How much rates vary
Facilitymedian $380 · 10th to 90th $347 to $813Professionalmedian $479 · 10th to 90th $324 to $977
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 $380.19 Median $380.19 Typical High $380.19 | Facility | None | $380.19 | $380.19 | $380.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $331.13 Median $380.19 Typical High $380.19 | Professional | None (both parts) | $331.13 | $380.19 | $380.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $245.47 Median $257.04 Typical High $257.04 | Professional | 26 · Professional part | $245.47 | $257.04 | $257.04 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $120.23 Typical High $120.23 | Professional | TC · Technical part | $104.71 | $120.23 | $120.23 |
BCBS North Carolina Setting Facility Modifier None Typical Low $288.40 Median $288.40 Typical High $346.74 | Facility | None | $288.40 | $288.40 | $346.74 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $389.05 Median $457.09 Typical High $691.83 | Professional | 26 · Professional part | $389.05 | $457.09 | $691.83 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $162.18 Typical High $302.00 | Professional | TC · Technical part | $125.89 | $162.18 | $302.00 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $812.83 Typical High $812.83 | Facility | None | $524.81 | $812.83 | $812.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $323.59 Median $524.81 Typical High $1,000.00 | Professional | None (both parts) | $323.59 | $524.81 | $1,000.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $245.47 Median $380.19 Typical High $707.95 | Professional | 26 · Professional part | $245.47 | $380.19 | $707.95 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $141.25 Typical High $309.03 | Professional | TC · Technical part | $53.70 | $141.25 | $309.03 |
Medcost Setting Professional Modifier None Typical Low $512.86 Median $512.86 Typical High $512.86 | Professional | None | $512.86 | $512.86 | $512.86 |
Medcost Setting Facility Modifier None Typical Low $380.19 Median $380.19 Typical High $446.68 | Facility | None | $380.19 | $380.19 | $446.68 |
Medcost Setting Professional Modifier None (both parts) Typical Low $380.19 Median $489.78 Typical High $851.14 | Professional | None (both parts) | $380.19 | $489.78 | $851.14 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $316.23 Median $331.13 Typical High $645.65 | Professional | 26 · Professional part | $316.23 | $331.13 | $645.65 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $128.82 Typical High $239.88 | Professional | TC · Technical part | $104.71 | $128.82 | $239.88 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $371.54 Median $371.54 Typical High $371.54 | Professional | None (both parts) | $371.54 | $371.54 | $371.54 |
United Setting Professional Modifier None (both parts) Typical Low $323.59 Median $524.81 Typical High $1,148.15 | Professional | None (both parts) | $323.59 | $524.81 | $1,148.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $245.47 Median $380.19 Typical High $776.25 | Professional | 26 · Professional part | $245.47 | $380.19 | $776.25 |
United Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $158.49 Typical High $363.08 | Professional | TC · Technical part | $81.28 | $158.49 | $363.08 |
9 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 $165.96 Median $190.55 Typical High $190.55 | Professional | 52 · Reduced service | $165.96 | $190.55 | $190.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $75.86 Typical High $75.86 | Professional | 53 · Discontinued | $66.07 | $75.86 | $75.86 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $229.09 Median $263.03 Typical High $263.03 | Professional | 78 · Unplanned return to OR | $229.09 | $263.03 | $263.03 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $263.03 Median $302.00 Typical High $302.00 | Professional | FX · Film X-ray | $263.03 | $302.00 | $302.00 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $190.55 Median $245.47 Typical High $537.03 | Professional | 51 · Multiple procedures | $190.55 | $245.47 | $537.03 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $75.86 Median $97.72 Typical High $213.80 | Professional | 80 · Assistant surgeon | $75.86 | $97.72 | $213.80 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $53.70 Median $69.18 Typical High $151.36 | Professional | 81 · Minimal assistant surgeon | $53.70 | $69.18 | $151.36 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $53.70 Median $69.18 Typical High $151.36 | Professional | 82 · Assistant surgeon, no resident | $53.70 | $69.18 | $151.36 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $53.70 Median $69.18 Typical High $151.36 | Professional | AS · PA/NP assist | $53.70 | $69.18 | $151.36 |
Where North Carolina sits
The same service costs 5.9 times more in Alaska than in Alabama. 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· 25th of 51
$468
AK $1,585AL $269
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.