How much rates vary
Facilitymedian $2,951 · 10th to 90th $1,047 to $5,888Professionalmedian $1,122 · 10th to 90th $331 to $2,570
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 $1,047.13 Median $1,047.13 Typical High $1,047.13 | Facility | None | $1,047.13 | $1,047.13 | $1,047.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $954.99 Median $1,047.13 Typical High $1,047.13 | Professional | None (both parts) | $954.99 | $1,047.13 | $1,047.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $95.50 Typical High $97.72 | Professional | 26 · Professional part | $95.50 | $95.50 | $97.72 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $812.83 Median $933.25 Typical High $933.25 | Professional | TC · Technical part | $812.83 | $933.25 | $933.25 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $177.83 Typical High $288.40 | Professional | 26 · Professional part | $131.83 | $177.83 | $288.40 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $724.44 Median $1,096.48 Typical High $2,344.23 | Professional | TC · Technical part | $724.44 | $1,096.48 | $2,344.23 |
Cigna Setting Facility Modifier None Typical Low $3,715.35 Median $5,888.44 Typical High $5,888.44 | Facility | None | $3,715.35 | $5,888.44 | $5,888.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $275.42 Median $1,288.25 Typical High $2,691.53 | Professional | None (both parts) | $275.42 | $1,288.25 | $2,691.53 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $147.91 Typical High $275.42 | Professional | 26 · Professional part | $102.33 | $147.91 | $275.42 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $1,148.15 Typical High $2,398.83 | Professional | TC · Technical part | $162.18 | $1,148.15 | $2,398.83 |
Medcost Setting Professional Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $1,096.48 | Professional | None | $1,096.48 | $1,096.48 | $1,096.48 |
Medcost Setting Facility Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $1,174.90 | Facility | None | $1,047.13 | $1,047.13 | $1,174.90 |
Medcost Setting Professional Modifier None (both parts) Typical Low $331.13 Median $1,202.26 Typical High $2,041.74 | Professional | None (both parts) | $331.13 | $1,202.26 | $2,041.74 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $151.36 Typical High $239.88 | Professional | 26 · Professional part | $117.49 | $151.36 | $239.88 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $562.34 Median $1,096.48 Typical High $1,949.84 | Professional | TC · Technical part | $562.34 | $1,096.48 | $1,949.84 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $323.59 Median $323.59 Typical High $323.59 | Professional | None (both parts) | $323.59 | $323.59 | $323.59 |
United Setting Professional Modifier None (both parts) Typical Low $660.69 Median $1,412.54 Typical High $3,090.30 | Professional | None (both parts) | $660.69 | $1,412.54 | $3,090.30 |
United Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $154.88 Typical High $281.84 | Professional | 26 · Professional part | $102.33 | $154.88 | $281.84 |
United Setting Professional Modifier TC · Technical part Typical Low $575.44 Median $1,258.93 Typical High $2,818.38 | Professional | TC · Technical part | $575.44 | $1,258.93 | $2,818.38 |
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 $457.09 Median $512.86 Typical High $512.86 | Professional | 52 · Reduced service | $457.09 | $512.86 | $512.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $181.97 Median $208.93 Typical High $208.93 | Professional | 53 · Discontinued | $181.97 | $208.93 | $208.93 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $707.95 Median $831.76 Typical High $831.76 | Professional | FX · Film X-ray | $707.95 | $831.76 | $831.76 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $165.96 Median $616.60 Typical High $1,445.44 | Professional | 51 · Multiple procedures | $165.96 | $616.60 | $1,445.44 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $66.07 Median $251.19 Typical High $575.44 | Professional | 80 · Assistant surgeon | $66.07 | $251.19 | $575.44 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $45.71 Median $173.78 Typical High $407.38 | Professional | 81 · Minimal assistant surgeon | $45.71 | $173.78 | $407.38 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $45.71 Median $173.78 Typical High $407.38 | Professional | 82 · Assistant surgeon, no resident | $45.71 | $173.78 | $407.38 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $45.71 Median $173.78 Typical High $407.38 | Professional | AS · PA/NP assist | $45.71 | $173.78 | $407.38 |
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· 30th of 51
$1,148
AK $4,365IN $794
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.