How much rates vary
Facilitymedian $155 · 10th to 90th $135 to $589Professionalmedian $135 · 10th to 90th $87 to $288
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 $134.90 Median $134.90 Typical High $181.97 | Facility | None | $134.90 | $134.90 | $181.97 |
Aetna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $134.90 Typical High $208.93 | Professional | None (both parts) | $85.11 | $134.90 | $208.93 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $38.90 Typical High $67.61 | Professional | 26 · Professional part | $38.90 | $38.90 | $67.61 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $95.50 Typical High $141.25 | Professional | TC · Technical part | $58.88 | $95.50 | $141.25 |
Ambetter 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 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $91.20 Typical High $114.82 | Professional | 26 · Professional part | $66.07 | $91.20 | $114.82 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $69.18 Typical High $190.55 | Professional | TC · Technical part | $33.11 | $69.18 | $190.55 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $588.84 Typical High $588.84 | Facility | None | $380.19 | $588.84 | $588.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $138.04 Typical High $309.03 | Professional | None (both parts) | $89.13 | $138.04 | $309.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $58.88 Typical High $114.82 | Professional | 26 · Professional part | $40.74 | $58.88 | $114.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $81.28 Typical High $223.87 | Professional | TC · Technical part | $23.44 | $81.28 | $223.87 |
Medcost Setting Professional Modifier None Typical Low $186.21 Median $186.21 Typical High $186.21 | Professional | None | $186.21 | $186.21 | $186.21 |
Medcost Setting Facility Modifier None Typical Low $134.90 Median $134.90 Typical High $154.88 | Facility | None | $134.90 | $134.90 | $154.88 |
Medcost Setting Professional Modifier None (both parts) Typical Low $89.13 Median $151.36 Typical High $263.03 | Professional | None (both parts) | $89.13 | $151.36 | $263.03 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $70.79 Typical High $109.65 | Professional | 26 · Professional part | $47.86 | $70.79 | $109.65 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $93.33 Typical High $154.88 | Professional | TC · Technical part | $28.18 | $93.33 | $154.88 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | None (both parts) | $144.54 | $144.54 | $144.54 |
United Setting Professional Modifier None (both parts) Typical Low $74.13 Median $138.04 Typical High $398.11 | Professional | None (both parts) | $74.13 | $138.04 | $398.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $61.66 Typical High $117.49 | Professional | 26 · Professional part | $40.74 | $61.66 | $117.49 |
United Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $85.11 Typical High $275.42 | Professional | TC · Technical part | $17.78 | $85.11 | $275.42 |
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 $56.23 Median $67.61 Typical High $67.61 | Professional | 52 · Reduced service | $56.23 | $67.61 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $26.92 Typical High $26.92 | Professional | 53 · Discontinued | $22.91 | $26.92 | $26.92 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $89.13 Median $107.15 Typical High $107.15 | Professional | FX · Film X-ray | $89.13 | $107.15 | $107.15 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $44.67 Median $91.20 Typical High $165.96 | Professional | 51 · Multiple procedures | $44.67 | $91.20 | $165.96 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $17.78 Median $36.31 Typical High $66.07 | Professional | 80 · Assistant surgeon | $17.78 | $36.31 | $66.07 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $12.30 Median $25.70 Typical High $46.77 | Professional | 81 · Minimal assistant surgeon | $12.30 | $25.70 | $46.77 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $12.30 Median $25.70 Typical High $46.77 | Professional | 82 · Assistant surgeon, no resident | $12.30 | $25.70 | $46.77 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $12.30 Median $25.70 Typical High $46.77 | Professional | AS · PA/NP assist | $12.30 | $25.70 | $46.77 |
Where North Carolina sits
The same service costs 6.9 times more in Alaska than in Michigan. 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· 34th of 51
$135
AK $525MI $75.86
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.