How much rates vary
Facilitymedian $347 · 10th to 90th $295 to $1,585Professionalmedian $407 · 10th to 90th $257 to $912
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 $295.12 Median $295.12 Typical High $478.63 | Facility | None | $295.12 | $295.12 | $478.63 |
Aetna Setting Professional Modifier None (both parts) Typical Low $275.42 Median $295.12 Typical High $588.84 | Professional | None (both parts) | $275.42 | $295.12 | $588.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $50.12 Typical High $102.33 | Professional | 26 · Professional part | $50.12 | $50.12 | $102.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $239.88 Typical High $501.19 | Professional | TC · Technical part | $223.87 | $239.88 | $501.19 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $102.33 Typical High $104.71 | Professional | 26 · Professional part | $56.23 | $102.33 | $104.71 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $131.83 Typical High $162.18 | Professional | 26 · Professional part | $87.10 | $131.83 | $162.18 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $407.38 Typical High $660.69 | Professional | TC · Technical part | $229.09 | $407.38 | $660.69 |
Cigna Setting Facility Modifier None Typical Low $1,023.29 Median $1,584.89 Typical High $1,584.89 | Facility | None | $1,023.29 | $1,584.89 | $1,584.89 |
Cigna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $478.63 Typical High $954.99 | Professional | None (both parts) | $229.09 | $478.63 | $954.99 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $89.13 Typical High $162.18 | Professional | 26 · Professional part | $67.61 | $89.13 | $162.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $407.38 Typical High $794.33 | Professional | TC · Technical part | $162.18 | $407.38 | $794.33 |
Medcost Setting Professional Modifier None Typical Low $371.54 Median $371.54 Typical High $371.54 | Professional | None | $371.54 | $371.54 | $371.54 |
Medcost Setting Facility Modifier None Typical Low $295.12 Median $295.12 Typical High $346.74 | Facility | None | $295.12 | $295.12 | $346.74 |
Medcost Setting Professional Modifier None (both parts) Typical Low $323.59 Median $446.68 Typical High $724.44 | Professional | None (both parts) | $323.59 | $446.68 | $724.44 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $100.00 Typical High $158.49 | Professional | 26 · Professional part | $69.18 | $100.00 | $158.49 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $354.81 Typical High $602.56 | Professional | TC · Technical part | $309.03 | $354.81 | $602.56 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $269.15 Median $269.15 Typical High $269.15 | Professional | None (both parts) | $269.15 | $269.15 | $269.15 |
United Setting Professional Modifier None (both parts) Typical Low $269.15 Median $457.09 Typical High $933.25 | Professional | None (both parts) | $269.15 | $457.09 | $933.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $87.10 Typical High $162.18 | Professional | 26 · Professional part | $57.54 | $87.10 | $162.18 |
United Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $380.19 Typical High $776.25 | Professional | TC · Technical part | $223.87 | $380.19 | $776.25 |
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 $141.25 Median $144.54 Typical High $144.54 | Professional | 52 · Reduced service | $141.25 | $144.54 | $144.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $57.54 Median $58.88 Typical High $58.88 | Professional | 53 · Discontinued | $57.54 | $58.88 | $58.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $223.87 Median $234.42 Typical High $234.42 | Professional | FX · Film X-ray | $223.87 | $234.42 | $234.42 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $162.18 Median $223.87 Typical High $467.74 | Professional | 51 · Multiple procedures | $162.18 | $223.87 | $467.74 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $64.57 Median $89.13 Typical High $190.55 | Professional | 80 · Assistant surgeon | $64.57 | $89.13 | $190.55 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $45.71 Median $61.66 Typical High $131.83 | Professional | 81 · Minimal assistant surgeon | $45.71 | $61.66 | $131.83 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $45.71 Median $61.66 Typical High $131.83 | Professional | 82 · Assistant surgeon, no resident | $45.71 | $61.66 | $131.83 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $45.71 Median $61.66 Typical High $131.83 | Professional | AS · PA/NP assist | $45.71 | $61.66 | $131.83 |
Where North Carolina sits
The same service costs 4.0 times more in Alaska than in Kentucky. 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
$407
AK $1,047KY $263
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.