How much rates vary
Facilitymedian $603 · 10th to 90th $191 to $1,072Professionalmedian $263 · 10th to 90th $151 to $550
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 $190.55 Median $190.55 Typical High $190.55 | Facility | None | $190.55 | $190.55 | $190.55 |
Aetna Setting Professional Modifier None (both parts) Typical Low $177.83 Median $190.55 Typical High $316.23 | Professional | None (both parts) | $177.83 | $190.55 | $316.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $28.84 Typical High $50.12 | Professional | 26 · Professional part | $28.84 | $28.84 | $50.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $162.18 Typical High $263.03 | Professional | TC · Technical part | $134.90 | $162.18 | $263.03 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $72.44 Typical High $89.13 | Professional | 26 · Professional part | $51.29 | $72.44 | $89.13 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $257.04 Typical High $436.52 | Professional | TC · Technical part | $186.21 | $257.04 | $436.52 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $1,071.52 Typical High $1,071.52 | Facility | None | $691.83 | $1,071.52 | $1,071.52 |
Cigna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $316.23 Typical High $602.56 | Professional | None (both parts) | $141.25 | $316.23 | $602.56 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $48.98 Typical High $89.13 | Professional | 26 · Professional part | $38.02 | $48.98 | $89.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $263.03 Typical High $512.86 | Professional | TC · Technical part | $102.33 | $263.03 | $512.86 |
Medcost Setting Professional Modifier None Typical Low $229.09 Median $229.09 Typical High $229.09 | Professional | None | $229.09 | $229.09 | $229.09 |
Medcost Setting Facility Modifier None Typical Low $190.55 Median $190.55 Typical High $229.09 | Facility | None | $190.55 | $190.55 | $229.09 |
Medcost Setting Professional Modifier None (both parts) Typical Low $165.96 Median $263.03 Typical High $478.63 | Professional | None (both parts) | $165.96 | $263.03 | $478.63 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $47.86 Typical High $91.20 | Professional | 26 · Professional part | $39.81 | $47.86 | $91.20 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $229.09 Typical High $407.38 | Professional | TC · Technical part | $194.98 | $229.09 | $407.38 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | None (both parts) | $165.96 | $165.96 | $165.96 |
United Setting Professional Modifier None (both parts) Typical Low $169.82 Median $288.40 Typical High $602.56 | Professional | None (both parts) | $169.82 | $288.40 | $602.56 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $48.98 Typical High $93.33 | Professional | 26 · Professional part | $33.11 | $48.98 | $93.33 |
United Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $245.47 Typical High $512.86 | Professional | TC · Technical part | $144.54 | $245.47 | $512.86 |
8 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 $93.33 Median $95.50 Typical High $95.50 | Professional | 52 · Reduced service | $93.33 | $95.50 | $95.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $37.15 Median $38.02 Typical High $38.02 | Professional | 53 · Discontinued | $37.15 | $38.02 | $38.02 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $144.54 Median $151.36 Typical High $151.36 | Professional | FX · Film X-ray | $144.54 | $151.36 | $151.36 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $83.18 Median $138.04 Typical High $309.03 | Professional | 51 · Multiple procedures | $83.18 | $138.04 | $309.03 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $33.11 Median $54.95 Typical High $123.03 | Professional | 80 · Assistant surgeon | $33.11 | $54.95 | $123.03 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $23.44 Median $38.90 Typical High $87.10 | Professional | 81 · Minimal assistant surgeon | $23.44 | $38.90 | $87.10 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $23.44 Median $38.90 Typical High $87.10 | Professional | 82 · Assistant surgeon, no resident | $23.44 | $38.90 | $87.10 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $23.44 Median $38.90 Typical High $87.10 | Professional | AS · PA/NP assist | $23.44 | $38.90 | $87.10 |
Where North Carolina sits
The same service costs 4.9 times more in Alaska than in Kentucky. 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
$263
AK $851KY $174
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.