How much rates vary
Facilitymedian $112 · 10th to 90th $87 to $447Professionalmedian $112 · 10th to 90th $87 to $219
Distribution of negotiated rates across all payers (price axis is log-scale). 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 26 · Professional part Typical Low $23.99 Median $23.99 Typical High $40.74 | Facility | 26 · Professional part | $23.99 | $23.99 | $40.74 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $63.10 Median $63.10 Typical High $104.71 | Facility | TC · Technical part | $63.10 | $63.10 | $104.71 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $23.99 Typical High $46.77 | Professional | 26 · Professional part | $22.91 | $23.99 | $46.77 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $63.10 Typical High $123.03 | Professional | TC · Technical part | $61.66 | $63.10 | $123.03 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $33.88 Typical High $33.88 | Professional | 26 · Professional part | $25.12 | $33.88 | $33.88 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $58.88 Typical High $77.62 | Professional | 26 · Professional part | $41.69 | $58.88 | $77.62 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $138.04 Typical High $186.21 | Professional | TC · Technical part | $104.71 | $138.04 | $186.21 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $34.67 Typical High $70.79 | Professional | 26 · Professional part | $26.30 | $34.67 | $70.79 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $79.43 Typical High $186.21 | Professional | TC · Technical part | $60.26 | $79.43 | $186.21 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $42.66 Typical High $63.10 | Professional | 26 · Professional part | $33.11 | $42.66 | $63.10 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $97.72 Typical High $131.83 | Professional | TC · Technical part | $83.18 | $97.72 | $131.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $33.11 Typical High $57.54 | Professional | 26 · Professional part | $25.70 | $33.11 | $57.54 |
United Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $81.28 Typical High $147.91 | Professional | TC · Technical part | $60.26 | $81.28 | $147.91 |
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 $87.10 Median $87.10 Typical High $144.54 | Facility | None | $87.10 | $87.10 | $144.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $87.10 Typical High $181.97 | Professional | None (both parts) | $87.10 | $87.10 | $181.97 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | FX · Film X-ray | $69.18 | $69.18 | $69.18 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | None (both parts) | $63.10 | $63.10 | $63.10 |
Cigna Setting Facility Modifier None Typical Low $112.20 Median $263.03 Typical High $446.68 | Facility | None | $112.20 | $263.03 | $446.68 |
Cigna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $114.82 Typical High $257.04 | Professional | None (both parts) | $87.10 | $114.82 | $257.04 |
Medcost Setting Professional Modifier None Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | None | $181.97 | $181.97 | $181.97 |
Medcost Setting Facility Modifier None Typical Low $87.10 Median $87.10 Typical High $109.65 | Facility | None | $87.10 | $87.10 | $109.65 |
Medcost Setting Professional Modifier None (both parts) Typical Low $95.50 Median $141.25 Typical High $204.17 | Professional | None (both parts) | $95.50 | $141.25 | $204.17 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $67.61 Median $70.79 Typical High $128.82 | Professional | 51 · Multiple procedures | $67.61 | $70.79 | $128.82 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $26.92 Median $28.18 Typical High $52.48 | Professional | 80 · Assistant surgeon | $26.92 | $28.18 | $52.48 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $19.05 Median $19.50 Typical High $36.31 | Professional | 81 · Minimal assistant surgeon | $19.05 | $19.50 | $36.31 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $19.05 Median $19.50 Typical High $36.31 | Professional | 82 · Assistant surgeon, no resident | $19.05 | $19.50 | $36.31 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $19.05 Median $19.50 Typical High $36.31 | Professional | AS · PA/NP assist | $19.05 | $19.50 | $36.31 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | None (both parts) | $102.33 | $102.33 | $102.33 |
United Setting Professional Modifier None (both parts) Typical Low $87.10 Median $112.20 Typical High $204.17 | Professional | None (both parts) | $87.10 | $112.20 | $204.17 |
Where North Carolina sits
The same service costs 3.8 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· 30th of 51
$112
AK $288UT $75.86
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.