How much rates vary
Facilitymedian $158 · 10th to 90th $132 to $295Professionalmedian $309 · 10th to 90th $132 to $692
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 $131.83 Median $131.83 Typical High $398.11 | Facility | None | $131.83 | $131.83 | $398.11 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $27.54 Median $32.36 Typical High $380.19 | Facility | TC · Technical part | $27.54 | $32.36 | $380.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $131.83 Typical High $398.11 | Professional | None (both parts) | $131.83 | $131.83 | $398.11 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $104.71 Typical High $194.98 | Professional | 26 · Professional part | $100.00 | $104.71 | $194.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $27.54 Typical High $141.25 | Professional | TC · Technical part | $27.54 | $27.54 | $141.25 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $138.04 Typical High $186.21 | Professional | 26 · Professional part | $131.83 | $138.04 | $186.21 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $165.96 Median $208.93 Typical High $288.40 | Professional | 26 · Professional part | $165.96 | $208.93 | $288.40 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $169.82 Typical High $512.86 | Professional | TC · Technical part | $77.62 | $169.82 | $512.86 |
Cigna Setting Facility Modifier None Typical Low $151.36 Median $234.42 Typical High $263.03 | Facility | None | $151.36 | $234.42 | $263.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $199.53 Median $389.05 Typical High $676.08 | Professional | None (both parts) | $199.53 | $389.05 | $676.08 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $154.88 Typical High $288.40 | Professional | 26 · Professional part | $104.71 | $154.88 | $288.40 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $123.03 Typical High $489.78 | Professional | TC · Technical part | $40.74 | $123.03 | $489.78 |
Medcost Setting Professional Modifier None Typical Low $851.14 Median $851.14 Typical High $851.14 | Professional | None | $851.14 | $851.14 | $851.14 |
Medcost Setting Facility Modifier None Typical Low $131.83 Median $131.83 Typical High $165.96 | Facility | None | $131.83 | $131.83 | $165.96 |
Medcost Setting Professional Modifier None (both parts) Typical Low $158.49 Median $331.13 Typical High $831.76 | Professional | None (both parts) | $158.49 | $331.13 | $831.76 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $204.17 Typical High $346.74 | Professional | 26 · Professional part | $128.82 | $204.17 | $346.74 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $154.88 Typical High $537.03 | Professional | TC · Technical part | $36.31 | $154.88 | $537.03 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $660.69 Median $660.69 Typical High $660.69 | Professional | None (both parts) | $660.69 | $660.69 | $660.69 |
United Setting Professional Modifier None (both parts) Typical Low $158.49 Median $269.15 Typical High $467.74 | Professional | None (both parts) | $158.49 | $269.15 | $467.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $158.49 Typical High $316.23 | Professional | 26 · Professional part | $104.71 | $158.49 | $316.23 |
United Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $70.79 Typical High $331.13 | Professional | TC · Technical part | $30.90 | $70.79 | $331.13 |
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 $66.07 Median $66.07 Typical High $85.11 | Professional | 52 · Reduced service | $66.07 | $66.07 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $26.30 Typical High $33.88 | Professional | 53 · Discontinued | $26.30 | $26.30 | $33.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $93.33 Median $107.15 Typical High $107.15 | Professional | FX · Film X-ray | $93.33 | $107.15 | $107.15 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $114.82 Median $204.17 Typical High $416.87 | Professional | 51 · Multiple procedures | $114.82 | $204.17 | $416.87 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $45.71 Median $81.28 Typical High $165.96 | Professional | 80 · Assistant surgeon | $45.71 | $81.28 | $165.96 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $32.36 Median $57.54 Typical High $117.49 | Professional | 81 · Minimal assistant surgeon | $32.36 | $57.54 | $117.49 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $32.36 Median $57.54 Typical High $117.49 | Professional | 82 · Assistant surgeon, no resident | $32.36 | $57.54 | $117.49 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $32.36 Median $57.54 Typical High $117.49 | Professional | AS · PA/NP assist | $32.36 | $57.54 | $117.49 |
Where North Carolina sits
The same service costs 5.1 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· 10th of 51
$282
AK $575FL $112
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.