How much rates vary
Facilitymedian $126 · 10th to 90th $120 to $603Professionalmedian $112 · 10th to 90th $66 to $251
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 $120.23 Median $120.23 Typical High $144.54 | Facility | None | $120.23 | $120.23 | $144.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $66.07 Median $120.23 Typical High $144.54 | Professional | None (both parts) | $66.07 | $120.23 | $144.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $25.70 Typical High $42.66 | Professional | 26 · Professional part | $22.91 | $25.70 | $42.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $95.50 Typical High $102.33 | Professional | TC · Technical part | $43.65 | $95.50 | $102.33 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $28.18 Median $28.18 Typical High $151.36 | Professional | None (both parts) | $28.18 | $28.18 | $151.36 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $60.26 Median $63.10 Typical High $70.79 | Professional | None (both parts) | $60.26 | $63.10 | $70.79 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $47.86 Typical High $72.44 | Professional | 26 · Professional part | $42.66 | $47.86 | $72.44 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $100.00 Typical High $234.42 | Professional | TC · Technical part | $64.57 | $100.00 | $234.42 |
Cigna Setting Facility Modifier None Typical Low $389.05 Median $602.56 Typical High $602.56 | Facility | None | $389.05 | $602.56 | $602.56 |
Cigna Setting Professional Modifier None (both parts) Typical Low $69.18 Median $112.20 Typical High $269.15 | Professional | None (both parts) | $69.18 | $112.20 | $269.15 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $37.15 Typical High $70.79 | Professional | 26 · Professional part | $26.92 | $37.15 | $70.79 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $66.07 Typical High $208.93 | Professional | TC · Technical part | $40.74 | $66.07 | $208.93 |
Medcost Setting Facility Modifier None Typical Low $102.33 Median $102.33 Typical High $120.23 | Facility | None | $102.33 | $102.33 | $120.23 |
Medcost Setting Professional Modifier None (both parts) Typical Low $87.10 Median $89.13 Typical High $204.17 | Professional | None (both parts) | $87.10 | $89.13 | $204.17 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $36.31 Typical High $63.10 | Professional | 26 · Professional part | $31.62 | $36.31 | $63.10 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $53.70 Typical High $162.18 | Professional | TC · Technical part | $53.70 | $53.70 | $162.18 |
Oscar Health Setting Facility Modifier None Typical Low $1,905.46 Median $1,905.46 Typical High $1,905.46 | Facility | None | $1,905.46 | $1,905.46 | $1,905.46 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $48.98 Median $48.98 Typical High $151.36 | Professional | None (both parts) | $48.98 | $48.98 | $151.36 |
United Setting Professional Modifier None (both parts) Typical Low $63.10 Median $112.20 Typical High $363.08 | Professional | None (both parts) | $63.10 | $112.20 | $363.08 |
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 $83.18 Median $97.72 Typical High $97.72 | Professional | FX · Film X-ray | $83.18 | $97.72 | $97.72 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $44.67 Median $44.67 Typical High $147.91 | Professional | 51 · Multiple procedures | $44.67 | $44.67 | $147.91 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $17.78 Median $17.78 Typical High $58.88 | Professional | 80 · Assistant surgeon | $17.78 | $17.78 | $58.88 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $12.59 Median $12.59 Typical High $41.69 | Professional | 81 · Minimal assistant surgeon | $12.59 | $12.59 | $41.69 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $12.59 Median $12.59 Typical High $41.69 | Professional | 82 · Assistant surgeon, no resident | $12.59 | $12.59 | $41.69 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $12.59 Median $12.59 Typical High $41.69 | Professional | AS · PA/NP assist | $12.59 | $12.59 | $41.69 |
Where North Carolina sits
The same service costs 7.1 times more in Alaska than in Hawaii. 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
$115
AK $389HI $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.