How much rates vary
Facilitymedian $132 · 10th to 90th $81 to $251Professionalmedian $178 · 10th to 90th $81 to $324
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 $81.28 Median $81.28 Typical High $81.28 | Facility | None | $81.28 | $81.28 | $81.28 |
Aetna Setting Professional Modifier None (both parts) Typical Low $81.28 Median $81.28 Typical High $162.18 | Professional | None (both parts) | $81.28 | $81.28 | $162.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $58.88 Typical High $102.33 | Professional | 26 · Professional part | $58.88 | $58.88 | $102.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $22.39 Typical High $57.54 | Professional | TC · Technical part | $21.88 | $22.39 | $57.54 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | 26 · Professional part | $91.20 | $91.20 | $91.20 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $125.89 Typical High $190.55 | Professional | 26 · Professional part | $95.50 | $125.89 | $190.55 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $204.17 Typical High $275.42 | Professional | TC · Technical part | $46.77 | $204.17 | $275.42 |
Cigna Setting Facility Modifier None Typical Low $213.80 Median $213.80 Typical High $213.80 | Facility | None | $213.80 | $213.80 | $213.80 |
Cigna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $234.42 Typical High $323.59 | Professional | None (both parts) | $120.23 | $234.42 | $323.59 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $89.13 Typical High $169.82 | Professional | 26 · Professional part | $66.07 | $89.13 | $169.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $77.62 Typical High $223.87 | Professional | TC · Technical part | $30.20 | $77.62 | $223.87 |
Medcost Setting Facility Modifier None Typical Low $97.72 Median $190.55 Typical High $524.81 | Facility | None | $97.72 | $190.55 | $524.81 |
Medcost Setting Professional Modifier None (both parts) Typical Low $109.65 Median $177.83 Typical High $446.68 | Professional | None (both parts) | $109.65 | $177.83 | $446.68 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $107.15 Typical High $112.20 | Professional | 26 · Professional part | $81.28 | $107.15 | $112.20 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $81.28 Typical High $199.53 | Professional | TC · Technical part | $30.20 | $81.28 | $199.53 |
United Setting Professional Modifier None (both parts) Typical Low $91.20 Median $165.96 Typical High $269.15 | Professional | None (both parts) | $91.20 | $165.96 | $269.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $77.62 Typical High $141.25 | Professional | 26 · Professional part | $63.10 | $77.62 | $141.25 |
United Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $42.66 Typical High $181.97 | Professional | TC · Technical part | $23.99 | $42.66 | $181.97 |
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 $39.81 Median $40.74 Typical High $42.66 | Professional | 52 · Reduced service | $39.81 | $40.74 | $42.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $16.22 Typical High $17.38 | Professional | 53 · Discontinued | $15.85 | $16.22 | $17.38 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $63.10 Median $66.07 Typical High $66.07 | Professional | FX · Film X-ray | $63.10 | $66.07 | $66.07 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $61.66 Median $109.65 Typical High $218.78 | Professional | 51 · Multiple procedures | $61.66 | $109.65 | $218.78 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $24.55 Median $43.65 Typical High $89.13 | Professional | 80 · Assistant surgeon | $24.55 | $43.65 | $89.13 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $17.38 Median $30.20 Typical High $61.66 | Professional | 81 · Minimal assistant surgeon | $17.38 | $30.20 | $61.66 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $17.38 Median $30.20 Typical High $61.66 | Professional | 82 · Assistant surgeon, no resident | $17.38 | $30.20 | $61.66 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $17.38 Median $30.20 Typical High $61.66 | Professional | AS · PA/NP assist | $17.38 | $30.20 | $61.66 |
Where North Carolina sits
The same service costs 5.2 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· 9th of 51
$178
AK $309TX $58.88
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.