How much rates vary
Facilitymedian $115 · 10th to 90th $60 to $380Professionalmedian $89 · 10th to 90th $55 to $195
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 $60.26 Median $60.26 Typical High $60.26 | Facility | None | $60.26 | $60.26 | $60.26 |
Aetna Setting Professional Modifier None (both parts) Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | None (both parts) | $60.26 | $60.26 | $60.26 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $7.08 Typical High $7.76 | Professional | 26 · Professional part | $7.08 | $7.08 | $7.76 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $52.48 Typical High $53.70 | Professional | TC · Technical part | $52.48 | $52.48 | $53.70 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $16.22 Typical High $25.70 | Professional | 26 · Professional part | $12.30 | $16.22 | $25.70 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $100.00 Typical High $190.55 | Professional | TC · Technical part | $72.44 | $100.00 | $190.55 |
Cigna Setting Facility Modifier None Typical Low $239.88 Median $380.19 Typical High $380.19 | Facility | None | $239.88 | $380.19 | $380.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $48.98 Median $114.82 Typical High $234.42 | Professional | None (both parts) | $48.98 | $114.82 | $234.42 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $14.13 Typical High $23.99 | Professional | 26 · Professional part | $10.23 | $14.13 | $23.99 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $97.72 Typical High $213.80 | Professional | TC · Technical part | $38.02 | $97.72 | $213.80 |
Medcost Setting Professional Modifier None Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | None | $89.13 | $89.13 | $89.13 |
Medcost Setting Facility Modifier None Typical Low $60.26 Median $60.26 Typical High $79.43 | Facility | None | $60.26 | $60.26 | $79.43 |
Medcost Setting Professional Modifier None (both parts) Typical Low $58.88 Median $97.72 Typical High $162.18 | Professional | None (both parts) | $58.88 | $97.72 | $162.18 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $12.88 Typical High $28.18 | Professional | 26 · Professional part | $9.77 | $12.88 | $28.18 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $91.20 Typical High $173.78 | Professional | TC · Technical part | $70.79 | $91.20 | $173.78 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | None (both parts) | $58.88 | $58.88 | $58.88 |
United Setting Professional Modifier None (both parts) Typical Low $57.54 Median $104.71 Typical High $190.55 | Professional | None (both parts) | $57.54 | $104.71 | $190.55 |
United Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $12.59 Typical High $22.39 | Professional | 26 · Professional part | $9.33 | $12.59 | $22.39 |
United Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $93.33 Typical High $169.82 | Professional | TC · Technical part | $54.95 | $93.33 | $169.82 |
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 $30.20 Median $30.20 Typical High $30.20 | Professional | 52 · Reduced service | $30.20 | $30.20 | $30.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.02 Median $12.02 Typical High $12.02 | Professional | 53 · Discontinued | $12.02 | $12.02 | $12.02 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | FX · Film X-ray | $47.86 | $47.86 | $47.86 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $29.51 Median $52.48 Typical High $100.00 | Professional | 51 · Multiple procedures | $29.51 | $52.48 | $100.00 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $11.75 Median $20.89 Typical High $39.81 | Professional | 80 · Assistant surgeon | $11.75 | $20.89 | $39.81 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $8.32 Median $14.79 Typical High $28.18 | Professional | 81 · Minimal assistant surgeon | $8.32 | $14.79 | $28.18 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $8.32 Median $14.79 Typical High $28.18 | Professional | 82 · Assistant surgeon, no resident | $8.32 | $14.79 | $28.18 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $8.32 Median $14.79 Typical High $28.18 | Professional | AS · PA/NP assist | $8.32 | $14.79 | $28.18 |
Where North Carolina sits
The same service costs 8.1 times more in Alabama than in Indiana. 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
$89.13
AL $513IN $63.10
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.