How much rates vary
Facilitymedian $91 · 10th to 90th $58 to $269Professionalmedian $79 · 10th to 90th $58 to $155
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 $18.62 Median $19.05 Typical High $28.18 | Professional | 26 · Professional part | $18.62 | $19.05 | $28.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $38.02 Typical High $56.23 | Professional | TC · Technical part | $38.02 | $38.02 | $56.23 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $51.29 Typical High $64.57 | Professional | 26 · Professional part | $35.48 | $51.29 | $64.57 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $89.13 Typical High $123.03 | Professional | TC · Technical part | $61.66 | $89.13 | $123.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $28.18 Typical High $58.88 | Professional | 26 · Professional part | $21.88 | $28.18 | $58.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $52.48 Typical High $114.82 | Professional | TC · Technical part | $39.81 | $52.48 | $114.82 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $35.48 Typical High $50.12 | Professional | 26 · Professional part | $26.30 | $35.48 | $50.12 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $64.57 Typical High $91.20 | Professional | TC · Technical part | $50.12 | $64.57 | $91.20 |
United Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $26.30 Typical High $46.77 | Professional | 26 · Professional part | $20.89 | $26.30 | $46.77 |
United Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $51.29 Typical High $93.33 | Professional | TC · Technical part | $38.90 | $51.29 | $93.33 |
16 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 $57.54 Median $57.54 Typical High $83.18 | Facility | None | $57.54 | $57.54 | $83.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $57.54 Median $57.54 Typical High $85.11 | Professional | None (both parts) | $57.54 | $57.54 | $85.11 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | FX · Film X-ray | $45.71 | $45.71 | $45.71 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | None (both parts) | $52.48 | $52.48 | $52.48 |
Cigna Setting Facility Modifier None Typical Low $69.18 Median $162.18 Typical High $269.15 | Facility | None | $69.18 | $162.18 | $269.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $61.66 Median $83.18 Typical High $169.82 | Professional | None (both parts) | $61.66 | $83.18 | $169.82 |
Medcost Setting Professional Modifier None Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | None | $123.03 | $123.03 | $123.03 |
Medcost Setting Facility Modifier None Typical Low $57.54 Median $57.54 Typical High $72.44 | Facility | None | $57.54 | $57.54 | $72.44 |
Medcost Setting Professional Modifier None (both parts) Typical Low $67.61 Median $100.00 Typical High $151.36 | Professional | None (both parts) | $67.61 | $100.00 | $151.36 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $46.77 Median $50.12 Typical High $87.10 | Professional | 51 · Multiple procedures | $46.77 | $50.12 | $87.10 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $18.62 Median $19.95 Typical High $34.67 | Professional | 80 · Assistant surgeon | $18.62 | $19.95 | $34.67 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $12.88 Median $14.13 Typical High $24.55 | Professional | 81 · Minimal assistant surgeon | $12.88 | $14.13 | $24.55 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $12.88 Median $14.13 Typical High $24.55 | Professional | 82 · Assistant surgeon, no resident | $12.88 | $14.13 | $24.55 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $12.88 Median $14.13 Typical High $24.55 | Professional | AS · PA/NP assist | $12.88 | $14.13 | $24.55 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | None (both parts) | $144.54 | $144.54 | $144.54 |
United Setting Professional Modifier None (both parts) Typical Low $60.26 Median $77.62 Typical High $138.04 | Professional | None (both parts) | $60.26 | $77.62 | $138.04 |
Where North Carolina sits
The same service costs 5.9 times more in Alaska than in Utah. 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
$79.43
AK $195UT $33.11
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.