How much rates vary
Facilitymedian $69 · 10th to 90th $69 to $89Professionalmedian $112 · 10th to 90th $69 to $219
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 $69.18 Median $69.18 Typical High $69.18 | Facility | None | $69.18 | $69.18 | $69.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $69.18 Median $69.18 Typical High $144.54 | Professional | None (both parts) | $69.18 | $69.18 | $144.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $23.99 Typical High $48.98 | Professional | 26 · Professional part | $23.99 | $23.99 | $48.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $45.71 Typical High $102.33 | Professional | TC · Technical part | $45.71 | $45.71 | $102.33 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $48.98 Median $48.98 Typical High $48.98 | Professional | None (both parts) | $48.98 | $48.98 | $48.98 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $60.26 Typical High $79.43 | Professional | 26 · Professional part | $45.71 | $60.26 | $79.43 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $95.50 Typical High $154.88 | Professional | TC · Technical part | $72.44 | $95.50 | $154.88 |
Cigna Setting Facility Modifier None Typical Low $199.53 Median $199.53 Typical High $199.53 | Facility | None | $199.53 | $199.53 | $199.53 |
Cigna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $120.23 Typical High $229.09 | Professional | None (both parts) | $87.10 | $120.23 | $229.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $43.65 Typical High $75.86 | Professional | 26 · Professional part | $33.11 | $43.65 | $75.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $77.62 Typical High $151.36 | Professional | TC · Technical part | $53.70 | $77.62 | $151.36 |
Medcost Setting Professional Modifier None Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | None | $138.04 | $138.04 | $138.04 |
Medcost Setting Facility Modifier None Typical Low $69.18 Median $69.18 Typical High $89.13 | Facility | None | $69.18 | $69.18 | $89.13 |
Medcost Setting Professional Modifier None (both parts) Typical Low $83.18 Median $117.49 Typical High $186.21 | Professional | None (both parts) | $83.18 | $117.49 | $186.21 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $42.66 Typical High $74.13 | Professional | 26 · Professional part | $33.11 | $42.66 | $74.13 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $87.10 Typical High $128.82 | Professional | TC · Technical part | $63.10 | $87.10 | $128.82 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | None (both parts) | $102.33 | $102.33 | $102.33 |
United Setting Professional Modifier None (both parts) Typical Low $79.43 Median $123.03 Typical High $223.87 | Professional | None (both parts) | $79.43 | $123.03 | $223.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $40.74 Typical High $75.86 | Professional | 26 · Professional part | $28.84 | $40.74 | $75.86 |
United Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $83.18 Typical High $144.54 | Professional | TC · Technical part | $52.48 | $83.18 | $144.54 |
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 $34.67 Median $34.67 Typical High $38.90 | Professional | 52 · Reduced service | $34.67 | $34.67 | $38.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $13.80 Typical High $15.49 | Professional | 53 · Discontinued | $13.80 | $13.80 | $15.49 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $54.95 Median $54.95 Typical High $56.23 | Professional | FX · Film X-ray | $54.95 | $54.95 | $56.23 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $42.66 Median $66.07 Typical High $114.82 | Professional | 51 · Multiple procedures | $42.66 | $66.07 | $114.82 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $16.98 Median $26.30 Typical High $45.71 | Professional | 80 · Assistant surgeon | $16.98 | $26.30 | $45.71 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $12.02 Median $18.62 Typical High $32.36 | Professional | 81 · Minimal assistant surgeon | $12.02 | $18.62 | $32.36 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $12.02 Median $18.62 Typical High $32.36 | Professional | 82 · Assistant surgeon, no resident | $12.02 | $18.62 | $32.36 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $12.02 Median $18.62 Typical High $32.36 | Professional | AS · PA/NP assist | $12.02 | $18.62 | $32.36 |
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· 21st of 51
$112
AK $302FL $66.07
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.