How much rates vary
Facilitymedian $389 · 10th to 90th $107 to $603Professionalmedian $263 · 10th to 90th $107 to $407
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 $107.15 Median $107.15 Typical High $107.15 | Facility | None | $107.15 | $107.15 | $107.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $107.15 Typical High $128.82 | Professional | None (both parts) | $107.15 | $107.15 | $128.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $22.39 Typical High $24.55 | Professional | 26 · Professional part | $22.39 | $22.39 | $24.55 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $85.11 Typical High $102.33 | Professional | TC · Technical part | $85.11 | $85.11 | $102.33 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $50.12 Typical High $81.28 | Professional | 26 · Professional part | $38.02 | $50.12 | $81.28 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $269.15 Typical High $537.03 | Professional | TC · Technical part | $234.42 | $269.15 | $537.03 |
Cigna Setting Facility Modifier None Typical Low $389.05 Median $602.56 Typical High $602.56 | Facility | None | $389.05 | $602.56 | $602.56 |
Cigna Setting Professional Modifier None (both parts) Typical Low $177.83 Median $323.59 Typical High $457.09 | Professional | None (both parts) | $177.83 | $323.59 | $457.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $44.67 Typical High $77.62 | Professional | 26 · Professional part | $31.62 | $44.67 | $77.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $269.15 Typical High $371.54 | Professional | TC · Technical part | $141.25 | $269.15 | $371.54 |
Medcost Setting Professional Modifier None Typical Low $489.78 Median $489.78 Typical High $489.78 | Professional | None | $489.78 | $489.78 | $489.78 |
Medcost Setting Facility Modifier None Typical Low $107.15 Median $107.15 Typical High $141.25 | Facility | None | $107.15 | $107.15 | $141.25 |
Medcost Setting Professional Modifier None (both parts) Typical Low $144.54 Median $288.40 Typical High $446.68 | Professional | None (both parts) | $144.54 | $288.40 | $446.68 |
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 $114.82 Median $251.19 Typical High $389.05 | Professional | TC · Technical part | $114.82 | $251.19 | $389.05 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $389.05 Median $389.05 Typical High $389.05 | Professional | None (both parts) | $389.05 | $389.05 | $389.05 |
United Setting Professional Modifier None (both parts) Typical Low $144.54 Median $245.47 Typical High $363.08 | Professional | None (both parts) | $144.54 | $245.47 | $363.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $41.69 Typical High $70.79 | Professional | 26 · Professional part | $28.84 | $41.69 | $70.79 |
United Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $204.17 Typical High $302.00 | Professional | TC · Technical part | $114.82 | $204.17 | $302.00 |
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 $53.70 Median $53.70 Typical High $64.57 | Professional | 52 · Reduced service | $53.70 | $53.70 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $21.88 Typical High $25.70 | Professional | 53 · Discontinued | $21.88 | $21.88 | $25.70 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | FX · Film X-ray | $87.10 | $87.10 | $87.10 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $117.49 Median $177.83 Typical High $234.42 | Professional | 51 · Multiple procedures | $117.49 | $177.83 | $234.42 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $47.86 Median $70.79 Typical High $93.33 | Professional | 80 · Assistant surgeon | $47.86 | $70.79 | $93.33 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $33.11 Median $50.12 Typical High $66.07 | Professional | 81 · Minimal assistant surgeon | $33.11 | $50.12 | $66.07 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $33.11 Median $50.12 Typical High $66.07 | Professional | 82 · Assistant surgeon, no resident | $33.11 | $50.12 | $66.07 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $33.11 Median $50.12 Typical High $66.07 | Professional | AS · PA/NP assist | $33.11 | $50.12 | $66.07 |
Where North Carolina sits
The same service costs 5.2 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· 10th of 51
$263
AL $550TX $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.