How much rates vary
Facilitymedian $603 · 10th to 90th $170 to $933Professionalmedian $275 · 10th to 90th $170 to $550
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 $169.82 Median $169.82 Typical High $169.82 | Facility | None | $169.82 | $169.82 | $169.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $169.82 Typical High $186.21 | Professional | None (both parts) | $169.82 | $169.82 | $186.21 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $25.12 Typical High $28.18 | Professional | 26 · Professional part | $25.12 | $25.12 | $28.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $144.54 Typical High $151.36 | Professional | TC · Technical part | $144.54 | $144.54 | $151.36 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $70.79 Typical High $91.20 | Professional | 26 · Professional part | $45.71 | $70.79 | $91.20 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $295.12 Typical High $512.86 | Professional | TC · Technical part | $239.88 | $295.12 | $512.86 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $933.25 Typical High $933.25 | Facility | None | $602.56 | $933.25 | $933.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $204.17 Median $331.13 Typical High $616.60 | Professional | None (both parts) | $204.17 | $331.13 | $616.60 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $51.29 Typical High $87.10 | Professional | 26 · Professional part | $36.31 | $51.29 | $87.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $288.40 Typical High $524.81 | Professional | TC · Technical part | $162.18 | $288.40 | $524.81 |
Medcost Setting Professional Modifier None Typical Low $302.00 Median $302.00 Typical High $302.00 | Professional | None | $302.00 | $302.00 | $302.00 |
Medcost Setting Facility Modifier None Typical Low $169.82 Median $169.82 Typical High $204.17 | Facility | None | $169.82 | $169.82 | $204.17 |
Medcost Setting Professional Modifier None (both parts) Typical Low $234.42 Median $295.12 Typical High $457.09 | Professional | None (both parts) | $234.42 | $295.12 | $457.09 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $45.71 Typical High $95.50 | Professional | 26 · Professional part | $34.67 | $45.71 | $95.50 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $275.42 Typical High $436.52 | Professional | TC · Technical part | $199.53 | $275.42 | $436.52 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | None (both parts) | $239.88 | $239.88 | $239.88 |
United Setting Professional Modifier None (both parts) Typical Low $208.93 Median $309.03 Typical High $537.03 | Professional | None (both parts) | $208.93 | $309.03 | $537.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $46.77 Typical High $79.43 | Professional | 26 · Professional part | $33.11 | $46.77 | $79.43 |
United Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $263.03 Typical High $467.74 | Professional | TC · Technical part | $177.83 | $263.03 | $467.74 |
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 $85.11 Median $85.11 Typical High $91.20 | Professional | 52 · Reduced service | $85.11 | $85.11 | $91.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $33.88 Typical High $37.15 | Professional | 53 · Discontinued | $33.88 | $33.88 | $37.15 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | FX · Film X-ray | $134.90 | $134.90 | $134.90 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $120.23 Median $165.96 Typical High $281.84 | Professional | 51 · Multiple procedures | $120.23 | $165.96 | $281.84 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $47.86 Median $66.07 Typical High $112.20 | Professional | 80 · Assistant surgeon | $47.86 | $66.07 | $112.20 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $33.88 Median $46.77 Typical High $77.62 | Professional | 81 · Minimal assistant surgeon | $33.88 | $46.77 | $77.62 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $33.88 Median $46.77 Typical High $77.62 | Professional | 82 · Assistant surgeon, no resident | $33.88 | $46.77 | $77.62 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $33.88 Median $46.77 Typical High $77.62 | Professional | AS · PA/NP assist | $33.88 | $46.77 | $77.62 |
Where North Carolina sits
The same service costs 4.4 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· 25th of 51
$275
AK $741TX $170
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.