How much rates vary
Facilitymedian $1,514 · 10th to 90th $1,413 to $2,630Professionalmedian $1,072 · 10th to 90th $186 to $2,570
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 $1,412.54 Median $1,412.54 Typical High $1,412.54 | Facility | None | $1,412.54 | $1,412.54 | $1,412.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,288.25 Median $1,412.54 Typical High $1,778.28 | Professional | None (both parts) | $1,288.25 | $1,412.54 | $1,778.28 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $83.18 Typical High $131.83 | Professional | 26 · Professional part | $83.18 | $83.18 | $131.83 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $1,202.26 Median $1,412.54 Typical High $1,513.56 | Professional | TC · Technical part | $1,202.26 | $1,412.54 | $1,513.56 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $134.90 Median $204.17 Typical High $269.15 | Professional | None (both parts) | $134.90 | $204.17 | $269.15 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $190.55 Median $213.80 Typical High $213.80 | Professional | 26 · Professional part | $190.55 | $213.80 | $213.80 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $1,584.89 Typical High $2,884.03 | Professional | TC · Technical part | $275.42 | $1,584.89 | $2,884.03 |
Cigna Setting Facility Modifier None Typical Low $1,659.59 Median $2,630.27 Typical High $2,630.27 | Facility | None | $1,659.59 | $2,630.27 | $2,630.27 |
Cigna Setting Professional Modifier None (both parts) Typical Low $346.74 Median $758.58 Typical High $1,479.11 | Professional | None (both parts) | $346.74 | $758.58 | $1,479.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $144.54 Typical High $245.47 | Professional | 26 · Professional part | $107.15 | $144.54 | $245.47 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $616.60 Typical High $1,230.27 | Professional | TC · Technical part | $239.88 | $616.60 | $1,230.27 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | 26 · Professional part | $169.82 | $169.82 | $169.82 |
Medcost Setting Facility Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $1,513.56 | Facility | None | $1,412.54 | $1,412.54 | $1,513.56 |
Medcost Setting Professional Modifier None (both parts) Typical Low $1,380.38 Median $1,621.81 Typical High $3,162.28 | Professional | None (both parts) | $1,380.38 | $1,621.81 | $3,162.28 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $141.25 Typical High $234.42 | Professional | 26 · Professional part | $104.71 | $141.25 | $234.42 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $1,659.59 Median $1,949.84 Typical High $3,311.31 | Professional | TC · Technical part | $1,659.59 | $1,949.84 | $3,311.31 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $389.05 Median $389.05 Typical High $389.05 | Professional | None (both parts) | $389.05 | $389.05 | $389.05 |
United Setting Professional Modifier None (both parts) Typical Low $1,258.93 Median $2,041.74 Typical High $3,630.78 | Professional | None (both parts) | $1,258.93 | $2,041.74 | $3,630.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $138.04 Typical High $239.88 | Professional | 26 · Professional part | $89.13 | $138.04 | $239.88 |
United Setting Professional Modifier TC · Technical part Typical Low $1,148.15 Median $1,905.46 Typical High $3,467.37 | Professional | TC · Technical part | $1,148.15 | $1,905.46 | $3,467.37 |
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 $645.65 Median $707.95 Typical High $707.95 | Professional | 52 · Reduced service | $645.65 | $707.95 | $707.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $257.04 Median $281.84 Typical High $281.84 | Professional | 53 · Discontinued | $257.04 | $281.84 | $281.84 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $1,047.13 Median $1,148.15 Typical High $1,148.15 | Professional | FX · Film X-ray | $1,047.13 | $1,148.15 | $1,148.15 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $724.44 Median $1,000.00 Typical High $1,949.84 | Professional | 51 · Multiple procedures | $724.44 | $1,000.00 | $1,949.84 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $288.40 Median $398.11 Typical High $776.25 | Professional | 80 · Assistant surgeon | $288.40 | $398.11 | $776.25 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $199.53 Median $275.42 Typical High $549.54 | Professional | 81 · Minimal assistant surgeon | $199.53 | $275.42 | $549.54 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $199.53 Median $275.42 Typical High $549.54 | Professional | 82 · Assistant surgeon, no resident | $199.53 | $275.42 | $549.54 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $199.53 Median $275.42 Typical High $549.54 | Professional | AS · PA/NP assist | $199.53 | $275.42 | $549.54 |
Where North Carolina sits
The same service costs 15.1 times more in Nebraska than in Washington. 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· 40th of 51
$1,202
NE $3,090WA $204
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.