How much rates vary
Facilitymedian $631 · 10th to 90th $182 to $977Professionalmedian $324 · 10th to 90th $182 to $589
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 $181.97 Median $181.97 Typical High $181.97 | Facility | None | $181.97 | $181.97 | $181.97 |
Aetna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $181.97 Typical High $218.78 | Professional | None (both parts) | $181.97 | $181.97 | $218.78 |
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 $144.54 Median $144.54 Typical High $173.78 | Professional | TC · Technical part | $144.54 | $144.54 | $173.78 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $81.28 Typical High $128.82 | Professional | 26 · Professional part | $63.10 | $81.28 | $128.82 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $338.84 Typical High $562.34 | Professional | TC · Technical part | $269.15 | $338.84 | $562.34 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $977.24 Typical High $977.24 | Facility | None | $630.96 | $977.24 | $977.24 |
Cigna Setting Professional Modifier None (both parts) Typical Low $257.04 Median $346.74 Typical High $616.60 | Professional | None (both parts) | $257.04 | $346.74 | $616.60 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $69.18 Typical High $123.03 | Professional | 26 · Professional part | $51.29 | $69.18 | $123.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $288.40 Typical High $489.78 | Professional | TC · Technical part | $208.93 | $288.40 | $489.78 |
Medcost Setting Professional Modifier None Typical Low $389.05 Median $389.05 Typical High $389.05 | Professional | None | $389.05 | $389.05 | $389.05 |
Medcost Setting Facility Modifier None Typical Low $181.97 Median $181.97 Typical High $229.09 | Facility | None | $181.97 | $181.97 | $229.09 |
Medcost Setting Professional Modifier None (both parts) Typical Low $251.19 Median $371.54 Typical High $501.19 | Professional | None (both parts) | $251.19 | $371.54 | $501.19 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $75.86 Typical High $134.90 | Professional | 26 · Professional part | $53.70 | $75.86 | $134.90 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $331.13 Typical High $446.68 | Professional | TC · Technical part | $204.17 | $331.13 | $446.68 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $309.03 Median $309.03 Typical High $309.03 | Professional | None (both parts) | $309.03 | $309.03 | $309.03 |
United Setting Professional Modifier None (both parts) Typical Low $223.87 Median $331.13 Typical High $588.84 | Professional | None (both parts) | $223.87 | $331.13 | $588.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $67.61 Typical High $123.03 | Professional | 26 · Professional part | $45.71 | $67.61 | $123.03 |
United Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $269.15 Typical High $467.74 | Professional | TC · Technical part | $181.97 | $269.15 | $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 $91.20 Median $91.20 Typical High $109.65 | Professional | 52 · Reduced service | $91.20 | $91.20 | $109.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $36.31 Typical High $43.65 | Professional | 53 · Discontinued | $36.31 | $36.31 | $43.65 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | FX · Film X-ray | $147.91 | $147.91 | $147.91 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $169.82 Median $194.98 Typical High $302.00 | Professional | 51 · Multiple procedures | $169.82 | $194.98 | $302.00 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $67.61 Median $77.62 Typical High $120.23 | Professional | 80 · Assistant surgeon | $67.61 | $77.62 | $120.23 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $46.77 Median $53.70 Typical High $85.11 | Professional | 81 · Minimal assistant surgeon | $46.77 | $53.70 | $85.11 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $46.77 Median $53.70 Typical High $85.11 | Professional | 82 · Assistant surgeon, no resident | $46.77 | $53.70 | $85.11 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $46.77 Median $53.70 Typical High $85.11 | Professional | AS · PA/NP assist | $46.77 | $53.70 | $85.11 |
Where North Carolina sits
The same service costs 4.6 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· 21st of 51
$324
AK $832TX $182
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.