How much rates vary
Facilitymedian $44 · 10th to 90th $27 to $138Professionalmedian $41 · 10th to 90th $27 to $74
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 $8.51 Median $8.71 Typical High $18.20 | Professional | 26 · Professional part | $8.51 | $8.71 | $18.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $18.20 Typical High $38.90 | Professional | TC · Technical part | $17.38 | $18.20 | $38.90 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $22.91 Typical High $31.62 | Professional | 26 · Professional part | $17.38 | $22.91 | $31.62 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $40.74 Typical High $60.26 | Professional | TC · Technical part | $34.67 | $40.74 | $60.26 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $13.18 Typical High $28.18 | Professional | 26 · Professional part | $10.23 | $13.18 | $28.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $28.84 Typical High $58.88 | Professional | TC · Technical part | $20.42 | $28.84 | $58.88 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $18.20 Typical High $22.39 | Professional | 26 · Professional part | $12.30 | $18.20 | $22.39 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $37.15 Typical High $44.67 | Professional | TC · Technical part | $23.99 | $37.15 | $44.67 |
United Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $12.30 Typical High $23.99 | Professional | 26 · Professional part | $9.33 | $12.30 | $23.99 |
United Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $26.92 Typical High $51.29 | Professional | TC · Technical part | $17.38 | $26.92 | $51.29 |
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 $26.92 Median $26.92 Typical High $38.02 | Facility | None | $26.92 | $26.92 | $38.02 |
Aetna Setting Professional Modifier None (both parts) Typical Low $25.70 Median $26.92 Typical High $58.88 | Professional | None (both parts) | $25.70 | $26.92 | $58.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $21.38 Median $21.38 Typical High $21.88 | Professional | FX · Film X-ray | $21.38 | $21.38 | $21.88 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $30.90 Median $46.77 Typical High $46.77 | Professional | None (both parts) | $30.90 | $46.77 | $46.77 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $26.30 Median $26.30 Typical High $26.30 | Professional | None (both parts) | $26.30 | $26.30 | $26.30 |
Cigna Setting Facility Modifier None Typical Low $34.67 Median $87.10 Typical High $138.04 | Facility | None | $34.67 | $87.10 | $138.04 |
Cigna Setting Professional Modifier None (both parts) Typical Low $30.20 Median $43.65 Typical High $83.18 | Professional | None (both parts) | $30.20 | $43.65 | $83.18 |
Medcost Setting Professional Modifier None Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | None | $63.10 | $63.10 | $63.10 |
Medcost Setting Facility Modifier None Typical Low $26.92 Median $26.92 Typical High $35.48 | Facility | None | $26.92 | $26.92 | $35.48 |
Medcost Setting Professional Modifier None (both parts) Typical Low $37.15 Median $52.48 Typical High $72.44 | Professional | None (both parts) | $37.15 | $52.48 | $72.44 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $19.50 Median $31.62 Typical High $44.67 | Professional | 51 · Multiple procedures | $19.50 | $31.62 | $44.67 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $7.94 Median $12.59 Typical High $17.78 | Professional | 80 · Assistant surgeon | $7.94 | $12.59 | $17.78 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $5.50 Median $8.71 Typical High $12.30 | Professional | 81 · Minimal assistant surgeon | $5.50 | $8.71 | $12.30 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $5.50 Median $8.71 Typical High $12.30 | Professional | 82 · Assistant surgeon, no resident | $5.50 | $8.71 | $12.30 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $5.50 Median $8.71 Typical High $12.30 | Professional | AS · PA/NP assist | $5.50 | $8.71 | $12.30 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $10.00 Median $29.51 Typical High $57.54 | Professional | None (both parts) | $10.00 | $29.51 | $57.54 |
United Setting Professional Modifier None (both parts) Typical Low $28.18 Median $40.74 Typical High $74.13 | Professional | None (both parts) | $28.18 | $40.74 | $74.13 |
Where North Carolina sits
The same service costs 3.8 times more in Alaska 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· 22nd of 51
$40.74
AK $93.33FL $24.55
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.