How much rates vary
Facilitymedian $1,096 · 10th to 90th $490 to $2,884Professionalmedian $513 · 10th to 90th $245 to $1,148
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 $489.78 Median $489.78 Typical High $489.78 | Facility | None | $489.78 | $489.78 | $489.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $416.87 Median $489.78 Typical High $588.84 | Professional | None (both parts) | $416.87 | $489.78 | $588.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $69.18 Typical High $81.28 | Professional | 26 · Professional part | $67.61 | $69.18 | $81.28 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $416.87 Typical High $524.81 | Professional | TC · Technical part | $338.84 | $416.87 | $524.81 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $147.91 Typical High $213.80 | Professional | 26 · Professional part | $117.49 | $147.91 | $213.80 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $489.78 Typical High $1,071.52 | Professional | TC · Technical part | $316.23 | $489.78 | $1,071.52 |
Cigna Setting Facility Modifier None Typical Low $1,819.70 Median $2,884.03 Typical High $2,884.03 | Facility | None | $1,819.70 | $2,884.03 | $2,884.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $208.93 Median $549.54 Typical High $1,230.27 | Professional | None (both parts) | $208.93 | $549.54 | $1,230.27 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $109.65 Typical High $204.17 | Professional | 26 · Professional part | $75.86 | $109.65 | $204.17 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $457.09 Typical High $1,071.52 | Professional | TC · Technical part | $123.03 | $457.09 | $1,071.52 |
Medcost Setting Professional Modifier None Typical Low $478.63 Median $478.63 Typical High $478.63 | Professional | None | $478.63 | $478.63 | $478.63 |
Medcost Setting Facility Modifier None Typical Low $489.78 Median $489.78 Typical High $616.60 | Facility | None | $489.78 | $489.78 | $616.60 |
Medcost Setting Professional Modifier None (both parts) Typical Low $245.47 Median $524.81 Typical High $933.25 | Professional | None (both parts) | $245.47 | $524.81 | $933.25 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $112.20 Typical High $177.83 | Professional | 26 · Professional part | $85.11 | $112.20 | $177.83 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $416.87 Typical High $758.58 | Professional | TC · Technical part | $281.84 | $416.87 | $758.58 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $245.47 Median $245.47 Typical High $245.47 | Professional | None (both parts) | $245.47 | $245.47 | $245.47 |
United Setting Professional Modifier None (both parts) Typical Low $302.00 Median $602.56 Typical High $1,513.56 | Professional | None (both parts) | $302.00 | $602.56 | $1,513.56 |
United Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $114.82 Typical High $208.93 | Professional | 26 · Professional part | $75.86 | $114.82 | $208.93 |
United Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $512.86 Typical High $1,288.25 | Professional | TC · Technical part | $245.47 | $512.86 | $1,288.25 |
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 $213.80 Median $245.47 Typical High $245.47 | Professional | 52 · Reduced service | $213.80 | $245.47 | $245.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $85.11 Median $97.72 Typical High $97.72 | Professional | 53 · Discontinued | $85.11 | $97.72 | $97.72 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $331.13 Median $389.05 Typical High $389.05 | Professional | FX · Film X-ray | $331.13 | $389.05 | $389.05 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $123.03 Median $263.03 Typical High $630.96 | Professional | 51 · Multiple procedures | $123.03 | $263.03 | $630.96 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $48.98 Median $104.71 Typical High $257.04 | Professional | 80 · Assistant surgeon | $48.98 | $104.71 | $257.04 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $34.67 Median $74.13 Typical High $177.83 | Professional | 81 · Minimal assistant surgeon | $34.67 | $74.13 | $177.83 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $34.67 Median $74.13 Typical High $177.83 | Professional | 82 · Assistant surgeon, no resident | $34.67 | $74.13 | $177.83 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $34.67 Median $74.13 Typical High $177.83 | Professional | AS · PA/NP assist | $34.67 | $74.13 | $177.83 |
Where North Carolina sits
The same service costs 6.3 times more in Alaska than in Kentucky. 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· 30th of 51
$525
AK $2,188KY $347
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.