How much rates vary
Facilitymedian $76 · 10th to 90th $63 to $209Professionalmedian $95 · 10th to 90th $63 to $178
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 None Typical Low $63.10 Median $64.57 Typical High $104.71 | Facility | None | $63.10 | $64.57 | $104.71 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $31.62 Median $31.62 Typical High $52.48 | Facility | 26 · Professional part | $31.62 | $31.62 | $52.48 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $30.90 Median $36.31 Typical High $75.86 | Facility | TC · Technical part | $30.90 | $36.31 | $75.86 |
Aetna Setting Professional Modifier None (both parts) Typical Low $63.10 Median $63.10 Typical High $128.82 | Professional | None (both parts) | $63.10 | $63.10 | $128.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $31.62 Typical High $60.26 | Professional | 26 · Professional part | $29.51 | $31.62 | $60.26 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $31.62 Typical High $69.18 | Professional | TC · Technical part | $30.90 | $31.62 | $69.18 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $51.29 Median $51.29 Typical High $51.29 | Professional | None (both parts) | $51.29 | $51.29 | $51.29 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $63.10 Typical High $85.11 | Professional | 26 · Professional part | $48.98 | $63.10 | $85.11 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $85.11 Typical High $107.15 | Professional | TC · Technical part | $58.88 | $85.11 | $107.15 |
Cigna Setting Facility Modifier None Typical Low $131.83 Median $208.93 Typical High $208.93 | Facility | None | $131.83 | $208.93 | $208.93 |
Cigna Setting Professional Modifier None (both parts) Typical Low $77.62 Median $104.71 Typical High $181.97 | Professional | None (both parts) | $77.62 | $104.71 | $181.97 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $46.77 Typical High $89.13 | Professional | 26 · Professional part | $31.62 | $46.77 | $89.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $56.23 Typical High $91.20 | Professional | TC · Technical part | $42.66 | $56.23 | $91.20 |
Medcost Setting Professional Modifier None Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | None | $134.90 | $134.90 | $134.90 |
Medcost Setting Facility Modifier None Typical Low $63.10 Median $63.10 Typical High $75.86 | Facility | None | $63.10 | $63.10 | $75.86 |
Medcost Setting Professional Modifier None (both parts) Typical Low $75.86 Median $125.89 Typical High $158.49 | Professional | None (both parts) | $75.86 | $125.89 | $158.49 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $60.26 Typical High $89.13 | Professional | 26 · Professional part | $38.90 | $60.26 | $89.13 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $75.86 Typical High $89.13 | Professional | TC · Technical part | $38.02 | $75.86 | $89.13 |
Oscar Health Setting Facility Modifier None Typical Low $11,748.98 Median $11,748.98 Typical High $11,748.98 | Facility | None | $11,748.98 | $11,748.98 | $11,748.98 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | None (both parts) | $104.71 | $104.71 | $104.71 |
United Setting Professional Modifier None (both parts) Typical Low $66.07 Median $102.33 Typical High $190.55 | Professional | None (both parts) | $66.07 | $102.33 | $190.55 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $47.86 Typical High $97.72 | Professional | 26 · Professional part | $30.90 | $47.86 | $97.72 |
United Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $56.23 Typical High $93.33 | Professional | TC · Technical part | $34.67 | $56.23 | $93.33 |
8 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 Professional Modifier 52 · Reduced service Typical Low $31.62 Median $31.62 Typical High $36.31 | Professional | 52 · Reduced service | $31.62 | $31.62 | $36.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.59 Median $12.59 Typical High $14.45 | Professional | 53 · Discontinued | $12.59 | $12.59 | $14.45 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $44.67 Median $50.12 Typical High $50.12 | Professional | FX · Film X-ray | $44.67 | $50.12 | $50.12 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $47.86 Median $77.62 Typical High $97.72 | Professional | 51 · Multiple procedures | $47.86 | $77.62 | $97.72 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $19.50 Median $30.90 Typical High $38.90 | Professional | 80 · Assistant surgeon | $19.50 | $30.90 | $38.90 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $13.49 Median $21.38 Typical High $27.54 | Professional | 81 · Minimal assistant surgeon | $13.49 | $21.38 | $27.54 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $13.49 Median $21.38 Typical High $27.54 | Professional | 82 · Assistant surgeon, no resident | $13.49 | $21.38 | $27.54 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $13.49 Median $21.38 Typical High $27.54 | Professional | AS · PA/NP assist | $13.49 | $21.38 | $27.54 |
Where North Carolina sits
The same service costs 4.7 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· 19th of 51
$95.50
AK $257FL $54.95
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.