How much rates vary
Facilitymedian $501 · 10th to 90th $234 to $1,175Professionalmedian $324 · 10th to 90th $234 to $589
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 $234.42 Median $234.42 Typical High $501.19 | Facility | None | $234.42 | $234.42 | $501.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $208.93 Median $234.42 Typical High $371.54 | Professional | None (both parts) | $208.93 | $234.42 | $371.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $53.70 Typical High $85.11 | Professional | 26 · Professional part | $52.48 | $53.70 | $85.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $181.97 Typical High $281.84 | Professional | TC · Technical part | $177.83 | $181.97 | $281.84 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $100.00 Typical High $154.88 | Professional | 26 · Professional part | $64.57 | $100.00 | $154.88 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $309.03 Typical High $457.09 | Professional | TC · Technical part | $190.55 | $309.03 | $457.09 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $1,174.90 Typical High $1,174.90 | Facility | None | $758.58 | $1,174.90 | $1,174.90 |
Cigna Setting Professional Modifier None (both parts) Typical Low $234.42 Median $331.13 Typical High $630.96 | Professional | None (both parts) | $234.42 | $331.13 | $630.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $81.28 Typical High $151.36 | Professional | 26 · Professional part | $58.88 | $81.28 | $151.36 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $251.19 Typical High $467.74 | Professional | TC · Technical part | $177.83 | $251.19 | $467.74 |
Medcost Setting Facility Modifier None Typical Low $234.42 Median $234.42 Typical High $281.84 | Facility | None | $234.42 | $234.42 | $281.84 |
Medcost Setting Professional Modifier None (both parts) Typical Low $257.04 Median $323.59 Typical High $512.86 | Professional | None (both parts) | $257.04 | $323.59 | $512.86 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $81.28 Typical High $134.90 | Professional | 26 · Professional part | $67.61 | $81.28 | $134.90 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $239.88 Typical High $436.52 | Professional | TC · Technical part | $208.93 | $239.88 | $436.52 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $251.19 Median $251.19 Typical High $251.19 | Professional | None (both parts) | $251.19 | $251.19 | $251.19 |
United Setting Professional Modifier None (both parts) Typical Low $223.87 Median $338.84 Typical High $707.95 | Professional | None (both parts) | $223.87 | $338.84 | $707.95 |
United Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $83.18 Typical High $162.18 | Professional | 26 · Professional part | $56.23 | $83.18 | $162.18 |
United Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $257.04 Typical High $549.54 | Professional | TC · Technical part | $169.82 | $257.04 | $549.54 |
6 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 FX · Film X-ray Typical Low $169.82 Median $190.55 Typical High $190.55 | Professional | FX · Film X-ray | $169.82 | $190.55 | $190.55 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $158.49 Median $158.49 Typical High $331.13 | Professional | 51 · Multiple procedures | $158.49 | $158.49 | $331.13 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $64.57 Median $64.57 Typical High $131.83 | Professional | 80 · Assistant surgeon | $64.57 | $64.57 | $131.83 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $44.67 Median $44.67 Typical High $91.20 | Professional | 81 · Minimal assistant surgeon | $44.67 | $44.67 | $91.20 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $44.67 Median $44.67 Typical High $91.20 | Professional | 82 · Assistant surgeon, no resident | $44.67 | $44.67 | $91.20 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $44.67 Median $44.67 Typical High $91.20 | Professional | AS · PA/NP assist | $44.67 | $44.67 | $91.20 |
Where North Carolina sits
The same service costs 5.8 times more in Oklahoma 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· 21st of 51
$324
OK $1,148FL $200
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.