How much rates vary
Facilitymedian $589 · 10th to 90th $204 to $912Professionalmedian $398 · 10th to 90th $204 to $646
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 $204.17 Median $204.17 Typical High $204.17 | Facility | None | $204.17 | $204.17 | $204.17 |
Aetna Setting Professional Modifier None (both parts) Typical Low $204.17 Median $204.17 Typical High $239.88 | Professional | None (both parts) | $204.17 | $204.17 | $239.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $61.66 Typical High $64.57 | Professional | 26 · Professional part | $61.66 | $61.66 | $64.57 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $141.25 Typical High $169.82 | Professional | TC · Technical part | $141.25 | $141.25 | $169.82 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $147.91 Typical High $208.93 | Professional | 26 · Professional part | $117.49 | $147.91 | $208.93 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $363.08 Typical High $616.60 | Professional | TC · Technical part | $309.03 | $363.08 | $616.60 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $912.01 Typical High $912.01 | Facility | None | $588.84 | $912.01 | $912.01 |
Cigna Setting Professional Modifier None (both parts) Typical Low $331.13 Median $436.52 Typical High $676.08 | Professional | None (both parts) | $331.13 | $436.52 | $676.08 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $114.82 Typical High $194.98 | Professional | 26 · Professional part | $83.18 | $114.82 | $194.98 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $316.23 Typical High $478.63 | Professional | TC · Technical part | $234.42 | $316.23 | $478.63 |
Medcost Setting Professional Modifier None Typical Low $602.56 Median $602.56 Typical High $602.56 | Professional | None | $602.56 | $602.56 | $602.56 |
Medcost Setting Facility Modifier None Typical Low $204.17 Median $204.17 Typical High $245.47 | Facility | None | $204.17 | $204.17 | $245.47 |
Medcost Setting Professional Modifier None (both parts) Typical Low $281.84 Median $467.74 Typical High $616.60 | Professional | None (both parts) | $281.84 | $467.74 | $616.60 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $112.20 Typical High $194.98 | Professional | 26 · Professional part | $85.11 | $112.20 | $194.98 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $346.74 Typical High $457.09 | Professional | TC · Technical part | $194.98 | $346.74 | $457.09 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $467.74 Median $467.74 Typical High $467.74 | Professional | None (both parts) | $467.74 | $467.74 | $467.74 |
United Setting Professional Modifier None (both parts) Typical Low $257.04 Median $407.38 Typical High $645.65 | Professional | None (both parts) | $257.04 | $407.38 | $645.65 |
United Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $107.15 Typical High $199.53 | Professional | 26 · Professional part | $74.13 | $107.15 | $199.53 |
United Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $295.12 Typical High $446.68 | Professional | TC · Technical part | $186.21 | $295.12 | $446.68 |
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 $102.33 Median $102.33 Typical High $120.23 | Professional | 52 · Reduced service | $102.33 | $102.33 | $120.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $40.74 Typical High $47.86 | Professional | 53 · Discontinued | $40.74 | $40.74 | $47.86 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | FX · Film X-ray | $162.18 | $162.18 | $162.18 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $204.17 Median $234.42 Typical High $338.84 | Professional | 51 · Multiple procedures | $204.17 | $234.42 | $338.84 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $81.28 Median $93.33 Typical High $134.90 | Professional | 80 · Assistant surgeon | $81.28 | $93.33 | $134.90 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $57.54 Median $66.07 Typical High $93.33 | Professional | 81 · Minimal assistant surgeon | $57.54 | $66.07 | $93.33 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $57.54 Median $66.07 Typical High $93.33 | Professional | 82 · Assistant surgeon, no resident | $57.54 | $66.07 | $93.33 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $57.54 Median $66.07 Typical High $93.33 | Professional | AS · PA/NP assist | $57.54 | $66.07 | $93.33 |
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· 15th of 51
$398
AK $891TX $178
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.