How much rates vary
Facilitymedian $891 · 10th to 90th $295 to $1,660Professionalmedian $550 · 10th to 90th $295 to $977
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 $75.86 Median $75.86 Typical High $141.25 | Professional | 26 · Professional part | $75.86 | $75.86 | $141.25 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $218.78 Typical High $338.84 | Professional | TC · Technical part | $218.78 | $218.78 | $338.84 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $186.21 Typical High $234.42 | Professional | 26 · Professional part | $125.89 | $186.21 | $234.42 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $467.74 Median $616.60 Typical High $831.76 | Professional | TC · Technical part | $467.74 | $616.60 | $831.76 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $100.00 Typical High $218.78 | Professional | 26 · Professional part | $75.86 | $100.00 | $218.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $331.13 Median $467.74 Typical High $794.33 | Professional | TC · Technical part | $331.13 | $467.74 | $794.33 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $114.82 Typical High $186.21 | Professional | 26 · Professional part | $95.50 | $114.82 | $186.21 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $436.52 Typical High $724.44 | Professional | TC · Technical part | $263.03 | $436.52 | $724.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $93.33 Typical High $199.53 | Professional | 26 · Professional part | $74.13 | $93.33 | $199.53 |
United Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $436.52 Typical High $741.31 | Professional | TC · Technical part | $275.42 | $436.52 | $741.31 |
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 $295.12 Median $295.12 Typical High $1,698.24 | Facility | None | $295.12 | $295.12 | $1,698.24 |
Aetna Setting Professional Modifier None (both parts) Typical Low $295.12 Median $295.12 Typical High $602.56 | Professional | None (both parts) | $295.12 | $295.12 | $602.56 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $234.42 Median $234.42 Typical High $323.59 | Professional | FX · Film X-ray | $234.42 | $234.42 | $323.59 |
BCBS North Carolina Setting Facility Modifier None Typical Low $891.25 Median $891.25 Typical High $1,071.52 | Facility | None | $891.25 | $891.25 | $1,071.52 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $186.21 Median $186.21 Typical High $186.21 | Professional | None (both parts) | $186.21 | $186.21 | $186.21 |
Cigna Setting Facility Modifier None Typical Low $954.99 Median $1,479.11 Typical High $1,479.11 | Facility | None | $954.99 | $1,479.11 | $1,479.11 |
Cigna Setting Professional Modifier None (both parts) Typical Low $426.58 Median $549.54 Typical High $1,023.29 | Professional | None (both parts) | $426.58 | $549.54 | $1,023.29 |
Medcost Setting Professional Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $1,047.13 | Professional | None | $1,047.13 | $1,047.13 | $1,047.13 |
Medcost Setting Facility Modifier None Typical Low $263.03 Median $295.12 Typical High $354.81 | Facility | None | $263.03 | $295.12 | $354.81 |
Medcost Setting Professional Modifier None (both parts) Typical Low $354.81 Median $645.65 Typical High $776.25 | Professional | None (both parts) | $354.81 | $645.65 | $776.25 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $257.04 Median $323.59 Typical High $446.68 | Professional | 51 · Multiple procedures | $257.04 | $323.59 | $446.68 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $104.71 Median $128.82 Typical High $177.83 | Professional | 80 · Assistant surgeon | $104.71 | $128.82 | $177.83 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $72.44 Median $91.20 Typical High $125.89 | Professional | 81 · Minimal assistant surgeon | $72.44 | $91.20 | $125.89 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $72.44 Median $91.20 Typical High $125.89 | Professional | 82 · Assistant surgeon, no resident | $72.44 | $91.20 | $125.89 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $72.44 Median $91.20 Typical High $125.89 | Professional | AS · PA/NP assist | $72.44 | $91.20 | $125.89 |
United Setting Professional Modifier None (both parts) Typical Low $354.81 Median $512.86 Typical High $954.99 | Professional | None (both parts) | $354.81 | $512.86 | $954.99 |
Where North Carolina sits
The same service costs 5.6 times more in Wyoming than in Texas. 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· 18th of 51
$550
WY $1,259TX $224
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.