typical High $204.17 | Professional | TC · Technical part | $34.67 | $114.82 | $204.17 |
United Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $35.48 Typical High $72.44 | Professional | 26 · Professional part | $29.51 | $35.48 | $72.44 |
United Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $52.48 Typical High $162.18 | Professional | TC · Technical part | $23.99 | $52.48 | $162.18 |
19 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 $51.29 Median $53.70 Typical High $125.89 | Facility | None | $51.29 | $53.70 | $125.89 |
Aetna Setting Professional Modifier None (both parts) Typical Low $51.29 Median $51.29 Typical High $199.53 | Professional | None (both parts) | $51.29 | $51.29 | $199.53 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $24.55 Median $25.70 Typical High $26.92 | Professional | 52 · Reduced service | $24.55 | $25.70 | $26.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.77 Median $10.23 Typical High $10.96 | Professional | 53 · Discontinued | $9.77 | $10.23 | $10.96 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $40.74 Median $40.74 Typical High $40.74 | Professional | FX · Film X-ray | $40.74 | $40.74 | $40.74 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $48.98 Median $63.10 Typical High $81.28 | Professional | None (both parts) | $48.98 | $63.10 | $81.28 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $48.98 Median $48.98 Typical High $63.10 | Professional | 59 · Distinct service | $48.98 | $48.98 | $63.10 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $85.11 Median $85.11 Typical High $309.03 | Professional | None (both parts) | $85.11 | $85.11 | $309.03 |
Cigna Setting Facility Modifier None Typical Low $549.54 Median $549.54 Typical High $549.54 | Facility | None | $549.54 | $549.54 | $549.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $70.79 Median $147.91 Typical High $218.78 | Professional | None (both parts) | $70.79 | $147.91 | $218.78 |
Medcost Setting Professional Modifier None Typical Low $125.89 Median $186.21 Typical High $218.78 | Professional | None | $125.89 | $186.21 | $218.78 |
Medcost Setting Facility Modifier None Typical Low $51.29 Median $51.29 Typical High $72.44 | Facility | None | $51.29 | $51.29 | $72.44 |
Medcost Setting Professional Modifier None (both parts) Typical Low $79.43 Median $162.18 Typical High $251.19 | Professional | None (both parts) | $79.43 | $162.18 | $251.19 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $69.18 Median $87.10 Typical High $125.89 | Professional | 51 · Multiple procedures | $69.18 | $87.10 | $125.89 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $28.18 Median $34.67 Typical High $50.12 | Professional | 80 · Assistant surgeon | $28.18 | $34.67 | $50.12 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $19.50 Median $23.99 Typical High $35.48 | Professional | 81 · Minimal assistant surgeon | $19.50 | $23.99 | $35.48 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $19.50 Median $23.99 Typical High $35.48 | Professional | 82 · Assistant surgeon, no resident | $19.50 | $23.99 | $35.48 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $19.50 Median $23.99 Typical High $35.48 | Professional | AS · PA/NP assist | $19.50 | $23.99 | $35.48 |
United Setting Professional Modifier None (both parts) Typical Low $56.23 Median $112.20 Typical High $194.98 | Professional | None (both parts) | $56.23 | $112.20 | $194.98 |
Where North Carolina sits
The same service costs 4.6 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· 7th of 51
$129
AK $209TX $45.71
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.