How much rates vary
Facilitymedian $832 · 10th to 90th $234 to $1,318Professionalmedian $339 · 10th to 90th $214 to $724
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 $234.42 | Facility | None | $234.42 | $234.42 | $234.42 |
Aetna Setting Professional Modifier None (both parts) Typical Low $234.42 Median $234.42 Typical High $245.47 | Professional | None (both parts) | $234.42 | $234.42 | $245.47 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $29.51 Typical High $33.11 | Professional | 26 · Professional part | $29.51 | $29.51 | $33.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $204.17 Typical High $213.80 | Professional | TC · Technical part | $204.17 | $204.17 | $213.80 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $72.44 Typical High $104.71 | Professional | 26 · Professional part | $57.54 | $72.44 | $104.71 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $371.54 Typical High $602.56 | Professional | TC · Technical part | $281.84 | $371.54 | $602.56 |
Cigna Setting Facility Modifier None Typical Low $831.76 Median $1,318.26 Typical High $1,318.26 | Facility | None | $831.76 | $1,318.26 | $1,318.26 |
Cigna Setting Professional Modifier None (both parts) Typical Low $186.21 Median $398.11 Typical High $776.25 | Professional | None (both parts) | $186.21 | $398.11 | $776.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $58.88 Typical High $95.50 | Professional | 26 · Professional part | $42.66 | $58.88 | $95.50 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $346.74 Typical High $676.08 | Professional | TC · Technical part | $138.04 | $346.74 | $676.08 |
Medcost Setting Professional Modifier None Typical Low $389.05 Median $389.05 Typical High $389.05 | Professional | None | $389.05 | $389.05 | $389.05 |
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 $218.78 Median $331.13 Typical High $575.44 | Professional | None (both parts) | $218.78 | $331.13 | $575.44 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $54.95 Typical High $95.50 | Professional | 26 · Professional part | $41.69 | $54.95 | $95.50 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $346.74 Typical High $524.81 | Professional | TC · Technical part | $281.84 | $346.74 | $524.81 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | None (both parts) | $218.78 | $218.78 | $218.78 |
United Setting Professional Modifier None (both parts) Typical Low $223.87 Median $407.38 Typical High $758.58 | Professional | None (both parts) | $223.87 | $407.38 | $758.58 |
United Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $52.48 Typical High $95.50 | Professional | 26 · Professional part | $37.15 | $52.48 | $95.50 |
United Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $346.74 Typical High $645.65 | Professional | TC · Technical part | $208.93 | $346.74 | $645.65 |
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 $117.49 Median $117.49 Typical High $123.03 | Professional | 52 · Reduced service | $117.49 | $117.49 | $123.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $46.77 Typical High $48.98 | Professional | 53 · Discontinued | $46.77 | $46.77 | $48.98 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $177.83 Median $186.21 Typical High $186.21 | Professional | FX · Film X-ray | $177.83 | $186.21 | $186.21 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $109.65 Median $204.17 Typical High $371.54 | Professional | 51 · Multiple procedures | $109.65 | $204.17 | $371.54 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $43.65 Median $81.28 Typical High $147.91 | Professional | 80 · Assistant surgeon | $43.65 | $81.28 | $147.91 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $30.90 Median $56.23 Typical High $104.71 | Professional | 81 · Minimal assistant surgeon | $30.90 | $56.23 | $104.71 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $30.90 Median $56.23 Typical High $104.71 | Professional | 82 · Assistant surgeon, no resident | $30.90 | $56.23 | $104.71 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $30.90 Median $56.23 Typical High $104.71 | Professional | AS · PA/NP assist | $30.90 | $56.23 | $104.71 |
Where North Carolina sits
The same service costs 4.6 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· 30th of 51
$339
AK $1,023TX $224
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.