How much rates vary
Facilitymedian $562 · 10th to 90th $162 to $871Professionalmedian $263 · 10th to 90th $162 to $513
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 $162.18 Median $162.18 Typical High $162.18 | Facility | None | $162.18 | $162.18 | $162.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $162.18 Typical High $173.78 | Professional | None (both parts) | $162.18 | $162.18 | $173.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $33.88 Typical High $34.67 | Professional | 26 · Professional part | $33.88 | $33.88 | $34.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $128.82 Typical High $138.04 | Professional | TC · Technical part | $128.82 | $128.82 | $138.04 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $70.79 Typical High $112.20 | Professional | 26 · Professional part | $53.70 | $70.79 | $112.20 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $275.42 Typical High $467.74 | Professional | TC · Technical part | $223.87 | $275.42 | $467.74 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $870.96 Typical High $870.96 | Facility | None | $562.34 | $870.96 | $870.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $295.12 Typical High $524.81 | Professional | None (both parts) | $190.55 | $295.12 | $524.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $61.66 Typical High $107.15 | Professional | 26 · Professional part | $44.67 | $61.66 | $107.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $234.42 Typical High $416.87 | Professional | TC · Technical part | $144.54 | $234.42 | $416.87 |
Medcost Setting Professional Modifier None Typical Low $288.40 Median $288.40 Typical High $288.40 | Professional | None | $288.40 | $288.40 | $288.40 |
Medcost Setting Facility Modifier None Typical Low $162.18 Median $162.18 Typical High $204.17 | Facility | None | $162.18 | $162.18 | $204.17 |
Medcost Setting Professional Modifier None (both parts) Typical Low $213.80 Median $275.42 Typical High $446.68 | Professional | None (both parts) | $213.80 | $275.42 | $446.68 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $60.26 Typical High $107.15 | Professional | 26 · Professional part | $46.77 | $60.26 | $107.15 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $251.19 Typical High $380.19 | Professional | TC · Technical part | $181.97 | $251.19 | $380.19 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $229.09 Median $229.09 Typical High $229.09 | Professional | None (both parts) | $229.09 | $229.09 | $229.09 |
United Setting Professional Modifier None (both parts) Typical Low $190.55 Median $295.12 Typical High $512.86 | Professional | None (both parts) | $190.55 | $295.12 | $512.86 |
United Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $58.88 Typical High $107.15 | Professional | 26 · Professional part | $39.81 | $58.88 | $107.15 |
United Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $234.42 Typical High $407.38 | Professional | TC · Technical part | $154.88 | $234.42 | $407.38 |
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 $81.28 Typical High $87.10 | Professional | 52 · Reduced service | $81.28 | $81.28 | $87.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $32.36 Typical High $34.67 | Professional | 53 · Discontinued | $32.36 | $32.36 | $34.67 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | FX · Film X-ray | $131.83 | $131.83 | $131.83 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $112.20 Median $154.88 Typical High $269.15 | Professional | 51 · Multiple procedures | $112.20 | $154.88 | $269.15 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $45.71 Median $61.66 Typical High $107.15 | Professional | 80 · Assistant surgeon | $45.71 | $61.66 | $107.15 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $31.62 Median $42.66 Typical High $75.86 | Professional | 81 · Minimal assistant surgeon | $31.62 | $42.66 | $75.86 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $31.62 Median $42.66 Typical High $75.86 | Professional | 82 · Assistant surgeon, no resident | $31.62 | $42.66 | $75.86 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $31.62 Median $42.66 Typical High $75.86 | Professional | AS · PA/NP assist | $31.62 | $42.66 | $75.86 |
Where North Carolina sits
The same service costs 4.7 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· 27th of 51
$263
AK $741TX $158
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.