How much rates vary
Facilitymedian $11 · 10th to 90th $6 to $62Professionalmedian $16 · 10th to 90th $6 to $54
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 $2.29 Median $2.40 Typical High $2.69 | Professional | 26 · Professional part | $2.29 | $2.40 | $2.69 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $3.63 Median $3.72 Typical High $4.27 | Professional | TC · Technical part | $3.63 | $3.72 | $4.27 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $4.07 Median $5.50 Typical High $7.94 | Professional | 26 · Professional part | $4.07 | $5.50 | $7.94 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $9.55 Median $28.84 Typical High $50.12 | Professional | TC · Technical part | $9.55 | $28.84 | $50.12 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $2.57 Median $3.55 Typical High $7.41 | Professional | 26 · Professional part | $2.57 | $3.55 | $7.41 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $4.47 Median $14.13 Typical High $37.15 | Professional | TC · Technical part | $4.47 | $14.13 | $37.15 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $3.31 Median $5.01 Typical High $6.31 | Professional | 26 · Professional part | $3.31 | $5.01 | $6.31 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $4.79 Median $11.75 Typical High $39.81 | Professional | TC · Technical part | $4.79 | $11.75 | $39.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $2.51 Median $3.31 Typical High $7.24 | Professional | 26 · Professional part | $2.51 | $3.31 | $7.24 |
United Setting Professional Modifier TC · Technical part Typical Low $3.98 Median $7.08 Typical High $26.92 | Professional | TC · Technical part | $3.98 | $7.08 | $26.92 |
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 $6.17 Median $6.17 Typical High $6.17 | Facility | None | $6.17 | $6.17 | $6.17 |
Aetna Setting Professional Modifier None (both parts) Typical Low $6.03 Median $6.17 Typical High $7.08 | Professional | None (both parts) | $6.03 | $6.17 | $7.08 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $3.02 Median $3.09 Typical High $3.55 | Professional | 52 · Reduced service | $3.02 | $3.09 | $3.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.20 Median $1.23 Typical High $1.45 | Professional | 53 · Discontinued | $1.20 | $1.23 | $1.45 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $4.90 Median $4.90 Typical High $5.01 | Professional | FX · Film X-ray | $4.90 | $4.90 | $5.01 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $6.92 Median $6.92 Typical High $6.92 | Professional | None (both parts) | $6.92 | $6.92 | $6.92 |
Cigna Setting Facility Modifier None Typical Low $7.08 Median $20.42 Typical High $109.65 | Facility | None | $7.08 | $20.42 | $109.65 |
Cigna Setting Professional Modifier None (both parts) Typical Low $7.59 Median $19.95 Typical High $42.66 | Professional | None (both parts) | $7.59 | $19.95 | $42.66 |
Medcost Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | None | $54.95 | $54.95 | $54.95 |
Medcost Setting Facility Modifier None Typical Low $6.17 Median $6.17 Typical High $8.51 | Facility | None | $6.17 | $6.17 | $8.51 |
Medcost Setting Professional Modifier None (both parts) Typical Low $8.13 Median $15.85 Typical High $53.70 | Professional | None (both parts) | $8.13 | $15.85 | $53.70 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $5.89 Median $9.55 Typical High $26.92 | Professional | 51 · Multiple procedures | $5.89 | $9.55 | $26.92 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $2.40 Median $3.80 Typical High $10.72 | Professional | 80 · Assistant surgeon | $2.40 | $3.80 | $10.72 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $1.70 Median $2.69 Typical High $7.59 | Professional | 81 · Minimal assistant surgeon | $1.70 | $2.69 | $7.59 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $1.70 Median $2.69 Typical High $7.59 | Professional | 82 · Assistant surgeon, no resident | $1.70 | $2.69 | $7.59 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $1.70 Median $2.69 Typical High $7.59 | Professional | AS · PA/NP assist | $1.70 | $2.69 | $7.59 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | None (both parts) | $70.79 | $70.79 | $70.79 |
United Setting Professional Modifier None (both parts) Typical Low $6.76 Median $11.48 Typical High $30.20 | Professional | None (both parts) | $6.76 | $11.48 | $30.20 |
Where North Carolina sits
The same service costs 4.2 times more in Kansas 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· 6th of 51
$15.85
KS $23.99FL $5.75
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.