How much rates vary
Facilitymedian $71 · 10th to 90th $66 to $112Professionalmedian $83 · 10th to 90th $56 to $155
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 $70.79 Median $70.79 Typical High $70.79 | Facility | None | $70.79 | $70.79 | $70.79 |
Aetna Setting Professional Modifier None (both parts) Typical Low $41.69 Median $70.79 Typical High $100.00 | Professional | None (both parts) | $41.69 | $70.79 | $100.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $28.84 Typical High $36.31 | Professional | 26 · Professional part | $19.50 | $28.84 | $36.31 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $41.69 Typical High $70.79 | Professional | TC · Technical part | $21.88 | $41.69 | $70.79 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $37.15 Typical High $69.18 | Professional | 26 · Professional part | $27.54 | $37.15 | $69.18 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $72.44 Typical High $104.71 | Professional | TC · Technical part | $32.36 | $72.44 | $104.71 |
Cigna Setting Facility Modifier None Typical Low $77.62 Median $77.62 Typical High $77.62 | Facility | None | $77.62 | $77.62 | $77.62 |
Cigna Setting Professional Modifier None (both parts) Typical Low $57.54 Median $83.18 Typical High $169.82 | Professional | None (both parts) | $57.54 | $83.18 | $169.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $28.84 Typical High $81.28 | Professional | 26 · Professional part | $18.62 | $28.84 | $81.28 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $61.66 Typical High $97.72 | Professional | TC · Technical part | $29.51 | $61.66 | $97.72 |
Medcost Setting Facility Modifier None Typical Low $66.07 Median $66.07 Typical High $144.54 | Facility | None | $66.07 | $66.07 | $144.54 |
Medcost Setting Professional Modifier None (both parts) Typical Low $56.23 Median $89.13 Typical High $131.83 | Professional | None (both parts) | $56.23 | $89.13 | $131.83 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $32.36 Typical High $52.48 | Professional | 26 · Professional part | $26.92 | $32.36 | $52.48 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $54.95 Typical High $77.62 | Professional | TC · Technical part | $29.51 | $54.95 | $77.62 |
United Setting Professional Modifier None (both parts) Typical Low $51.29 Median $74.13 Typical High $151.36 | Professional | None (both parts) | $51.29 | $74.13 | $151.36 |
United Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $33.11 Typical High $66.07 | Professional | 26 · Professional part | $18.62 | $33.11 | $66.07 |
United Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $45.71 Typical High $91.20 | Professional | TC · Technical part | $22.39 | $45.71 | $91.20 |
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 $33.11 Median $35.48 Typical High $36.31 | Professional | 52 · Reduced service | $33.11 | $35.48 | $36.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.18 Median $14.13 Typical High $14.45 | Professional | 53 · Discontinued | $13.18 | $14.13 | $14.45 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $53.70 Median $56.23 Typical High $56.23 | Professional | FX · Film X-ray | $53.70 | $56.23 | $56.23 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $28.18 Median $58.88 Typical High $104.71 | Professional | 51 · Multiple procedures | $28.18 | $58.88 | $104.71 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $11.22 Median $23.99 Typical High $41.69 | Professional | 80 · Assistant surgeon | $11.22 | $23.99 | $41.69 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $7.94 Median $16.60 Typical High $29.51 | Professional | 81 · Minimal assistant surgeon | $7.94 | $16.60 | $29.51 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $7.94 Median $16.60 Typical High $29.51 | Professional | 82 · Assistant surgeon, no resident | $7.94 | $16.60 | $29.51 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $7.94 Median $16.60 Typical High $29.51 | Professional | AS · PA/NP assist | $7.94 | $16.60 | $29.51 |
Where North Carolina sits
The same service costs 5.9 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· 26th of 51
$81.28
AK $245TX $41.69
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.