How much rates vary
Facilitymedian $562 · 10th to 90th $162 to $955Professionalmedian $234 · 10th to 90th $151 to $501
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 $162.18 Median $162.18 Typical High $162.18 | Facility | None | $162.18 | $162.18 | $162.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $162.18 Typical High $169.82 | Professional | None (both parts) | $162.18 | $162.18 | $169.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $20.89 Typical High $22.39 | Professional | 26 · Professional part | $20.89 | $20.89 | $22.39 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $141.25 Typical High $169.82 | Professional | TC · Technical part | $141.25 | $141.25 | $169.82 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $56.23 Typical High $64.57 | Professional | 26 · Professional part | $37.15 | $56.23 | $64.57 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $245.47 Typical High $407.38 | Professional | TC · Technical part | $162.18 | $245.47 | $407.38 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $954.99 Typical High $954.99 | Facility | None | $602.56 | $954.99 | $954.99 |
Cigna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $269.15 Typical High $524.81 | Professional | None (both parts) | $144.54 | $269.15 | $524.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $35.48 Typical High $66.07 | Professional | 26 · Professional part | $26.92 | $35.48 | $66.07 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $234.42 Typical High $457.09 | Professional | TC · Technical part | $117.49 | $234.42 | $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 $162.18 Median $162.18 Typical High $199.53 | Facility | None | $162.18 | $162.18 | $199.53 |
Medcost Setting Professional Modifier None (both parts) Typical Low $208.93 Median $245.47 Typical High $416.87 | Professional | None (both parts) | $208.93 | $245.47 | $416.87 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $40.74 Typical High $70.79 | Professional | 26 · Professional part | $28.84 | $40.74 | $70.79 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $208.93 Typical High $363.08 | Professional | TC · Technical part | $199.53 | $208.93 | $363.08 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | None (both parts) | $173.78 | $173.78 | $173.78 |
United Setting Professional Modifier None (both parts) Typical Low $158.49 Median $263.03 Typical High $512.86 | Professional | None (both parts) | $158.49 | $263.03 | $512.86 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $35.48 Typical High $66.07 | Professional | 26 · Professional part | $23.99 | $35.48 | $66.07 |
United Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $223.87 Typical High $457.09 | Professional | TC · Technical part | $134.90 | $223.87 | $457.09 |
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 $79.43 Median $81.28 Typical High $81.28 | Professional | 52 · Reduced service | $79.43 | $81.28 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $32.36 Typical High $32.36 | Professional | 53 · Discontinued | $31.62 | $32.36 | $32.36 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $125.89 Median $128.82 Typical High $128.82 | Professional | FX · Film X-ray | $125.89 | $128.82 | $128.82 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $104.71 Median $123.03 Typical High $263.03 | Professional | 51 · Multiple procedures | $104.71 | $123.03 | $263.03 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $41.69 Median $48.98 Typical High $107.15 | Professional | 80 · Assistant surgeon | $41.69 | $48.98 | $107.15 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $29.51 Median $34.67 Typical High $74.13 | Professional | 81 · Minimal assistant surgeon | $29.51 | $34.67 | $74.13 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $29.51 Median $34.67 Typical High $74.13 | Professional | 82 · Assistant surgeon, no resident | $29.51 | $34.67 | $74.13 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $29.51 Median $34.67 Typical High $74.13 | Professional | AS · PA/NP assist | $29.51 | $34.67 | $74.13 |
Where North Carolina sits
The same service costs 4.6 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
$234
AK $741KY $162
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.