How much rates vary
Facilitymedian $631 · 10th to 90th $178 to $1,000Professionalmedian $257 · 10th to 90th $170 to $562
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 $177.83 Median $177.83 Typical High $177.83 | Facility | None | $177.83 | $177.83 | $177.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $177.83 Median $177.83 Typical High $208.93 | Professional | None (both parts) | $177.83 | $177.83 | $208.93 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $30.20 Typical High $36.31 | Professional | 26 · Professional part | $30.20 | $30.20 | $36.31 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $147.91 Typical High $199.53 | Professional | TC · Technical part | $147.91 | $147.91 | $199.53 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $64.57 Typical High $100.00 | Professional | 26 · Professional part | $50.12 | $64.57 | $100.00 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $263.03 Typical High $446.68 | Professional | TC · Technical part | $194.98 | $263.03 | $446.68 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $1,000.00 Typical High $1,000.00 | Facility | None | $630.96 | $1,000.00 | $1,000.00 |
Cigna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $302.00 Typical High $602.56 | Professional | None (both parts) | $154.88 | $302.00 | $602.56 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $54.95 Typical High $100.00 | Professional | 26 · Professional part | $41.69 | $54.95 | $100.00 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $251.19 Typical High $501.19 | Professional | TC · Technical part | $114.82 | $251.19 | $501.19 |
Medcost Setting Professional Modifier None Typical Low $245.47 Median $245.47 Typical High $245.47 | Professional | None | $245.47 | $245.47 | $245.47 |
Medcost Setting Facility Modifier None Typical Low $177.83 Median $177.83 Typical High $229.09 | Facility | None | $177.83 | $177.83 | $229.09 |
Medcost Setting Professional Modifier None (both parts) Typical Low $186.21 Median $257.04 Typical High $457.09 | Professional | None (both parts) | $186.21 | $257.04 | $457.09 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $53.70 Typical High $97.72 | Professional | 26 · Professional part | $41.69 | $53.70 | $97.72 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $245.47 Typical High $380.19 | Professional | TC · Technical part | $208.93 | $245.47 | $380.19 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $186.21 Median $186.21 Typical High $186.21 | Professional | None (both parts) | $186.21 | $186.21 | $186.21 |
United Setting Professional Modifier None (both parts) Typical Low $181.97 Median $302.00 Typical High $575.44 | Professional | None (both parts) | $181.97 | $302.00 | $575.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $53.70 Typical High $97.72 | Professional | 26 · Professional part | $35.48 | $53.70 | $97.72 |
United Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $245.47 Typical High $478.63 | Professional | TC · Technical part | $147.91 | $245.47 | $478.63 |
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 $89.13 Median $89.13 Typical High $91.20 | Professional | 52 · Reduced service | $89.13 | $89.13 | $91.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $35.48 Typical High $36.31 | Professional | 53 · Discontinued | $35.48 | $35.48 | $36.31 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $138.04 Median $141.25 Typical High $141.25 | Professional | FX · Film X-ray | $138.04 | $141.25 | $141.25 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $93.33 Median $147.91 Typical High $288.40 | Professional | 51 · Multiple procedures | $93.33 | $147.91 | $288.40 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $37.15 Median $58.88 Typical High $114.82 | Professional | 80 · Assistant surgeon | $37.15 | $58.88 | $114.82 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $25.70 Median $41.69 Typical High $81.28 | Professional | 81 · Minimal assistant surgeon | $25.70 | $41.69 | $81.28 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $25.70 Median $41.69 Typical High $81.28 | Professional | 82 · Assistant surgeon, no resident | $25.70 | $41.69 | $81.28 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $25.70 Median $41.69 Typical High $81.28 | Professional | AS · PA/NP assist | $25.70 | $41.69 | $81.28 |
Where North Carolina sits
The same service costs 4.6 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
$257
AK $794TX $174
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.