How much rates vary
Facilitymedian $562 · 10th to 90th $331 to $1,479Professionalmedian $457 · 10th to 90th $331 to $851
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 $331.13 Median $331.13 Typical High $707.95 | Facility | None | $331.13 | $331.13 | $707.95 |
Aetna Setting Professional Modifier None (both parts) Typical Low $295.12 Median $331.13 Typical High $630.96 | Professional | None (both parts) | $295.12 | $331.13 | $630.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $100.00 Typical High $190.55 | Professional | 26 · Professional part | $93.33 | $100.00 | $190.55 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $229.09 Typical High $436.52 | Professional | TC · Technical part | $218.78 | $229.09 | $436.52 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $128.82 Typical High $173.78 | Professional | 26 · Professional part | $128.82 | $128.82 | $173.78 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $165.96 Median $199.53 Typical High $281.84 | Professional | 26 · Professional part | $165.96 | $199.53 | $281.84 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $389.05 Typical High $588.84 | Professional | TC · Technical part | $245.47 | $389.05 | $588.84 |
Cigna Setting Facility Modifier None Typical Low $954.99 Median $1,479.11 Typical High $1,479.11 | Facility | None | $954.99 | $1,479.11 | $1,479.11 |
Cigna Setting Professional Modifier None (both parts) Typical Low $338.84 Median $478.63 Typical High $870.96 | Professional | None (both parts) | $338.84 | $478.63 | $870.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $151.36 Typical High $281.84 | Professional | 26 · Professional part | $109.65 | $151.36 | $281.84 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $323.59 Typical High $602.56 | Professional | TC · Technical part | $229.09 | $323.59 | $602.56 |
Medcost Setting Facility Modifier None Typical Low $331.13 Median $331.13 Typical High $389.05 | Facility | None | $331.13 | $331.13 | $389.05 |
Medcost Setting Professional Modifier None (both parts) Typical Low $363.08 Median $457.09 Typical High $724.44 | Professional | None (both parts) | $363.08 | $457.09 | $724.44 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $147.91 Typical High $251.19 | Professional | 26 · Professional part | $123.03 | $147.91 | $251.19 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $309.03 Typical High $562.34 | Professional | TC · Technical part | $269.15 | $309.03 | $562.34 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | None (both parts) | $213.80 | $213.80 | $213.80 |
United Setting Professional Modifier None (both parts) Typical Low $323.59 Median $489.78 Typical High $1,000.00 | Professional | None (both parts) | $323.59 | $489.78 | $1,000.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $154.88 Typical High $302.00 | Professional | 26 · Professional part | $102.33 | $154.88 | $302.00 |
United Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $331.13 Typical High $691.83 | Professional | TC · Technical part | $218.78 | $331.13 | $691.83 |
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 $234.42 Median $263.03 Typical High $263.03 | Professional | FX · Film X-ray | $234.42 | $263.03 | $263.03 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $229.09 Median $229.09 Typical High $457.09 | Professional | 51 · Multiple procedures | $229.09 | $229.09 | $457.09 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $91.20 Median $91.20 Typical High $186.21 | Professional | 80 · Assistant surgeon | $91.20 | $91.20 | $186.21 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $64.57 Median $64.57 Typical High $128.82 | Professional | 81 · Minimal assistant surgeon | $64.57 | $64.57 | $128.82 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $64.57 Median $64.57 Typical High $128.82 | Professional | 82 · Assistant surgeon, no resident | $64.57 | $64.57 | $128.82 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $64.57 Median $64.57 Typical High $128.82 | Professional | AS · PA/NP assist | $64.57 | $64.57 | $128.82 |
Where North Carolina sits
The same service costs 4.6 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· 20th of 51
$457
AK $1,230FL $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.