How much rates vary
Facilitymedian $148 · 10th to 90th $126 to $676Professionalmedian $170 · 10th to 90th $123 to $363
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 $33.11 Median $42.66 Typical High $51.29 | Professional | 26 · Professional part | $33.11 | $42.66 | $51.29 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $95.50 Typical High $125.89 | Professional | TC · Technical part | $89.13 | $95.50 | $125.89 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $74.13 Typical High $199.53 | Professional | 26 · Professional part | $34.67 | $74.13 | $199.53 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $74.13 Typical High $114.82 | Professional | 26 · Professional part | $61.66 | $74.13 | $114.82 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $186.21 Typical High $288.40 | Professional | TC · Technical part | $117.49 | $186.21 | $288.40 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $51.29 Typical High $123.03 | Professional | 26 · Professional part | $38.02 | $51.29 | $123.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $123.03 Typical High $295.12 | Professional | TC · Technical part | $95.50 | $123.03 | $295.12 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $51.29 Typical High $107.15 | Professional | 26 · Professional part | $51.29 | $51.29 | $107.15 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $131.83 Typical High $239.88 | Professional | TC · Technical part | $131.83 | $131.83 | $239.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $57.54 Typical High $109.65 | Professional | 26 · Professional part | $38.90 | $57.54 | $109.65 |
United Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $138.04 Typical High $251.19 | Professional | TC · Technical part | $95.50 | $138.04 | $251.19 |
17 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 $125.89 Median $138.04 Typical High $151.36 | Facility | None | $125.89 | $138.04 | $151.36 |
Aetna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $138.04 Typical High $177.83 | Professional | None (both parts) | $125.89 | $138.04 | $177.83 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | FX · Film X-ray | $112.20 | $112.20 | $112.20 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $117.49 Median $147.91 Typical High $173.78 | Professional | None (both parts) | $117.49 | $147.91 | $173.78 |
Cigna Setting Facility Modifier None Typical Low $125.89 Median $398.11 Typical High $676.08 | Facility | None | $125.89 | $398.11 | $676.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $173.78 Typical High $416.87 | Professional | None (both parts) | $134.90 | $173.78 | $416.87 |
Medcost Setting Facility Modifier None Typical Low $138.04 Median $138.04 Typical High $147.91 | Facility | None | $138.04 | $138.04 | $147.91 |
Medcost Setting Professional Modifier None (both parts) Typical Low $158.49 Median $181.97 Typical High $309.03 | Professional | None (both parts) | $158.49 | $181.97 | $309.03 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $275.42 Median $275.42 Typical High $691.83 | Professional | 50 · Both sides | $275.42 | $275.42 | $691.83 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $91.20 Median $91.20 Typical High $229.09 | Professional | 51 · Multiple procedures | $91.20 | $91.20 | $229.09 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $36.31 Median $36.31 Typical High $93.33 | Professional | 80 · Assistant surgeon | $36.31 | $36.31 | $93.33 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $25.70 Median $25.70 Typical High $64.57 | Professional | 81 · Minimal assistant surgeon | $25.70 | $25.70 | $64.57 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $25.70 Median $25.70 Typical High $64.57 | Professional | 82 · Assistant surgeon, no resident | $25.70 | $25.70 | $64.57 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $25.70 Median $25.70 Typical High $64.57 | Professional | AS · PA/NP assist | $25.70 | $25.70 | $64.57 |
Oscar Health Setting Facility Modifier None Typical Low $549.54 Median $549.54 Typical High $549.54 | Facility | None | $549.54 | $549.54 | $549.54 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $22.91 Median $56.23 Typical High $83.18 | Professional | None (both parts) | $22.91 | $56.23 | $83.18 |
United Setting Professional Modifier None (both parts) Typical Low $134.90 Median $194.98 Typical High $363.08 | Professional | None (both parts) | $134.90 | $194.98 | $363.08 |
Where North Carolina sits
The same service costs 5.2 times more in Alaska than in New York. 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· 24th of 51
$170
AK $479NY $91.20
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.