How much rates vary
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 $616.60 Median $616.60 Typical High $1,905.46 | Facility | None | $616.60 | $616.60 | $1,905.46 |
Aetna Setting Professional Modifier None (both parts) Typical Low $524.81 Median $616.60 Typical High $758.58 | Professional | None (both parts) | $524.81 | $616.60 | $758.58 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $154.88 Median $199.53 Typical High $204.17 | Professional | 26 · Professional part | $154.88 | $199.53 | $204.17 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $371.54 Median $426.58 Typical High $457.09 | Professional | TC · Technical part | $371.54 | $426.58 | $457.09 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $239.88 Median $426.58 Typical High $691.83 | Professional | 26 · Professional part | $239.88 | $426.58 | $691.83 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $645.65 Median $933.25 Typical High $1,445.44 | Professional | TC · Technical part | $645.65 | $933.25 | $1,445.44 |
Cigna Setting Facility Modifier None Typical Low $489.78 Median $489.78 Typical High $489.78 | Facility | None | $489.78 | $489.78 | $489.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $676.08 Median $891.25 Typical High $1,621.81 | Professional | None (both parts) | $676.08 | $891.25 | $1,621.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $208.93 Median $275.42 Typical High $512.86 | Professional | 26 · Professional part | $208.93 | $275.42 | $512.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $467.74 Median $616.60 Typical High $1,096.48 | Professional | TC · Technical part | $467.74 | $616.60 | $1,096.48 |
Medcost Setting Facility Modifier None Typical Low $660.69 Median $2,951.21 Typical High $2,951.21 | Facility | None | $660.69 | $2,951.21 | $2,951.21 |
Medcost Setting Professional Modifier None (both parts) Typical Low $602.56 Median $954.99 Typical High $1,096.48 | Professional | None (both parts) | $602.56 | $954.99 | $1,096.48 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $257.04 Median $309.03 Typical High $416.87 | Professional | 26 · Professional part | $257.04 | $309.03 | $416.87 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $537.03 Median $676.08 Typical High $758.58 | Professional | TC · Technical part | $537.03 | $676.08 | $758.58 |
United Setting Professional Modifier None (both parts) Typical Low $660.69 Median $851.14 Typical High $1,445.44 | Professional | None (both parts) | $660.69 | $851.14 | $1,445.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $194.98 Median $239.88 Typical High $436.52 | Professional | 26 · Professional part | $194.98 | $239.88 | $436.52 |
United Setting Professional Modifier TC · Technical part Typical Low $446.68 Median $602.56 Typical High $1,047.13 | Professional | TC · Technical part | $446.68 | $602.56 | $1,047.13 |
6 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 FX · Film X-ray Typical Low $416.87 Median $501.19 Typical High $501.19 | Professional | FX · Film X-ray | $416.87 | $501.19 | $501.19 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $426.58 Median $549.54 Typical High $912.01 | Professional | 51 · Multiple procedures | $426.58 | $549.54 | $912.01 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $173.78 Median $218.78 Typical High $371.54 | Professional | 80 · Assistant surgeon | $173.78 | $218.78 | $371.54 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $120.23 Median $151.36 Typical High $257.04 | Professional | 81 · Minimal assistant surgeon | $120.23 | $151.36 | $257.04 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $120.23 Median $151.36 Typical High $257.04 | Professional | 82 · Assistant surgeon, no resident | $120.23 | $151.36 | $257.04 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $120.23 Median $151.36 Typical High $257.04 | Professional | AS · PA/NP assist | $120.23 | $151.36 | $257.04 |
Where North Carolina sits
The same service costs 6.5 times more in Alaska 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· 17th of 51
$851
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.