How much rates vary
Facilitymedian $1,995 · 10th to 90th $661 to $3,631Professionalmedian $776 · 10th to 90th $245 to $1,950
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 $660.69 Median $660.69 Typical High $660.69 | Facility | None | $660.69 | $660.69 | $660.69 |
Aetna Setting Professional Modifier None (both parts) Typical Low $645.65 Median $660.69 Typical High $660.69 | Professional | None (both parts) | $645.65 | $660.69 | $660.69 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $67.61 Typical High $69.18 | Professional | 26 · Professional part | $67.61 | $67.61 | $69.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $549.54 Median $602.56 Typical High $602.56 | Professional | TC · Technical part | $549.54 | $602.56 | $602.56 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $144.54 Typical High $208.93 | Professional | 26 · Professional part | $114.82 | $144.54 | $208.93 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $501.19 Median $776.25 Typical High $2,041.74 | Professional | TC · Technical part | $501.19 | $776.25 | $2,041.74 |
Cigna Setting Facility Modifier None Typical Low $2,344.23 Median $3,630.78 Typical High $3,630.78 | Facility | None | $2,344.23 | $3,630.78 | $3,630.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $208.93 Median $912.01 Typical High $1,995.26 | Professional | None (both parts) | $208.93 | $912.01 | $1,995.26 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $112.20 Typical High $199.53 | Professional | 26 · Professional part | $75.86 | $112.20 | $199.53 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $812.83 Typical High $1,819.70 | Professional | TC · Technical part | $123.03 | $812.83 | $1,819.70 |
Medcost Setting Professional Modifier None Typical Low $891.25 Median $891.25 Typical High $891.25 | Professional | None | $891.25 | $891.25 | $891.25 |
Medcost Setting Facility Modifier None Typical Low $660.69 Median $660.69 Typical High $758.58 | Facility | None | $660.69 | $660.69 | $758.58 |
Medcost Setting Professional Modifier None (both parts) Typical Low $245.47 Median $776.25 Typical High $1,412.54 | Professional | None (both parts) | $245.47 | $776.25 | $1,412.54 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $109.65 Typical High $173.78 | Professional | 26 · Professional part | $83.18 | $109.65 | $173.78 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $389.05 Median $707.95 Typical High $1,380.38 | Professional | TC · Technical part | $389.05 | $707.95 | $1,380.38 |
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 $436.52 Median $954.99 Typical High $1,949.84 | Professional | None (both parts) | $436.52 | $954.99 | $1,949.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $112.20 Typical High $204.17 | Professional | 26 · Professional part | $74.13 | $112.20 | $204.17 |
United Setting Professional Modifier TC · Technical part Typical Low $389.05 Median $870.96 Typical High $1,778.28 | Professional | TC · Technical part | $389.05 | $870.96 | $1,778.28 |
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 $302.00 Median $331.13 Typical High $331.13 | Professional | 52 · Reduced service | $302.00 | $331.13 | $331.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $123.03 Median $131.83 Typical High $131.83 | Professional | 53 · Discontinued | $123.03 | $131.83 | $131.83 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $457.09 Median $537.03 Typical High $537.03 | Professional | FX · Film X-ray | $457.09 | $537.03 | $537.03 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $123.03 Median $436.52 Typical High $933.25 | Professional | 51 · Multiple procedures | $123.03 | $436.52 | $933.25 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $48.98 Median $173.78 Typical High $371.54 | Professional | 80 · Assistant surgeon | $48.98 | $173.78 | $371.54 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $34.67 Median $120.23 Typical High $263.03 | Professional | 81 · Minimal assistant surgeon | $34.67 | $120.23 | $263.03 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $34.67 Median $120.23 Typical High $263.03 | Professional | 82 · Assistant surgeon, no resident | $34.67 | $120.23 | $263.03 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $34.67 Median $120.23 Typical High $263.03 | Professional | AS · PA/NP assist | $34.67 | $120.23 | $263.03 |
Where North Carolina sits
The same service costs 5.1 times more in Alaska than in Texas. 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· 35th of 51
$776
AK $2,754TX $537
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.