How much rates vary
Facilitymedian $417 · 10th to 90th $288 to $1,622Professionalmedian $407 · 10th to 90th $269 to $891
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 $288.40 Median $288.40 Typical High $416.87 | Facility | None | $288.40 | $288.40 | $416.87 |
Aetna Setting Professional Modifier None (both parts) Typical Low $281.84 Median $288.40 Typical High $537.03 | Professional | None (both parts) | $281.84 | $288.40 | $537.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $41.69 Typical High $85.11 | Professional | 26 · Professional part | $41.69 | $41.69 | $85.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $245.47 Typical High $457.09 | Professional | TC · Technical part | $229.09 | $245.47 | $457.09 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | 26 · Professional part | $35.48 | $35.48 | $35.48 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $112.20 Typical High $131.83 | Professional | 26 · Professional part | $74.13 | $112.20 | $131.83 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $416.87 Typical High $630.96 | Professional | TC · Technical part | $295.12 | $416.87 | $630.96 |
Cigna Setting Facility Modifier None Typical Low $1,023.29 Median $1,621.81 Typical High $1,621.81 | Facility | None | $1,023.29 | $1,621.81 | $1,621.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $251.19 Median $478.63 Typical High $933.25 | Professional | None (both parts) | $251.19 | $478.63 | $933.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $72.44 Typical High $134.90 | Professional | 26 · Professional part | $54.95 | $72.44 | $134.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $416.87 Typical High $812.83 | Professional | TC · Technical part | $194.98 | $416.87 | $812.83 |
Medcost Setting Professional Modifier None Typical Low $371.54 Median $371.54 Typical High $371.54 | Professional | None | $371.54 | $371.54 | $371.54 |
Medcost Setting Facility Modifier None Typical Low $288.40 Median $288.40 Typical High $338.84 | Facility | None | $288.40 | $288.40 | $338.84 |
Medcost Setting Professional Modifier None (both parts) Typical Low $363.08 Median $416.87 Typical High $724.44 | Professional | None (both parts) | $363.08 | $416.87 | $724.44 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $81.28 Typical High $147.91 | Professional | 26 · Professional part | $58.88 | $81.28 | $147.91 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $346.74 Median $346.74 Typical High $616.60 | Professional | TC · Technical part | $346.74 | $346.74 | $616.60 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | None (both parts) | $295.12 | $295.12 | $295.12 |
United Setting Professional Modifier None (both parts) Typical Low $281.84 Median $467.74 Typical High $933.25 | Professional | None (both parts) | $281.84 | $467.74 | $933.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $72.44 Typical High $134.90 | Professional | 26 · Professional part | $48.98 | $72.44 | $134.90 |
United Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $389.05 Typical High $794.33 | Professional | TC · Technical part | $234.42 | $389.05 | $794.33 |
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 $141.25 Median $144.54 Typical High $144.54 | Professional | 52 · Reduced service | $141.25 | $144.54 | $144.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $57.54 Typical High $57.54 | Professional | 53 · Discontinued | $56.23 | $57.54 | $57.54 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $218.78 Median $229.09 Typical High $229.09 | Professional | FX · Film X-ray | $218.78 | $229.09 | $229.09 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $181.97 Median $208.93 Typical High $467.74 | Professional | 51 · Multiple procedures | $181.97 | $208.93 | $467.74 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $72.44 Median $83.18 Typical High $186.21 | Professional | 80 · Assistant surgeon | $72.44 | $83.18 | $186.21 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $50.12 Median $57.54 Typical High $128.82 | Professional | 81 · Minimal assistant surgeon | $50.12 | $57.54 | $128.82 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $50.12 Median $57.54 Typical High $128.82 | Professional | 82 · Assistant surgeon, no resident | $50.12 | $57.54 | $128.82 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $50.12 Median $57.54 Typical High $128.82 | Professional | AS · PA/NP assist | $50.12 | $57.54 | $128.82 |
Where North Carolina sits
The same service costs 3.8 times more in Alaska than in Florida. 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· 26th of 51
$407
AK $1,047FL $275
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.