How much rates vary
Facilitymedian $389 · 10th to 90th $363 to $2,089Professionalmedian $550 · 10th to 90th $363 to $1,148
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $363.08 Median $371.54 Typical High $524.81 | Facility | None | $363.08 | $371.54 | $524.81 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $38.02 Median $38.90 Typical High $56.23 | Facility | 26 · Professional part | $38.02 | $38.90 | $56.23 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $323.59 Median $331.13 Typical High $467.74 | Facility | TC · Technical part | $323.59 | $331.13 | $467.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $363.08 Median $380.19 Typical High $870.96 | Professional | None (both parts) | $363.08 | $380.19 | $870.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $38.02 Typical High $93.33 | Professional | 26 · Professional part | $38.02 | $38.02 | $93.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $338.84 Typical High $758.58 | Professional | TC · Technical part | $323.59 | $338.84 | $758.58 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $66.07 Typical High $131.83 | Professional | 26 · Professional part | $42.66 | $66.07 | $131.83 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $93.33 Typical High $120.23 | Professional | 26 · Professional part | $66.07 | $93.33 | $120.23 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $446.68 Median $549.54 Typical High $851.14 | Professional | TC · Technical part | $446.68 | $549.54 | $851.14 |
Cigna Setting Facility Modifier None Typical Low $1,348.96 Median $2,089.30 Typical High $2,089.30 | Facility | None | $1,348.96 | $2,089.30 | $2,089.30 |
Cigna Setting Professional Modifier None (both parts) Typical Low $501.19 Median $676.08 Typical High $1,230.27 | Professional | None (both parts) | $501.19 | $676.08 | $1,230.27 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $66.07 Typical High $123.03 | Professional | 26 · Professional part | $48.98 | $66.07 | $123.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $457.09 Median $616.60 Typical High $1,096.48 | Professional | TC · Technical part | $457.09 | $616.60 | $1,096.48 |
Medcost Setting Facility Modifier None Typical Low $363.08 Median $363.08 Typical High $426.58 | Facility | None | $363.08 | $363.08 | $426.58 |
Medcost Setting Professional Modifier None (both parts) Typical Low $436.52 Median $467.74 Typical High $912.01 | Professional | None (both parts) | $436.52 | $467.74 | $912.01 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $61.66 Typical High $107.15 | Professional | 26 · Professional part | $61.66 | $61.66 | $107.15 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $407.38 Median $407.38 Typical High $794.33 | Professional | TC · Technical part | $407.38 | $407.38 | $794.33 |
Oscar Health Setting Facility Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $2,454.71 | Facility | None | $2,454.71 | $2,454.71 | $2,454.71 |
United Setting Professional Modifier None (both parts) Typical Low $436.52 Median $630.96 Typical High $1,174.90 | Professional | None (both parts) | $436.52 | $630.96 | $1,174.90 |
United Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $66.07 Typical High $123.03 | Professional | 26 · Professional part | $44.67 | $66.07 | $123.03 |
United Setting Professional Modifier TC · Technical part Typical Low $398.11 Median $588.84 Typical High $1,047.13 | Professional | TC · Technical part | $398.11 | $588.84 | $1,047.13 |
6 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 FX · Film X-ray Typical Low $288.40 Median $288.40 Typical High $288.40 | Professional | FX · Film X-ray | $288.40 | $288.40 | $288.40 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $234.42 Median $234.42 Typical High $575.44 | Professional | 51 · Multiple procedures | $234.42 | $234.42 | $575.44 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $93.33 Median $93.33 Typical High $234.42 | Professional | 80 · Assistant surgeon | $93.33 | $93.33 | $234.42 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $66.07 Median $66.07 Typical High $162.18 | Professional | 81 · Minimal assistant surgeon | $66.07 | $66.07 | $162.18 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $66.07 Median $66.07 Typical High $162.18 | Professional | 82 · Assistant surgeon, no resident | $66.07 | $66.07 | $162.18 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $66.07 Median $66.07 Typical High $162.18 | Professional | AS · PA/NP assist | $66.07 | $66.07 | $162.18 |
Where North Carolina sits
The same service costs 3.7 times more in Alaska 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· 29th of 51
$525
AK $1,349TX $363
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.