How much rates vary
Facilitymedian $331 · 10th to 90th $282 to $1,479Professionalmedian $447 · 10th to 90th $282 to $871
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 $281.84 Median $281.84 Typical High $489.78 | Facility | None | $281.84 | $281.84 | $489.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $281.84 Median $281.84 Typical High $588.84 | Professional | None (both parts) | $281.84 | $281.84 | $588.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $57.54 Typical High $117.49 | Professional | 26 · Professional part | $57.54 | $57.54 | $117.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $223.87 Typical High $467.74 | Professional | TC · Technical part | $218.78 | $223.87 | $467.74 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $85.11 Typical High $93.33 | Professional | 26 · Professional part | $83.18 | $85.11 | $93.33 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $138.04 Typical High $181.97 | Professional | 26 · Professional part | $102.33 | $138.04 | $181.97 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $316.23 Typical High $645.65 | Professional | TC · Technical part | $257.04 | $316.23 | $645.65 |
Cigna Setting Facility Modifier None Typical Low $933.25 Median $1,479.11 Typical High $1,479.11 | Facility | None | $933.25 | $1,479.11 | $1,479.11 |
Cigna Setting Professional Modifier None (both parts) Typical Low $338.84 Median $467.74 Typical High $912.01 | Professional | None (both parts) | $338.84 | $467.74 | $912.01 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $102.33 Typical High $181.97 | Professional | 26 · Professional part | $74.13 | $102.33 | $181.97 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $380.19 Typical High $741.31 | Professional | TC · Technical part | $263.03 | $380.19 | $741.31 |
Medcost Setting Professional Modifier None Typical Low $363.08 Median $363.08 Typical High $363.08 | Professional | None | $363.08 | $363.08 | $363.08 |
Medcost Setting Facility Modifier None Typical Low $281.84 Median $281.84 Typical High $346.74 | Facility | None | $281.84 | $281.84 | $346.74 |
Medcost Setting Professional Modifier None (both parts) Typical Low $309.03 Median $323.59 Typical High $707.95 | Professional | None (both parts) | $309.03 | $323.59 | $707.95 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $95.50 Typical High $162.18 | Professional | 26 · Professional part | $95.50 | $95.50 | $162.18 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $223.87 Typical High $562.34 | Professional | TC · Technical part | $213.80 | $223.87 | $562.34 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | None (both parts) | $257.04 | $257.04 | $257.04 |
United Setting Professional Modifier None (both parts) Typical Low $338.84 Median $524.81 Typical High $891.25 | Professional | None (both parts) | $338.84 | $524.81 | $891.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $120.23 Typical High $186.21 | Professional | 26 · Professional part | $67.61 | $120.23 | $186.21 |
United Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $426.58 Typical High $707.95 | Professional | TC · Technical part | $269.15 | $426.58 | $707.95 |
6 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 FX · Film X-ray Typical Low $218.78 Median $223.87 Typical High $223.87 | Professional | FX · Film X-ray | $218.78 | $223.87 | $223.87 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $154.88 Median $154.88 Typical High $457.09 | Professional | 51 · Multiple procedures | $154.88 | $154.88 | $457.09 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $61.66 Median $61.66 Typical High $181.97 | Professional | 80 · Assistant surgeon | $61.66 | $61.66 | $181.97 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $43.65 Median $43.65 Typical High $128.82 | Professional | 81 · Minimal assistant surgeon | $43.65 | $43.65 | $128.82 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $43.65 Median $43.65 Typical High $128.82 | Professional | 82 · Assistant surgeon, no resident | $43.65 | $43.65 | $128.82 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $43.65 Median $43.65 Typical High $128.82 | Professional | AS · PA/NP assist | $43.65 | $43.65 | $128.82 |
Where North Carolina sits
The same service costs 3.6 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· 23rd of 51
$447
AK $1,023FL $282
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.