How much rates vary
Facilitymedian $550 · 10th to 90th $170 to $891Professionalmedian $263 · 10th to 90th $170 to $525
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 $169.82 Median $169.82 Typical High $169.82 | Facility | None | $169.82 | $169.82 | $169.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $169.82 Typical High $177.83 | Professional | None (both parts) | $169.82 | $169.82 | $177.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $38.90 Typical High $38.90 | Professional | 26 · Professional part | $38.90 | $38.90 | $38.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $131.83 Typical High $141.25 | Professional | TC · Technical part | $131.83 | $131.83 | $141.25 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $77.62 Typical High $120.23 | Professional | 26 · Professional part | $56.23 | $77.62 | $120.23 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $269.15 Typical High $426.58 | Professional | TC · Technical part | $199.53 | $269.15 | $426.58 |
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 $213.80 Median $281.84 Typical High $549.54 | Professional | None (both parts) | $213.80 | $281.84 | $549.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $66.07 Typical High $123.03 | Professional | 26 · Professional part | $50.12 | $66.07 | $123.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $223.87 Typical High $426.58 | Professional | TC · Technical part | $162.18 | $223.87 | $426.58 |
Medcost Setting Professional Modifier None Typical Low $316.23 Median $316.23 Typical High $316.23 | Professional | None | $316.23 | $316.23 | $316.23 |
Medcost Setting Facility Modifier None Typical Low $169.82 Median $169.82 Typical High $208.93 | Facility | None | $169.82 | $169.82 | $208.93 |
Medcost Setting Professional Modifier None (both parts) Typical Low $223.87 Median $269.15 Typical High $446.68 | Professional | None (both parts) | $223.87 | $269.15 | $446.68 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $64.57 Typical High $120.23 | Professional | 26 · Professional part | $53.70 | $64.57 | $120.23 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $229.09 Typical High $338.84 | Professional | TC · Technical part | $186.21 | $229.09 | $338.84 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $251.19 Median $251.19 Typical High $251.19 | Professional | None (both parts) | $251.19 | $251.19 | $251.19 |
United Setting Professional Modifier None (both parts) Typical Low $190.55 Median $269.15 Typical High $549.54 | Professional | None (both parts) | $190.55 | $269.15 | $549.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $63.10 Typical High $123.03 | Professional | 26 · Professional part | $43.65 | $63.10 | $123.03 |
United Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $208.93 Typical High $426.58 | Professional | TC · Technical part | $144.54 | $208.93 | $426.58 |
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 $85.11 Median $85.11 Typical High $89.13 | Professional | 52 · Reduced service | $85.11 | $85.11 | $89.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $34.67 Typical High $35.48 | Professional | 53 · Discontinued | $34.67 | $34.67 | $35.48 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | FX · Film X-ray | $138.04 | $138.04 | $138.04 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $125.89 Median $151.36 Typical High $281.84 | Professional | 51 · Multiple procedures | $125.89 | $151.36 | $281.84 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $50.12 Median $61.66 Typical High $112.20 | Professional | 80 · Assistant surgeon | $50.12 | $61.66 | $112.20 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $34.67 Median $42.66 Typical High $79.43 | Professional | 81 · Minimal assistant surgeon | $34.67 | $42.66 | $79.43 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $34.67 Median $42.66 Typical High $79.43 | Professional | 82 · Assistant surgeon, no resident | $34.67 | $42.66 | $79.43 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $34.67 Median $42.66 Typical High $79.43 | Professional | AS · PA/NP assist | $34.67 | $42.66 | $79.43 |
Where North Carolina sits
The same service costs 5.0 times more in Alaska 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· 24th of 51
$263
AK $776TX $155
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.