How much rates vary
Facilitymedian $871 · 10th to 90th $437 to $1,862Professionalmedian $501 · 10th to 90th $372 to $1,000
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 $436.52 Median $436.52 Typical High $436.52 | Facility | None | $436.52 | $436.52 | $436.52 |
Aetna Setting Professional Modifier None (both parts) Typical Low $371.54 Median $436.52 Typical High $707.95 | Professional | None (both parts) | $371.54 | $436.52 | $707.95 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $138.04 Median $147.91 Typical High $263.03 | Professional | 26 · Professional part | $138.04 | $147.91 | $263.03 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $288.40 Typical High $436.52 | Professional | TC · Technical part | $234.42 | $288.40 | $436.52 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | 26 · Professional part | $257.04 | $257.04 | $257.04 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $245.47 Median $323.59 Typical High $416.87 | Professional | 26 · Professional part | $245.47 | $323.59 | $416.87 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $371.54 Typical High $676.08 | Professional | TC · Technical part | $263.03 | $371.54 | $676.08 |
Cigna Setting Facility Modifier None Typical Low $1,202.26 Median $1,862.09 Typical High $1,862.09 | Facility | None | $1,202.26 | $1,862.09 | $1,862.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $389.05 Median $549.54 Typical High $1,096.48 | Professional | None (both parts) | $389.05 | $549.54 | $1,096.48 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $162.18 Median $223.87 Typical High $416.87 | Professional | 26 · Professional part | $162.18 | $223.87 | $416.87 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $316.23 Typical High $707.95 | Professional | TC · Technical part | $213.80 | $316.23 | $707.95 |
Medcost Setting Facility Modifier None Typical Low $436.52 Median $436.52 Typical High $524.81 | Facility | None | $436.52 | $436.52 | $524.81 |
Medcost Setting Professional Modifier None (both parts) Typical Low $436.52 Median $501.19 Typical High $870.96 | Professional | None (both parts) | $436.52 | $501.19 | $870.96 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $181.97 Median $218.78 Typical High $371.54 | Professional | 26 · Professional part | $181.97 | $218.78 | $371.54 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $281.84 Typical High $512.86 | Professional | TC · Technical part | $281.84 | $281.84 | $512.86 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $371.54 Median $371.54 Typical High $371.54 | Professional | None (both parts) | $371.54 | $371.54 | $371.54 |
United Setting Professional Modifier None (both parts) Typical Low $354.81 Median $549.54 Typical High $1,318.26 | Professional | None (both parts) | $354.81 | $549.54 | $1,318.26 |
United Setting Professional Modifier 26 · Professional part Typical Low $151.36 Median $229.09 Typical High $446.68 | Professional | 26 · Professional part | $151.36 | $229.09 | $446.68 |
United Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $338.84 Typical High $851.14 | Professional | TC · Technical part | $199.53 | $338.84 | $851.14 |
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 $295.12 Median $346.74 Typical High $346.74 | Professional | FX · Film X-ray | $295.12 | $346.74 | $346.74 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $251.19 Median $251.19 Typical High $562.34 | Professional | 51 · Multiple procedures | $251.19 | $251.19 | $562.34 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $100.00 Median $100.00 Typical High $223.87 | Professional | 80 · Assistant surgeon | $100.00 | $100.00 | $223.87 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $70.79 Median $70.79 Typical High $158.49 | Professional | 81 · Minimal assistant surgeon | $70.79 | $70.79 | $158.49 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $70.79 Median $70.79 Typical High $158.49 | Professional | 82 · Assistant surgeon, no resident | $70.79 | $70.79 | $158.49 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $70.79 Median $70.79 Typical High $158.49 | Professional | AS · PA/NP assist | $70.79 | $70.79 | $158.49 |
Where North Carolina sits
The same service costs 5.9 times more in Alaska than in Alabama. 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
$501
AK $1,862AL $316
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.