How much rates vary
Facilitymedian $479 · 10th to 90th $145 to $851Professionalmedian $204 · 10th to 90th $123 to $437
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 $144.54 Median $144.54 Typical High $144.54 | Facility | None | $144.54 | $144.54 | $144.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | None (both parts) | $144.54 | $144.54 | $144.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $19.05 Typical High $19.05 | Professional | 26 · Professional part | $19.05 | $19.05 | $19.05 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | TC · Technical part | $125.89 | $125.89 | $125.89 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $39.81 Typical High $60.26 | Professional | 26 · Professional part | $34.67 | $39.81 | $60.26 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $218.78 Typical High $354.81 | Professional | TC · Technical part | $151.36 | $218.78 | $354.81 |
Cigna Setting Facility Modifier None Typical Low $549.54 Median $851.14 Typical High $851.14 | Facility | None | $549.54 | $851.14 | $851.14 |
Cigna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $239.88 Typical High $467.74 | Professional | None (both parts) | $112.20 | $239.88 | $467.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $33.11 Typical High $61.66 | Professional | 26 · Professional part | $25.12 | $33.11 | $61.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $208.93 Typical High $407.38 | Professional | TC · Technical part | $87.10 | $208.93 | $407.38 |
Medcost Setting Professional Modifier None Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | None | $177.83 | $177.83 | $177.83 |
Medcost Setting Facility Modifier None Typical Low $144.54 Median $144.54 Typical High $173.78 | Facility | None | $144.54 | $144.54 | $173.78 |
Medcost Setting Professional Modifier None (both parts) Typical Low $131.83 Median $208.93 Typical High $354.81 | Professional | None (both parts) | $131.83 | $208.93 | $354.81 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $32.36 Typical High $66.07 | Professional | 26 · Professional part | $26.92 | $32.36 | $66.07 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $177.83 Typical High $323.59 | Professional | TC · Technical part | $158.49 | $177.83 | $323.59 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | None (both parts) | $134.90 | $134.90 | $134.90 |
United Setting Professional Modifier None (both parts) Typical Low $131.83 Median $218.78 Typical High $467.74 | Professional | None (both parts) | $131.83 | $218.78 | $467.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $30.90 Typical High $61.66 | Professional | 26 · Professional part | $21.88 | $30.90 | $61.66 |
United Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $190.55 Typical High $407.38 | Professional | TC · Technical part | $112.20 | $190.55 | $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 $72.44 Median $72.44 Typical High $72.44 | Professional | 52 · Reduced service | $72.44 | $72.44 | $72.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | 53 · Discontinued | $28.84 | $28.84 | $28.84 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $112.20 Median $117.49 Typical High $117.49 | Professional | FX · Film X-ray | $112.20 | $117.49 | $117.49 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $66.07 Median $104.71 Typical High $239.88 | Professional | 51 · Multiple procedures | $66.07 | $104.71 | $239.88 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $26.30 Median $42.66 Typical High $95.50 | Professional | 80 · Assistant surgeon | $26.30 | $42.66 | $95.50 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $18.62 Median $29.51 Typical High $66.07 | Professional | 81 · Minimal assistant surgeon | $18.62 | $29.51 | $66.07 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $18.62 Median $29.51 Typical High $66.07 | Professional | 82 · Assistant surgeon, no resident | $18.62 | $29.51 | $66.07 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $18.62 Median $29.51 Typical High $66.07 | Professional | AS · PA/NP assist | $18.62 | $29.51 | $66.07 |
Where North Carolina sits
The same service costs 4.7 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
$204
AK $646KY $138
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.