How much rates vary
Facilitymedian $603 · 10th to 90th $398 to $1,349Professionalmedian $479 · 10th to 90th $309 to $1,023
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 $398.11 Median $398.11 Typical High $398.11 | Facility | None | $398.11 | $398.11 | $398.11 |
Aetna Setting Professional Modifier None (both parts) Typical Low $354.81 Median $398.11 Typical High $398.11 | Professional | None (both parts) | $354.81 | $398.11 | $398.11 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $186.21 Median $199.53 Typical High $199.53 | Professional | 26 · Professional part | $186.21 | $199.53 | $199.53 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $199.53 Typical High $199.53 | Professional | TC · Technical part | $177.83 | $199.53 | $199.53 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $295.12 Median $363.08 Typical High $524.81 | Professional | 26 · Professional part | $295.12 | $363.08 | $524.81 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $288.40 Typical High $501.19 | Professional | TC · Technical part | $223.87 | $288.40 | $501.19 |
Cigna Setting Facility Modifier None Typical Low $870.96 Median $1,348.96 Typical High $1,348.96 | Facility | None | $870.96 | $1,348.96 | $1,348.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $309.03 Median $512.86 Typical High $1,047.13 | Professional | None (both parts) | $309.03 | $512.86 | $1,047.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $186.21 Median $288.40 Typical High $537.03 | Professional | 26 · Professional part | $186.21 | $288.40 | $537.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $245.47 Typical High $512.86 | Professional | TC · Technical part | $100.00 | $245.47 | $512.86 |
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 $398.11 Median $398.11 Typical High $478.63 | Facility | None | $398.11 | $398.11 | $478.63 |
Medcost Setting Professional Modifier None (both parts) Typical Low $363.08 Median $478.63 Typical High $812.83 | Professional | None (both parts) | $363.08 | $478.63 | $812.83 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $239.88 Median $251.19 Typical High $489.78 | Professional | 26 · Professional part | $239.88 | $251.19 | $489.78 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $223.87 Typical High $407.38 | Professional | TC · Technical part | $190.55 | $223.87 | $407.38 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $354.81 Median $354.81 Typical High $354.81 | Professional | None (both parts) | $354.81 | $354.81 | $354.81 |
United Setting Professional Modifier None (both parts) Typical Low $338.84 Median $549.54 Typical High $1,202.26 | Professional | None (both parts) | $338.84 | $549.54 | $1,202.26 |
United Setting Professional Modifier 26 · Professional part Typical Low $186.21 Median $288.40 Typical High $602.56 | Professional | 26 · Professional part | $186.21 | $288.40 | $602.56 |
United Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $263.03 Typical High $616.60 | Professional | TC · Technical part | $144.54 | $263.03 | $616.60 |
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 $173.78 Median $199.53 Typical High $199.53 | Professional | 52 · Reduced service | $173.78 | $199.53 | $199.53 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $69.18 Median $79.43 Typical High $79.43 | Professional | 53 · Discontinued | $69.18 | $79.43 | $79.43 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $245.47 Median $275.42 Typical High $275.42 | Professional | 78 · Unplanned return to OR | $245.47 | $275.42 | $275.42 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $275.42 Median $316.23 Typical High $316.23 | Professional | FX · Film X-ray | $275.42 | $316.23 | $316.23 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $181.97 Median $251.19 Typical High $562.34 | Professional | 51 · Multiple procedures | $181.97 | $251.19 | $562.34 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $72.44 Median $100.00 Typical High $223.87 | Professional | 80 · Assistant surgeon | $72.44 | $100.00 | $223.87 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $50.12 Median $70.79 Typical High $158.49 | Professional | 81 · Minimal assistant surgeon | $50.12 | $70.79 | $158.49 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $50.12 Median $70.79 Typical High $158.49 | Professional | 82 · Assistant surgeon, no resident | $50.12 | $70.79 | $158.49 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $50.12 Median $70.79 Typical High $158.49 | Professional | AS · PA/NP assist | $50.12 | $70.79 | $158.49 |
Where North Carolina sits
The same service costs 5.6 times more in Alaska than in Florida. 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· 29th of 51
$479
AK $1,698FL $302
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.