How much rates vary
Facilitymedian $186 · 10th to 90th $151 to $724Professionalmedian $219 · 10th to 90th $151 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 $151.36 Median $151.36 Typical High $151.36 | Facility | None | $151.36 | $151.36 | $151.36 |
Aetna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $151.36 Typical High $154.88 | Professional | None (both parts) | $151.36 | $151.36 | $154.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $33.11 Typical High $33.11 | Professional | 26 · Professional part | $31.62 | $33.11 | $33.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $117.49 Typical High $123.03 | Professional | TC · Technical part | $117.49 | $117.49 | $123.03 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $87.10 Typical High $102.33 | Professional | 26 · Professional part | $58.88 | $87.10 | $102.33 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $223.87 Typical High $389.05 | Professional | TC · Technical part | $169.82 | $223.87 | $389.05 |
Cigna Setting Facility Modifier None Typical Low $467.74 Median $724.44 Typical High $724.44 | Facility | None | $467.74 | $724.44 | $724.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $257.04 Typical High $489.78 | Professional | None (both parts) | $147.91 | $257.04 | $489.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $56.23 Typical High $102.33 | Professional | 26 · Professional part | $43.65 | $56.23 | $102.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $199.53 Typical High $380.19 | Professional | TC · Technical part | $107.15 | $199.53 | $380.19 |
Medcost Setting Professional Modifier None Typical Low $223.87 Median $223.87 Typical High $223.87 | Professional | None | $223.87 | $223.87 | $223.87 |
Medcost Setting Facility Modifier None Typical Low $151.36 Median $151.36 Typical High $186.21 | Facility | None | $151.36 | $151.36 | $186.21 |
Medcost Setting Professional Modifier None (both parts) Typical Low $177.83 Median $245.47 Typical High $389.05 | Professional | None (both parts) | $177.83 | $245.47 | $389.05 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $54.95 Typical High $97.72 | Professional | 26 · Professional part | $44.67 | $54.95 | $97.72 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $190.55 Typical High $316.23 | Professional | TC · Technical part | $162.18 | $190.55 | $316.23 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | None (both parts) | $177.83 | $177.83 | $177.83 |
United Setting Professional Modifier None (both parts) Typical Low $162.18 Median $251.19 Typical High $457.09 | Professional | None (both parts) | $162.18 | $251.19 | $457.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $54.95 Typical High $102.33 | Professional | 26 · Professional part | $37.15 | $54.95 | $102.33 |
United Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $204.17 Typical High $346.74 | Professional | TC · Technical part | $125.89 | $204.17 | $346.74 |
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 $75.86 Median $75.86 Typical High $77.62 | Professional | 52 · Reduced service | $75.86 | $75.86 | $77.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $30.20 Typical High $30.90 | Professional | 53 · Discontinued | $30.20 | $30.20 | $30.90 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $112.20 Median $120.23 Typical High $120.23 | Professional | FX · Film X-ray | $112.20 | $120.23 | $120.23 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $89.13 Median $125.89 Typical High $245.47 | Professional | 51 · Multiple procedures | $89.13 | $125.89 | $245.47 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $35.48 Median $51.29 Typical High $97.72 | Professional | 80 · Assistant surgeon | $35.48 | $51.29 | $97.72 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $24.55 Median $35.48 Typical High $67.61 | Professional | 81 · Minimal assistant surgeon | $24.55 | $35.48 | $67.61 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $24.55 Median $35.48 Typical High $67.61 | Professional | 82 · Assistant surgeon, no resident | $24.55 | $35.48 | $67.61 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $24.55 Median $35.48 Typical High $67.61 | Professional | AS · PA/NP assist | $24.55 | $35.48 | $67.61 |
Where North Carolina sits
The same service costs 4.8 times more in Alabama than in Texas. 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
AL $661TX $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.