How much rates vary
Facilitymedian $339 · 10th to 90th $282 to $1,585Professionalmedian $407 · 10th to 90th $269 to $871
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 $281.84 Median $288.40 Typical High $467.74 | Facility | None | $281.84 | $288.40 | $467.74 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $42.66 Median $47.86 Typical High $77.62 | Facility | 26 · Professional part | $42.66 | $47.86 | $77.62 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $239.88 Median $251.19 Typical High $398.11 | Facility | TC · Technical part | $239.88 | $251.19 | $398.11 |
Aetna Setting Professional Modifier None (both parts) Typical Low $281.84 Median $281.84 Typical High $660.69 | Professional | None (both parts) | $281.84 | $281.84 | $660.69 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $42.66 Typical High $107.15 | Professional | 26 · Professional part | $42.66 | $42.66 | $107.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $239.88 Typical High $562.34 | Professional | TC · Technical part | $229.09 | $239.88 | $562.34 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $74.13 Typical High $89.13 | Professional | 26 · Professional part | $47.86 | $74.13 | $89.13 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $114.82 Typical High $134.90 | Professional | 26 · Professional part | $75.86 | $114.82 | $134.90 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $407.38 Typical High $630.96 | Professional | TC · Technical part | $338.84 | $407.38 | $630.96 |
Cigna Setting Facility Modifier None Typical Low $1,023.29 Median $1,584.89 Typical High $1,584.89 | Facility | None | $1,023.29 | $1,584.89 | $1,584.89 |
Cigna Setting Professional Modifier None (both parts) Typical Low $245.47 Median $467.74 Typical High $933.25 | Professional | None (both parts) | $245.47 | $467.74 | $933.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $74.13 Typical High $138.04 | Professional | 26 · Professional part | $56.23 | $74.13 | $138.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $407.38 Typical High $794.33 | Professional | TC · Technical part | $190.55 | $407.38 | $794.33 |
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 $281.84 Median $281.84 Typical High $338.84 | Facility | None | $281.84 | $281.84 | $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 $60.26 Median $85.11 Typical High $151.36 | Professional | 26 · Professional part | $60.26 | $85.11 | $151.36 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $346.74 Typical High $602.56 | Professional | TC · Technical part | $309.03 | $346.74 | $602.56 |
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 $912.01 | Professional | None (both parts) | $281.84 | $467.74 | $912.01 |
United Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $74.13 Typical High $138.04 | Professional | 26 · Professional part | $50.12 | $74.13 | $138.04 |
United Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $389.05 Typical High $776.25 | Professional | TC · Technical part | $234.42 | $389.05 | $776.25 |
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 $138.04 Median $141.25 Typical High $141.25 | Professional | 52 · Reduced service | $138.04 | $141.25 | $141.25 |
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 $177.83 Median $218.78 Typical High $457.09 | Professional | 51 · Multiple procedures | $177.83 | $218.78 | $457.09 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $72.44 Median $87.10 Typical High $186.21 | Professional | 80 · Assistant surgeon | $72.44 | $87.10 | $186.21 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $50.12 Median $60.26 Typical High $128.82 | Professional | 81 · Minimal assistant surgeon | $50.12 | $60.26 | $128.82 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $50.12 Median $60.26 Typical High $128.82 | Professional | 82 · Assistant surgeon, no resident | $50.12 | $60.26 | $128.82 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $50.12 Median $60.26 Typical High $128.82 | Professional | AS · PA/NP assist | $50.12 | $60.26 | $128.82 |
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· 30th of 51
$398
AK $1,288KY $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.