How much rates vary
Facilitymedian $251 · 10th to 90th $117 to $347Professionalmedian $158 · 10th to 90th $100 to $269
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 $35.48 Median $36.31 Typical High $38.02 | Professional | 26 · Professional part | $35.48 | $36.31 | $38.02 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $194.98 Typical High $204.17 | Professional | TC · Technical part | $190.55 | $194.98 | $204.17 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $83.18 Typical High $114.82 | Professional | 26 · Professional part | $61.66 | $83.18 | $114.82 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $302.00 Typical High $645.65 | Professional | TC · Technical part | $208.93 | $302.00 | $645.65 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $45.71 Typical High $83.18 | Professional | 26 · Professional part | $40.74 | $45.71 | $83.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $61.66 Typical High $112.20 | Professional | TC · Technical part | $58.88 | $61.66 | $112.20 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $60.26 Typical High $67.61 | Professional | 26 · Professional part | $46.77 | $60.26 | $67.61 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $208.93 Typical High $257.04 | Professional | TC · Technical part | $95.50 | $208.93 | $257.04 |
United Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $41.69 Typical High $74.13 | Professional | 26 · Professional part | $36.31 | $41.69 | $74.13 |
United Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $177.83 Typical High $371.54 | Professional | TC · Technical part | $52.48 | $177.83 | $371.54 |
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 $208.93 Median $208.93 Typical High $208.93 | Facility | None | $208.93 | $208.93 | $208.93 |
Aetna Setting Professional Modifier None (both parts) Typical Low $204.17 Median $208.93 Typical High $213.80 | Professional | None (both parts) | $204.17 | $208.93 | $213.80 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $102.33 Median $104.71 Typical High $107.15 | Professional | 52 · Reduced service | $102.33 | $104.71 | $107.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $41.69 Typical High $42.66 | Professional | 53 · Discontinued | $40.74 | $41.69 | $42.66 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | FX · Film X-ray | $165.96 | $165.96 | $165.96 |
BCBS North Carolina Setting Facility Modifier None Typical Low $354.81 Median $354.81 Typical High $426.58 | Facility | None | $354.81 | $354.81 | $426.58 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $70.79 Median $70.79 Typical High $102.33 | Professional | None (both parts) | $70.79 | $70.79 | $102.33 |
Cigna Setting Facility Modifier None Typical Low $87.10 Median $234.42 Typical High $346.74 | Facility | None | $87.10 | $234.42 | $346.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $107.15 Typical High $194.98 | Professional | None (both parts) | $100.00 | $107.15 | $194.98 |
Medcost Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | None | $165.96 | $165.96 | $165.96 |
Medcost Setting Facility Modifier None Typical Low $208.93 Median $251.19 Typical High $331.13 | Facility | None | $208.93 | $251.19 | $331.13 |
Medcost Setting Professional Modifier None (both parts) Typical Low $158.49 Median $223.87 Typical High $229.09 | Professional | None (both parts) | $158.49 | $223.87 | $229.09 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $79.43 Median $112.20 Typical High $114.82 | Professional | 51 · Multiple procedures | $79.43 | $112.20 | $114.82 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $31.62 Median $44.67 Typical High $45.71 | Professional | 80 · Assistant surgeon | $31.62 | $44.67 | $45.71 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $22.39 Median $31.62 Typical High $32.36 | Professional | 81 · Minimal assistant surgeon | $22.39 | $31.62 | $32.36 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $22.39 Median $31.62 Typical High $32.36 | Professional | 82 · Assistant surgeon, no resident | $22.39 | $31.62 | $32.36 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $22.39 Median $31.62 Typical High $32.36 | Professional | AS · PA/NP assist | $22.39 | $31.62 | $32.36 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $123.03 Median $123.03 Typical High $131.83 | Professional | None (both parts) | $123.03 | $123.03 | $131.83 |
United Setting Professional Modifier None (both parts) Typical Low $91.20 Median $213.80 Typical High $436.52 | Professional | None (both parts) | $91.20 | $213.80 | $436.52 |
Where North Carolina sits
The same service costs 3.6 times more in Nebraska than in New Jersey. 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· 33rd of 51
$158
NE $407NJ $112
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.