How much rates vary
Facilitymedian $2,399 · 10th to 90th $955 to $5,129Professionalmedian $955 · 10th to 90th $331 to $2,138
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 $954.99 Median $954.99 Typical High $954.99 | Facility | None | $954.99 | $954.99 | $954.99 |
Aetna Setting Professional Modifier None (both parts) Typical Low $870.96 Median $954.99 Typical High $954.99 | Professional | None (both parts) | $870.96 | $954.99 | $954.99 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | 26 · Professional part | $100.00 | $100.00 | $100.00 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $741.31 Median $851.14 Typical High $851.14 | Professional | TC · Technical part | $741.31 | $851.14 | $851.14 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $162.18 Median $190.55 Typical High $302.00 | Professional | 26 · Professional part | $162.18 | $190.55 | $302.00 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $537.03 Median $831.76 Typical High $2,041.74 | Professional | TC · Technical part | $537.03 | $831.76 | $2,041.74 |
Cigna Setting Facility Modifier None Typical Low $3,235.94 Median $5,128.61 Typical High $5,128.61 | Facility | None | $3,235.94 | $5,128.61 | $5,128.61 |
Cigna Setting Professional Modifier None (both parts) Typical Low $281.84 Median $1,047.13 Typical High $2,344.23 | Professional | None (both parts) | $281.84 | $1,047.13 | $2,344.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $151.36 Typical High $281.84 | Professional | 26 · Professional part | $104.71 | $151.36 | $281.84 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $912.01 Typical High $2,089.30 | Professional | TC · Technical part | $162.18 | $912.01 | $2,089.30 |
Medcost Setting Professional Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00 | Professional | None | $1,000.00 | $1,000.00 | $1,000.00 |
Medcost Setting Facility Modifier None Typical Low $954.99 Median $954.99 Typical High $1,148.15 | Facility | None | $954.99 | $954.99 | $1,148.15 |
Medcost Setting Professional Modifier None (both parts) Typical Low $331.13 Median $954.99 Typical High $1,698.24 | Professional | None (both parts) | $331.13 | $954.99 | $1,698.24 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $151.36 Typical High $245.47 | Professional | 26 · Professional part | $123.03 | $151.36 | $245.47 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $436.52 Median $891.25 Typical High $1,380.38 | Professional | TC · Technical part | $436.52 | $891.25 | $1,380.38 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $331.13 Median $331.13 Typical High $331.13 | Professional | None (both parts) | $331.13 | $331.13 | $331.13 |
United Setting Professional Modifier None (both parts) Typical Low $524.81 Median $1,096.48 Typical High $2,754.23 | Professional | None (both parts) | $524.81 | $1,096.48 | $2,754.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $158.49 Typical High $288.40 | Professional | 26 · Professional part | $104.71 | $158.49 | $288.40 |
United Setting Professional Modifier TC · Technical part Typical Low $436.52 Median $1,000.00 Typical High $2,454.71 | Professional | TC · Technical part | $436.52 | $1,000.00 | $2,454.71 |
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 $416.87 Median $478.63 Typical High $478.63 | Professional | 52 · Reduced service | $416.87 | $478.63 | $478.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $165.96 Median $190.55 Typical High $190.55 | Professional | 53 · Discontinued | $165.96 | $190.55 | $190.55 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $630.96 Median $758.58 Typical High $758.58 | Professional | FX · Film X-ray | $630.96 | $758.58 | $758.58 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $165.96 Median $524.81 Typical High $1,148.15 | Professional | 51 · Multiple procedures | $165.96 | $524.81 | $1,148.15 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $66.07 Median $208.93 Typical High $457.09 | Professional | 80 · Assistant surgeon | $66.07 | $208.93 | $457.09 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $45.71 Median $147.91 Typical High $323.59 | Professional | 81 · Minimal assistant surgeon | $45.71 | $147.91 | $323.59 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $45.71 Median $147.91 Typical High $323.59 | Professional | 82 · Assistant surgeon, no resident | $45.71 | $147.91 | $323.59 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $45.71 Median $147.91 Typical High $323.59 | Professional | AS · PA/NP assist | $45.71 | $147.91 | $323.59 |
Where North Carolina sits
The same service costs 5.5 times more in Alaska than in Indiana. 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· 36th of 51
$955
AK $3,802IN $692
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.