How much rates vary
Facilitymedian $871 · 10th to 90th $309 to $1,380Professionalmedian $347 · 10th to 90th $257 to $708
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 Facility Modifier None Typical Low $309.03 Median $309.03 Typical High $309.03 | Facility | None | $309.03 | $309.03 | $309.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $257.04 Median $309.03 Typical High $380.19 | Professional | None (both parts) | $257.04 | $309.03 | $380.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $95.50 Typical High $114.82 | Professional | 26 · Professional part | $87.10 | $95.50 | $114.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $208.93 Typical High $257.04 | Professional | TC · Technical part | $177.83 | $208.93 | $257.04 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | 26 · Professional part | $162.18 | $162.18 | $162.18 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $154.88 Median $186.21 Typical High $263.03 | Professional | 26 · Professional part | $154.88 | $186.21 | $263.03 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $275.42 Typical High $489.78 | Professional | TC · Technical part | $234.42 | $275.42 | $489.78 |
Cigna Setting Facility Modifier None Typical Low $891.25 Median $1,380.38 Typical High $1,380.38 | Facility | None | $891.25 | $1,380.38 | $1,380.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $263.03 Median $380.19 Typical High $776.25 | Professional | None (both parts) | $263.03 | $380.19 | $776.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $141.25 Typical High $263.03 | Professional | 26 · Professional part | $102.33 | $141.25 | $263.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $229.09 Typical High $512.86 | Professional | TC · Technical part | $158.49 | $229.09 | $512.86 |
Medcost Setting Facility Modifier None Typical Low $309.03 Median $309.03 Typical High $363.08 | Facility | None | $309.03 | $309.03 | $363.08 |
Medcost Setting Professional Modifier None (both parts) Typical Low $302.00 Median $346.74 Typical High $602.56 | Professional | None (both parts) | $302.00 | $346.74 | $602.56 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $138.04 Typical High $234.42 | Professional | 26 · Professional part | $117.49 | $138.04 | $234.42 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $208.93 Typical High $380.19 | Professional | TC · Technical part | $208.93 | $208.93 | $380.19 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | None (both parts) | $257.04 | $257.04 | $257.04 |
United Setting Professional Modifier None (both parts) Typical Low $245.47 Median $389.05 Typical High $912.01 | Professional | None (both parts) | $245.47 | $389.05 | $912.01 |
United Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $144.54 Typical High $281.84 | Professional | 26 · Professional part | $97.72 | $144.54 | $281.84 |
United Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $251.19 Typical High $630.96 | Professional | TC · Technical part | $144.54 | $251.19 | $630.96 |
6 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 FX · Film X-ray Typical Low $208.93 Median $245.47 Typical High $245.47 | Professional | FX · Film X-ray | $208.93 | $245.47 | $245.47 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $173.78 Median $173.78 Typical High $398.11 | Professional | 51 · Multiple procedures | $173.78 | $173.78 | $398.11 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $69.18 Median $69.18 Typical High $158.49 | Professional | 80 · Assistant surgeon | $69.18 | $69.18 | $158.49 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $48.98 Median $48.98 Typical High $109.65 | Professional | 81 · Minimal assistant surgeon | $48.98 | $48.98 | $109.65 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $48.98 Median $48.98 Typical High $109.65 | Professional | 82 · Assistant surgeon, no resident | $48.98 | $48.98 | $109.65 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $48.98 Median $48.98 Typical High $109.65 | Professional | AS · PA/NP assist | $48.98 | $48.98 | $109.65 |
Where North Carolina sits
The same service costs 5.1 times more in Alaska than in New York. 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· 28th of 51
$347
AK $1,230NY $240
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.