How much rates vary
Facilitymedian $501 · 10th to 90th $174 to $891Professionalmedian $219 · 10th to 90th $117 to $457
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 $173.78 Median $173.78 Typical High $173.78 | Facility | None | $173.78 | $173.78 | $173.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $173.78 Typical High $257.04 | Professional | None (both parts) | $134.90 | $173.78 | $257.04 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $21.88 Typical High $36.31 | Professional | 26 · Professional part | $21.88 | $21.88 | $36.31 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $151.36 Typical High $223.87 | Professional | TC · Technical part | $114.82 | $151.36 | $223.87 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $31.62 Typical High $31.62 | Professional | 26 · Professional part | $31.62 | $31.62 | $31.62 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $48.98 Typical High $64.57 | Professional | 26 · Professional part | $37.15 | $48.98 | $64.57 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $229.09 Typical High $354.81 | Professional | TC · Technical part | $147.91 | $229.09 | $354.81 |
Cigna Setting Facility Modifier None Typical Low $575.44 Median $891.25 Typical High $891.25 | Facility | None | $575.44 | $891.25 | $891.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $263.03 Typical High $489.78 | Professional | None (both parts) | $102.33 | $263.03 | $489.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $36.31 Typical High $66.07 | Professional | 26 · Professional part | $27.54 | $36.31 | $66.07 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $229.09 Typical High $426.58 | Professional | TC · Technical part | $74.13 | $229.09 | $426.58 |
Medcost Setting Professional Modifier None Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | None | $181.97 | $181.97 | $181.97 |
Medcost Setting Facility Modifier None Typical Low $173.78 Median $173.78 Typical High $186.21 | Facility | None | $173.78 | $173.78 | $186.21 |
Medcost Setting Professional Modifier None (both parts) Typical Low $120.23 Median $218.78 Typical High $398.11 | Professional | None (both parts) | $120.23 | $218.78 | $398.11 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $34.67 Typical High $67.61 | Professional | 26 · Professional part | $30.20 | $34.67 | $67.61 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $194.98 Typical High $338.84 | Professional | TC · Technical part | $147.91 | $194.98 | $338.84 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | None (both parts) | $120.23 | $120.23 | $120.23 |
United Setting Professional Modifier None (both parts) Typical Low $134.90 Median $234.42 Typical High $549.54 | Professional | None (both parts) | $134.90 | $234.42 | $549.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $36.31 Typical High $69.18 | Professional | 26 · Professional part | $23.99 | $36.31 | $69.18 |
United Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $208.93 Typical High $467.74 | Professional | TC · Technical part | $114.82 | $208.93 | $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 $81.28 Median $87.10 Typical High $87.10 | Professional | 52 · Reduced service | $81.28 | $87.10 | $87.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $34.67 Typical High $34.67 | Professional | 53 · Discontinued | $33.11 | $34.67 | $34.67 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $120.23 Median $138.04 Typical High $138.04 | Professional | FX · Film X-ray | $120.23 | $138.04 | $138.04 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $60.26 Median $109.65 Typical High $269.15 | Professional | 51 · Multiple procedures | $60.26 | $109.65 | $269.15 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $23.99 Median $44.67 Typical High $107.15 | Professional | 80 · Assistant surgeon | $23.99 | $44.67 | $107.15 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $16.98 Median $30.90 Typical High $75.86 | Professional | 81 · Minimal assistant surgeon | $16.98 | $30.90 | $75.86 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $16.98 Median $30.90 Typical High $75.86 | Professional | 82 · Assistant surgeon, no resident | $16.98 | $30.90 | $75.86 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $16.98 Median $30.90 Typical High $75.86 | Professional | AS · PA/NP assist | $16.98 | $30.90 | $75.86 |
Where North Carolina sits
The same service costs 5.5 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· 29th of 51
$219
AK $759KY $138
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.