How much rates vary
Facilitymedian $331 · 10th to 90th $95 to $513Professionalmedian $191 · 10th to 90th $95 to $316
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 $95.50 Median $95.50 Typical High $95.50 | Facility | None | $95.50 | $95.50 | $95.50 |
Aetna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $95.50 Typical High $114.82 | Professional | None (both parts) | $95.50 | $95.50 | $114.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $22.39 Typical High $25.12 | Professional | 26 · Professional part | $22.39 | $22.39 | $25.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $74.13 Typical High $89.13 | Professional | TC · Technical part | $74.13 | $74.13 | $89.13 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $53.70 Typical High $79.43 | Professional | 26 · Professional part | $39.81 | $53.70 | $79.43 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $204.17 Typical High $309.03 | Professional | TC · Technical part | $162.18 | $204.17 | $309.03 |
Cigna Setting Facility Modifier None Typical Low $331.13 Median $512.86 Typical High $512.86 | Facility | None | $331.13 | $512.86 | $512.86 |
Cigna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $208.93 Typical High $354.81 | Professional | None (both parts) | $158.49 | $208.93 | $354.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $44.67 Typical High $75.86 | Professional | 26 · Professional part | $31.62 | $44.67 | $75.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $162.18 Typical High $275.42 | Professional | TC · Technical part | $123.03 | $162.18 | $275.42 |
Medcost Setting Professional Modifier None Typical Low $288.40 Median $288.40 Typical High $288.40 | Professional | None | $288.40 | $288.40 | $288.40 |
Medcost Setting Facility Modifier None Typical Low $95.50 Median $95.50 Typical High $123.03 | Facility | None | $95.50 | $95.50 | $123.03 |
Medcost Setting Professional Modifier None (both parts) Typical Low $128.82 Median $229.09 Typical High $295.12 | Professional | None (both parts) | $128.82 | $229.09 | $295.12 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $40.74 Typical High $83.18 | Professional | 26 · Professional part | $30.90 | $40.74 | $83.18 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $194.98 Typical High $229.09 | Professional | TC · Technical part | $100.00 | $194.98 | $229.09 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $229.09 Median $229.09 Typical High $229.09 | Professional | None (both parts) | $229.09 | $229.09 | $229.09 |
United Setting Professional Modifier None (both parts) Typical Low $128.82 Median $194.98 Typical High $309.03 | Professional | None (both parts) | $128.82 | $194.98 | $309.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $41.69 Typical High $70.79 | Professional | 26 · Professional part | $29.51 | $41.69 | $70.79 |
United Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $151.36 Typical High $234.42 | Professional | TC · Technical part | $97.72 | $151.36 | $234.42 |
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 $47.86 Median $47.86 Typical High $56.23 | Professional | 52 · Reduced service | $47.86 | $47.86 | $56.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $19.05 Typical High $22.91 | Professional | 53 · Discontinued | $19.05 | $19.05 | $22.91 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | FX · Film X-ray | $77.62 | $77.62 | $77.62 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $93.33 Median $112.20 Typical High $158.49 | Professional | 51 · Multiple procedures | $93.33 | $112.20 | $158.49 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $38.02 Median $45.71 Typical High $64.57 | Professional | 80 · Assistant surgeon | $38.02 | $45.71 | $64.57 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $26.30 Median $31.62 Typical High $44.67 | Professional | 81 · Minimal assistant surgeon | $26.30 | $31.62 | $44.67 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $26.30 Median $31.62 Typical High $44.67 | Professional | 82 · Assistant surgeon, no resident | $26.30 | $31.62 | $44.67 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $26.30 Median $31.62 Typical High $44.67 | Professional | AS · PA/NP assist | $26.30 | $31.62 | $44.67 |
Where North Carolina sits
The same service costs 4.6 times more in Alabama 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· 16th of 51
$191
AL $479TX $105
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.