How much rates vary
Facilitymedian $724 · 10th to 90th $204 to $1,148Professionalmedian $309 · 10th to 90th $204 to $646
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 $204.17 Median $204.17 Typical High $204.17 | Facility | None | $204.17 | $204.17 | $204.17 |
Aetna Setting Professional Modifier None (both parts) Typical Low $204.17 Median $204.17 Typical High $208.93 | Professional | None (both parts) | $204.17 | $204.17 | $208.93 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | 26 · Professional part | $33.11 | $33.11 | $33.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $173.78 Typical High $177.83 | Professional | TC · Technical part | $173.78 | $173.78 | $177.83 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $69.18 Typical High $107.15 | Professional | 26 · Professional part | $33.11 | $69.18 | $107.15 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $316.23 Typical High $524.81 | Professional | TC · Technical part | $245.47 | $316.23 | $524.81 |
Cigna Setting Facility Modifier None Typical Low $724.44 Median $1,148.15 Typical High $1,148.15 | Facility | None | $724.44 | $1,148.15 | $1,148.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $208.93 Median $338.84 Typical High $660.69 | Professional | None (both parts) | $208.93 | $338.84 | $660.69 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $58.88 Typical High $104.71 | Professional | 26 · Professional part | $44.67 | $58.88 | $104.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $288.40 Typical High $562.34 | Professional | TC · Technical part | $162.18 | $288.40 | $562.34 |
Medcost Setting Professional Modifier None Typical Low $309.03 Median $309.03 Typical High $309.03 | Professional | None | $309.03 | $309.03 | $309.03 |
Medcost Setting Facility Modifier None Typical Low $204.17 Median $204.17 Typical High $245.47 | Facility | None | $204.17 | $204.17 | $245.47 |
Medcost Setting Professional Modifier None (both parts) Typical Low $245.47 Median $331.13 Typical High $537.03 | Professional | None (both parts) | $245.47 | $331.13 | $537.03 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $57.54 Typical High $120.23 | Professional | 26 · Professional part | $46.77 | $57.54 | $120.23 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $275.42 Typical High $436.52 | Professional | TC · Technical part | $245.47 | $275.42 | $436.52 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $245.47 Median $245.47 Typical High $245.47 | Professional | None (both parts) | $245.47 | $245.47 | $245.47 |
United Setting Professional Modifier None (both parts) Typical Low $218.78 Median $338.84 Typical High $660.69 | Professional | None (both parts) | $218.78 | $338.84 | $660.69 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $57.54 Typical High $107.15 | Professional | 26 · Professional part | $38.90 | $57.54 | $107.15 |
United Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $302.00 Typical High $562.34 | Professional | TC · Technical part | $181.97 | $302.00 | $562.34 |
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 $102.33 Median $102.33 Typical High $104.71 | Professional | 52 · Reduced service | $102.33 | $102.33 | $104.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | 53 · Discontinued | $41.69 | $41.69 | $41.69 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $162.18 Median $165.96 Typical High $165.96 | Professional | FX · Film X-ray | $162.18 | $165.96 | $165.96 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $123.03 Median $169.82 Typical High $338.84 | Professional | 51 · Multiple procedures | $123.03 | $169.82 | $338.84 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $48.98 Median $67.61 Typical High $134.90 | Professional | 80 · Assistant surgeon | $48.98 | $67.61 | $134.90 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $34.67 Median $47.86 Typical High $93.33 | Professional | 81 · Minimal assistant surgeon | $34.67 | $47.86 | $93.33 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $34.67 Median $47.86 Typical High $93.33 | Professional | 82 · Assistant surgeon, no resident | $34.67 | $47.86 | $93.33 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $34.67 Median $47.86 Typical High $93.33 | Professional | AS · PA/NP assist | $34.67 | $47.86 | $93.33 |
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· 28th of 51
$309
AK $933FL $204
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.