How much rates vary
Facilitymedian $76 · 10th to 90th $45 to $240Professionalmedian $63 · 10th to 90th $45 to $126
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 $12.88 Median $13.18 Typical High $21.38 | Professional | 26 · Professional part | $12.88 | $13.18 | $21.38 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $30.90 Typical High $51.29 | Professional | TC · Technical part | $30.90 | $30.90 | $51.29 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $30.90 Typical High $44.67 | Professional | 26 · Professional part | $25.12 | $30.90 | $44.67 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $79.43 Typical High $117.49 | Professional | TC · Technical part | $64.57 | $79.43 | $117.49 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $19.50 Typical High $39.81 | Professional | 26 · Professional part | $15.85 | $19.50 | $39.81 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $51.29 Typical High $104.71 | Professional | TC · Technical part | $38.90 | $51.29 | $104.71 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $22.39 Typical High $32.36 | Professional | 26 · Professional part | $17.78 | $22.39 | $32.36 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $57.54 Typical High $79.43 | Professional | TC · Technical part | $43.65 | $57.54 | $79.43 |
United Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $18.20 Typical High $35.48 | Professional | 26 · Professional part | $14.13 | $18.20 | $35.48 |
United Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $46.77 Typical High $87.10 | Professional | TC · Technical part | $36.31 | $46.77 | $87.10 |
15 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 $44.67 Median $44.67 Typical High $52.48 | Facility | None | $44.67 | $44.67 | $52.48 |
Aetna Setting Professional Modifier None (both parts) Typical Low $44.67 Median $44.67 Typical High $81.28 | Professional | None (both parts) | $44.67 | $44.67 | $81.28 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | FX · Film X-ray | $35.48 | $35.48 | $35.48 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | None (both parts) | $54.95 | $54.95 | $54.95 |
Cigna Setting Facility Modifier None Typical Low $61.66 Median $144.54 Typical High $239.88 | Facility | None | $61.66 | $144.54 | $239.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $54.95 Median $72.44 Typical High $141.25 | Professional | None (both parts) | $54.95 | $72.44 | $141.25 |
Medcost Setting Facility Modifier None Typical Low $44.67 Median $44.67 Typical High $60.26 | Facility | None | $44.67 | $44.67 | $60.26 |
Medcost Setting Professional Modifier None (both parts) Typical Low $61.66 Median $79.43 Typical High $125.89 | Professional | None (both parts) | $61.66 | $79.43 | $125.89 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $39.81 Median $39.81 Typical High $72.44 | Professional | 51 · Multiple procedures | $39.81 | $39.81 | $72.44 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $15.85 Median $15.85 Typical High $28.84 | Professional | 80 · Assistant surgeon | $15.85 | $15.85 | $28.84 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $11.22 Median $11.22 Typical High $20.42 | Professional | 81 · Minimal assistant surgeon | $11.22 | $11.22 | $20.42 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $11.22 Median $11.22 Typical High $20.42 | Professional | 82 · Assistant surgeon, no resident | $11.22 | $11.22 | $20.42 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $11.22 Median $11.22 Typical High $20.42 | Professional | AS · PA/NP assist | $11.22 | $11.22 | $20.42 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $15.49 Median $50.12 Typical High $100.00 | Professional | None (both parts) | $15.49 | $50.12 | $100.00 |
United Setting Professional Modifier None (both parts) Typical Low $50.12 Median $64.57 Typical High $123.03 | Professional | None (both parts) | $50.12 | $64.57 | $123.03 |
Where North Carolina sits
The same service costs 4.7 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· 29th of 51
$63.10
AK $155UT $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.