How much rates vary
Facilitymedian $589 · 10th to 90th $158 to $912Professionalmedian $251 · 10th to 90th $158 to $501
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 $158.49 Median $158.49 Typical High $158.49 | Facility | None | $158.49 | $158.49 | $158.49 |
Aetna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $158.49 Typical High $169.82 | Professional | None (both parts) | $154.88 | $158.49 | $169.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $15.49 Typical High $15.49 | Professional | 26 · Professional part | $15.49 | $15.49 | $15.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $144.54 Typical High $173.78 | Professional | TC · Technical part | $138.04 | $144.54 | $173.78 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $40.74 Typical High $48.98 | Professional | 26 · Professional part | $27.54 | $40.74 | $48.98 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $281.84 Typical High $398.11 | Professional | TC · Technical part | $229.09 | $281.84 | $398.11 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $912.01 Typical High $912.01 | Facility | None | $588.84 | $912.01 | $912.01 |
Cigna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $316.23 Typical High $524.81 | Professional | None (both parts) | $229.09 | $316.23 | $524.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $27.54 Typical High $50.12 | Professional | 26 · Professional part | $20.89 | $27.54 | $50.12 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $281.84 Typical High $478.63 | Professional | TC · Technical part | $208.93 | $281.84 | $478.63 |
Medcost Setting Facility Modifier None Typical Low $158.49 Median $158.49 Typical High $186.21 | Facility | None | $158.49 | $158.49 | $186.21 |
Medcost Setting Professional Modifier None (both parts) Typical Low $208.93 Median $234.42 Typical High $389.05 | Professional | None (both parts) | $208.93 | $234.42 | $389.05 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $25.70 Typical High $40.74 | Professional | 26 · Professional part | $21.38 | $25.70 | $40.74 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $208.93 Typical High $363.08 | Professional | TC · Technical part | $204.17 | $208.93 | $363.08 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | None (both parts) | $144.54 | $144.54 | $144.54 |
United Setting Professional Modifier None (both parts) Typical Low $194.98 Median $281.84 Typical High $512.86 | Professional | None (both parts) | $194.98 | $281.84 | $512.86 |
United Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $26.92 Typical High $50.12 | Professional | 26 · Professional part | $18.20 | $26.92 | $50.12 |
United Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $257.04 Typical High $457.09 | Professional | TC · Technical part | $181.97 | $257.04 | $457.09 |
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 $123.03 Median $128.82 Typical High $128.82 | Professional | FX · Film X-ray | $123.03 | $128.82 | $128.82 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $117.49 Median $117.49 Typical High $257.04 | Professional | 51 · Multiple procedures | $117.49 | $117.49 | $257.04 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $46.77 Median $46.77 Typical High $102.33 | Professional | 80 · Assistant surgeon | $46.77 | $46.77 | $102.33 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $33.11 Median $33.11 Typical High $70.79 | Professional | 81 · Minimal assistant surgeon | $33.11 | $33.11 | $70.79 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $33.11 Median $33.11 Typical High $70.79 | Professional | 82 · Assistant surgeon, no resident | $33.11 | $33.11 | $70.79 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $33.11 Median $33.11 Typical High $70.79 | Professional | AS · PA/NP assist | $33.11 | $33.11 | $70.79 |
Where North Carolina sits
The same service costs 4.4 times more in Alaska than in Texas. 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· 23rd of 51
$251
AK $676TX $155
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.