How much rates vary
Facilitymedian $603 · 10th to 90th $191 to $933Professionalmedian $363 · 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 $190.55 | Facility | None | $190.55 | $190.55 | $190.55 |
Aetna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $190.55 Typical High $245.47 | Professional | None (both parts) | $190.55 | $190.55 | $245.47 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $50.12 Typical High $56.23 | Professional | 26 · Professional part | $50.12 | $50.12 | $56.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $141.25 Typical High $194.98 | Professional | TC · Technical part | $141.25 | $141.25 | $194.98 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $138.04 Typical High $165.96 | Professional | 26 · Professional part | $87.10 | $138.04 | $165.96 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $346.74 Typical High $562.34 | Professional | TC · Technical part | $288.40 | $346.74 | $562.34 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $933.25 Typical High $933.25 | Facility | None | $602.56 | $933.25 | $933.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $309.03 Median $407.38 Typical High $630.96 | Professional | None (both parts) | $309.03 | $407.38 | $630.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $89.13 Typical High $158.49 | Professional | 26 · Professional part | $67.61 | $89.13 | $158.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $302.00 Typical High $467.74 | Professional | TC · Technical part | $229.09 | $302.00 | $467.74 |
Medcost Setting Professional Modifier None Typical Low $512.86 Median $512.86 Typical High $512.86 | Professional | None | $512.86 | $512.86 | $512.86 |
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 $407.38 Typical High $549.54 | Professional | None (both parts) | $263.03 | $407.38 | $549.54 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $89.13 Typical High $177.83 | Professional | 26 · Professional part | $69.18 | $89.13 | $177.83 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $354.81 Typical High $426.58 | Professional | TC · Technical part | $194.98 | $354.81 | $426.58 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $407.38 Median $407.38 Typical High $407.38 | Professional | None (both parts) | $407.38 | $407.38 | $407.38 |
United Setting Professional Modifier None (both parts) Typical Low $239.88 Median $371.54 Typical High $602.56 | Professional | None (both parts) | $239.88 | $371.54 | $602.56 |
United Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $87.10 Typical High $162.18 | Professional | 26 · Professional part | $58.88 | $87.10 | $162.18 |
United Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $288.40 Typical High $446.68 | Professional | TC · Technical part | $177.83 | $288.40 | $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 $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 $181.97 Median $204.17 Typical High $309.03 | Professional | 51 · Multiple procedures | $181.97 | $204.17 | $309.03 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $72.44 Median $83.18 Typical High $125.89 | Professional | 80 · Assistant surgeon | $72.44 | $83.18 | $125.89 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $50.12 Median $57.54 Typical High $87.10 | Professional | 81 · Minimal assistant surgeon | $50.12 | $57.54 | $87.10 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $50.12 Median $57.54 Typical High $87.10 | Professional | 82 · Assistant surgeon, no resident | $50.12 | $57.54 | $87.10 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $50.12 Median $57.54 Typical High $87.10 | Professional | AS · PA/NP assist | $50.12 | $57.54 | $87.10 |
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· 13th of 51
$363
AK $851TX $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.