How much rates vary
Facilitymedian $324 · 10th to 90th $191 to $977Professionalmedian $324 · 10th to 90th $191 to $603
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 $190.55 Median $190.55 Typical High $416.87 | Facility | None | $190.55 | $190.55 | $416.87 |
Aetna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $190.55 Typical High $323.59 | Professional | None (both parts) | $190.55 | $190.55 | $323.59 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $41.69 Typical High $69.18 | Professional | 26 · Professional part | $41.69 | $41.69 | $69.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $147.91 Typical High $251.19 | Professional | TC · Technical part | $147.91 | $147.91 | $251.19 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | 26 · Professional part | $72.44 | $72.44 | $72.44 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $112.20 Typical High $134.90 | Professional | 26 · Professional part | $77.62 | $112.20 | $134.90 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $346.74 Typical High $549.54 | Professional | TC · Technical part | $275.42 | $346.74 | $549.54 |
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 $275.42 Median $363.08 Typical High $630.96 | Professional | None (both parts) | $275.42 | $363.08 | $630.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $74.13 Typical High $134.90 | Professional | 26 · Professional part | $54.95 | $74.13 | $134.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $295.12 Typical High $501.19 | Professional | TC · Technical part | $213.80 | $295.12 | $501.19 |
Medcost Setting Professional Modifier None Typical Low $416.87 Median $416.87 Typical High $416.87 | Professional | None | $416.87 | $416.87 | $416.87 |
Medcost Setting Facility Modifier None Typical Low $190.55 Median $190.55 Typical High $234.42 | Facility | None | $190.55 | $190.55 | $234.42 |
Medcost Setting Professional Modifier None (both parts) Typical Low $263.03 Median $371.54 Typical High $512.86 | Professional | None (both parts) | $263.03 | $371.54 | $512.86 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $81.28 Typical High $151.36 | Professional | 26 · Professional part | $72.44 | $81.28 | $151.36 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $338.84 Typical High $446.68 | Professional | TC · Technical part | $208.93 | $338.84 | $446.68 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $331.13 Median $331.13 Typical High $331.13 | Professional | None (both parts) | $331.13 | $331.13 | $331.13 |
United Setting Professional Modifier None (both parts) Typical Low $229.09 Median $338.84 Typical High $602.56 | Professional | None (both parts) | $229.09 | $338.84 | $602.56 |
United Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $72.44 Typical High $131.83 | Professional | 26 · Professional part | $47.86 | $72.44 | $131.83 |
United Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $269.15 Typical High $478.63 | Professional | TC · Technical part | $181.97 | $269.15 | $478.63 |
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 $95.50 Median $95.50 Typical High $112.20 | Professional | 52 · Reduced service | $95.50 | $95.50 | $112.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $38.02 Typical High $44.67 | Professional | 53 · Discontinued | $38.02 | $38.02 | $44.67 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | FX · Film X-ray | $151.36 | $151.36 | $151.36 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $169.82 Median $199.53 Typical High $316.23 | Professional | 51 · Multiple procedures | $169.82 | $199.53 | $316.23 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $67.61 Median $79.43 Typical High $125.89 | Professional | 80 · Assistant surgeon | $67.61 | $79.43 | $125.89 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $47.86 Median $54.95 Typical High $89.13 | Professional | 81 · Minimal assistant surgeon | $47.86 | $54.95 | $89.13 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $47.86 Median $54.95 Typical High $89.13 | Professional | 82 · Assistant surgeon, no resident | $47.86 | $54.95 | $89.13 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $47.86 Median $54.95 Typical High $89.13 | Professional | AS · PA/NP assist | $47.86 | $54.95 | $89.13 |
Where North Carolina sits
The same service costs 3.5 times more in Wisconsin 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
WI $676TX $191
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.