How much rates vary
Facilitymedian $537 · 10th to 90th $141 to $832Professionalmedian $209 · 10th to 90th $132 to $457
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 $141.25 Median $141.25 Typical High $141.25 | Facility | None | $141.25 | $141.25 | $141.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $141.25 Typical High $147.91 | Professional | None (both parts) | $141.25 | $141.25 | $147.91 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $14.79 Typical High $16.22 | Professional | 26 · Professional part | $14.79 | $14.79 | $16.22 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $125.89 Typical High $144.54 | Professional | TC · Technical part | $125.89 | $125.89 | $144.54 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $41.69 Typical High $52.48 | Professional | 26 · Professional part | $26.30 | $41.69 | $52.48 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $234.42 Typical High $436.52 | Professional | TC · Technical part | $177.83 | $234.42 | $436.52 |
Cigna Setting Facility Modifier None Typical Low $537.03 Median $831.76 Typical High $831.76 | Facility | None | $537.03 | $831.76 | $831.76 |
Cigna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $251.19 Typical High $512.86 | Professional | None (both parts) | $117.49 | $251.19 | $512.86 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $28.84 Typical High $50.12 | Professional | 26 · Professional part | $21.38 | $28.84 | $50.12 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $239.88 Typical High $457.09 | Professional | TC · Technical part | $95.50 | $239.88 | $457.09 |
Medcost Setting Professional Modifier None Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | None | $213.80 | $213.80 | $213.80 |
Medcost Setting Facility Modifier None Typical Low $141.25 Median $141.25 Typical High $169.82 | Facility | None | $141.25 | $141.25 | $169.82 |
Medcost Setting Professional Modifier None (both parts) Typical Low $138.04 Median $208.93 Typical High $380.19 | Professional | None (both parts) | $138.04 | $208.93 | $380.19 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $26.92 Typical High $53.70 | Professional | 26 · Professional part | $20.42 | $26.92 | $53.70 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $218.78 Typical High $354.81 | Professional | TC · Technical part | $177.83 | $218.78 | $354.81 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | None (both parts) | $138.04 | $138.04 | $138.04 |
United Setting Professional Modifier None (both parts) Typical Low $138.04 Median $251.19 Typical High $457.09 | Professional | None (both parts) | $138.04 | $251.19 | $457.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $26.30 Typical High $47.86 | Professional | 26 · Professional part | $19.05 | $26.30 | $47.86 |
United Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $223.87 Typical High $407.38 | Professional | TC · Technical part | $134.90 | $223.87 | $407.38 |
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 $70.79 Median $70.79 Typical High $74.13 | Professional | 52 · Reduced service | $70.79 | $70.79 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $28.18 Typical High $29.51 | Professional | 53 · Discontinued | $28.18 | $28.18 | $29.51 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $109.65 Median $114.82 Typical High $114.82 | Professional | FX · Film X-ray | $109.65 | $114.82 | $114.82 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $69.18 Median $125.89 Typical High $234.42 | Professional | 51 · Multiple procedures | $69.18 | $125.89 | $234.42 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $27.54 Median $50.12 Typical High $93.33 | Professional | 80 · Assistant surgeon | $27.54 | $50.12 | $93.33 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $19.50 Median $35.48 Typical High $66.07 | Professional | 81 · Minimal assistant surgeon | $19.50 | $35.48 | $66.07 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $19.50 Median $35.48 Typical High $66.07 | Professional | 82 · Assistant surgeon, no resident | $19.50 | $35.48 | $66.07 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $19.50 Median $35.48 Typical High $66.07 | Professional | AS · PA/NP assist | $19.50 | $35.48 | $66.07 |
Where North Carolina sits
The same service costs 4.5 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· 29th of 51
$214
AK $631FL $141
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.