How much rates vary
Facilitymedian $1,318 · 10th to 90th $363 to $2,188Professionalmedian $513 · 10th to 90th $295 to $1,096
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 $363.08 Median $363.08 Typical High $363.08 | Facility | None | $363.08 | $363.08 | $363.08 |
Aetna Setting Professional Modifier None (both parts) Typical Low $338.84 Median $363.08 Typical High $588.84 | Professional | None (both parts) | $338.84 | $363.08 | $588.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $31.62 Typical High $54.95 | Professional | 26 · Professional part | $31.62 | $31.62 | $54.95 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $331.13 Typical High $537.03 | Professional | TC · Technical part | $288.40 | $331.13 | $537.03 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $75.86 Typical High $97.72 | Professional | 26 · Professional part | $56.23 | $75.86 | $97.72 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $407.38 Median $549.54 Typical High $933.25 | Professional | TC · Technical part | $407.38 | $549.54 | $933.25 |
Cigna Setting Facility Modifier None Typical Low $1,412.54 Median $2,187.76 Typical High $2,187.76 | Facility | None | $1,412.54 | $2,187.76 | $2,187.76 |
Cigna Setting Professional Modifier None (both parts) Typical Low $257.04 Median $602.56 Typical High $1,202.26 | Professional | None (both parts) | $257.04 | $602.56 | $1,202.26 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $53.70 Typical High $100.00 | Professional | 26 · Professional part | $41.69 | $53.70 | $100.00 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $549.54 Typical High $1,096.48 | Professional | TC · Technical part | $218.78 | $549.54 | $1,096.48 |
Medcost Setting Professional Modifier None Typical Low $446.68 Median $446.68 Typical High $446.68 | Professional | None | $446.68 | $446.68 | $446.68 |
Medcost Setting Facility Modifier None Typical Low $363.08 Median $363.08 Typical High $426.58 | Facility | None | $363.08 | $363.08 | $426.58 |
Medcost Setting Professional Modifier None (both parts) Typical Low $309.03 Median $512.86 Typical High $912.01 | Professional | None (both parts) | $309.03 | $512.86 | $912.01 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $52.48 Typical High $97.72 | Professional | 26 · Professional part | $44.67 | $52.48 | $97.72 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $489.78 Typical High $870.96 | Professional | TC · Technical part | $257.04 | $489.78 | $870.96 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $309.03 Median $309.03 Typical High $309.03 | Professional | None (both parts) | $309.03 | $309.03 | $309.03 |
United Setting Professional Modifier None (both parts) Typical Low $338.84 Median $575.44 Typical High $1,174.90 | Professional | None (both parts) | $338.84 | $575.44 | $1,174.90 |
United Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $54.95 Typical High $102.33 | Professional | 26 · Professional part | $36.31 | $54.95 | $102.33 |
United Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $524.81 Typical High $1,096.48 | Professional | TC · Technical part | $309.03 | $524.81 | $1,096.48 |
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 $173.78 Median $181.97 Typical High $181.97 | Professional | 52 · Reduced service | $173.78 | $181.97 | $181.97 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $69.18 Median $72.44 Typical High $72.44 | Professional | 53 · Discontinued | $69.18 | $72.44 | $72.44 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $275.42 Median $295.12 Typical High $295.12 | Professional | FX · Film X-ray | $275.42 | $295.12 | $295.12 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $151.36 Median $275.42 Typical High $588.84 | Professional | 51 · Multiple procedures | $151.36 | $275.42 | $588.84 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $61.66 Median $109.65 Typical High $234.42 | Professional | 80 · Assistant surgeon | $61.66 | $109.65 | $234.42 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $42.66 Median $75.86 Typical High $165.96 | Professional | 81 · Minimal assistant surgeon | $42.66 | $75.86 | $165.96 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $42.66 Median $75.86 Typical High $165.96 | Professional | 82 · Assistant surgeon, no resident | $42.66 | $75.86 | $165.96 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $42.66 Median $75.86 Typical High $165.96 | Professional | AS · PA/NP assist | $42.66 | $75.86 | $165.96 |
Where North Carolina sits
The same service costs 4.6 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· 28th of 51
$513
AK $1,585KY $347
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.