How much rates vary
Facilitymedian $525 · 10th to 90th $155 to $813Professionalmedian $219 · 10th to 90th $151 to $479
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 $154.88 Median $154.88 Typical High $154.88 | Facility | None | $154.88 | $154.88 | $154.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $154.88 Typical High $186.21 | Professional | None (both parts) | $154.88 | $154.88 | $186.21 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $33.11 Typical High $39.81 | Professional | 26 · Professional part | $33.11 | $33.11 | $39.81 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $123.03 Typical High $162.18 | Professional | TC · Technical part | $123.03 | $123.03 | $162.18 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $83.18 Typical High $109.65 | Professional | 26 · Professional part | $61.66 | $83.18 | $109.65 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $223.87 Typical High $371.54 | Professional | TC · Technical part | $173.78 | $223.87 | $371.54 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $812.83 Typical High $812.83 | Facility | None | $524.81 | $812.83 | $812.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $263.03 Typical High $489.78 | Professional | None (both parts) | $134.90 | $263.03 | $489.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $58.88 Typical High $102.33 | Professional | 26 · Professional part | $44.67 | $58.88 | $102.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $204.17 Typical High $389.05 | Professional | TC · Technical part | $91.20 | $204.17 | $389.05 |
Medcost Setting Professional Modifier None Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | None | $208.93 | $208.93 | $208.93 |
Medcost Setting Facility Modifier None Typical Low $154.88 Median $154.88 Typical High $190.55 | Facility | None | $154.88 | $154.88 | $190.55 |
Medcost Setting Professional Modifier None (both parts) Typical Low $158.49 Median $257.04 Typical High $398.11 | Professional | None (both parts) | $158.49 | $257.04 | $398.11 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $57.54 Typical High $102.33 | Professional | 26 · Professional part | $45.71 | $57.54 | $102.33 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $204.17 Typical High $323.59 | Professional | TC · Technical part | $169.82 | $204.17 | $323.59 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | None (both parts) | $158.49 | $158.49 | $158.49 |
United Setting Professional Modifier None (both parts) Typical Low $158.49 Median $257.04 Typical High $489.78 | Professional | None (both parts) | $158.49 | $257.04 | $489.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $56.23 Typical High $104.71 | Professional | 26 · Professional part | $38.02 | $56.23 | $104.71 |
United Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $213.80 Typical High $389.05 | Professional | TC · Technical part | $128.82 | $213.80 | $389.05 |
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 $77.62 Median $77.62 Typical High $79.43 | Professional | 52 · Reduced service | $77.62 | $77.62 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $30.90 Typical High $32.36 | Professional | 53 · Discontinued | $30.90 | $30.90 | $32.36 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $120.23 Median $125.89 Typical High $125.89 | Professional | FX · Film X-ray | $120.23 | $125.89 | $125.89 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $79.43 Median $128.82 Typical High $257.04 | Professional | 51 · Multiple procedures | $79.43 | $128.82 | $257.04 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $32.36 Median $52.48 Typical High $102.33 | Professional | 80 · Assistant surgeon | $32.36 | $52.48 | $102.33 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $22.39 Median $36.31 Typical High $70.79 | Professional | 81 · Minimal assistant surgeon | $22.39 | $36.31 | $70.79 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $22.39 Median $36.31 Typical High $70.79 | Professional | 82 · Assistant surgeon, no resident | $22.39 | $36.31 | $70.79 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $22.39 Median $36.31 Typical High $70.79 | Professional | AS · PA/NP assist | $22.39 | $36.31 | $70.79 |
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· 30th of 51
$219
AK $562FL $148
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.