How much rates vary
Facilitymedian $1,047 · 10th to 90th $871 to $2,884Professionalmedian $1,175 · 10th to 90th $813 to $2,239
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 $870.96 Median $870.96 Typical High $870.96 | Facility | None | $870.96 | $870.96 | $870.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $758.58 Median $870.96 Typical High $1,412.54 | Professional | None (both parts) | $758.58 | $870.96 | $1,412.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $446.68 Median $446.68 Typical High $794.33 | Professional | 26 · Professional part | $446.68 | $446.68 | $794.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $416.87 Typical High $707.95 | Professional | TC · Technical part | $269.15 | $416.87 | $707.95 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00 | Professional | 26 · Professional part | $1,000.00 | $1,000.00 | $1,000.00 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $831.76 Median $1,096.48 Typical High $1,479.11 | Professional | 26 · Professional part | $831.76 | $1,096.48 | $1,479.11 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $389.05 Median $478.63 Typical High $1,047.13 | Professional | TC · Technical part | $389.05 | $478.63 | $1,047.13 |
Cigna Setting Facility Modifier None Typical Low $1,819.70 Median $2,884.03 Typical High $2,884.03 | Facility | None | $1,819.70 | $2,884.03 | $2,884.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $776.25 Median $1,174.90 Typical High $2,238.72 | Professional | None (both parts) | $776.25 | $1,174.90 | $2,238.72 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $549.54 Median $776.25 Typical High $1,318.26 | Professional | 26 · Professional part | $549.54 | $776.25 | $1,318.26 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $446.68 Typical High $1,096.48 | Professional | TC · Technical part | $204.17 | $446.68 | $1,096.48 |
Medcost Setting Professional Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,288.25 | Professional | None | $1,288.25 | $1,288.25 | $1,288.25 |
Medcost Setting Facility Modifier None Typical Low $870.96 Median $870.96 Typical High $1,047.13 | Facility | None | $870.96 | $870.96 | $1,047.13 |
Medcost Setting Professional Modifier None (both parts) Typical Low $1,023.29 Median $1,230.27 Typical High $1,905.46 | Professional | None (both parts) | $1,023.29 | $1,230.27 | $1,905.46 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $549.54 Median $912.01 Typical High $1,288.25 | Professional | 26 · Professional part | $549.54 | $912.01 | $1,288.25 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $354.81 Median $354.81 Typical High $741.31 | Professional | TC · Technical part | $354.81 | $354.81 | $741.31 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $933.25 Median $933.25 Typical High $933.25 | Professional | None (both parts) | $933.25 | $933.25 | $933.25 |
United Setting Professional Modifier None (both parts) Typical Low $776.25 Median $1,230.27 Typical High $2,630.27 | Professional | None (both parts) | $776.25 | $1,230.27 | $2,630.27 |
United Setting Professional Modifier 26 · Professional part Typical Low $537.03 Median $794.33 Typical High $1,348.96 | Professional | 26 · Professional part | $537.03 | $794.33 | $1,348.96 |
United Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $512.86 Typical High $1,288.25 | Professional | TC · Technical part | $245.47 | $512.86 | $1,288.25 |
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 $380.19 Median $436.52 Typical High $436.52 | Professional | 52 · Reduced service | $380.19 | $436.52 | $436.52 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $151.36 Median $173.78 Typical High $173.78 | Professional | 53 · Discontinued | $151.36 | $173.78 | $173.78 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $524.81 Median $602.56 Typical High $602.56 | Professional | 78 · Unplanned return to OR | $524.81 | $602.56 | $602.56 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $602.56 Median $691.83 Typical High $691.83 | Professional | FX · Film X-ray | $602.56 | $691.83 | $691.83 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $588.84 Median $616.60 Typical High $1,202.26 | Professional | 51 · Multiple procedures | $588.84 | $616.60 | $1,202.26 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $234.42 Median $245.47 Typical High $478.63 | Professional | 80 · Assistant surgeon | $234.42 | $245.47 | $478.63 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $162.18 Median $169.82 Typical High $338.84 | Professional | 81 · Minimal assistant surgeon | $162.18 | $169.82 | $338.84 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $162.18 Median $169.82 Typical High $338.84 | Professional | 82 · Assistant surgeon, no resident | $162.18 | $169.82 | $338.84 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $162.18 Median $169.82 Typical High $338.84 | Professional | AS · PA/NP assist | $162.18 | $169.82 | $338.84 |
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· 18th of 51
$1,175
AK $3,715FL $661
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.