How much rates vary
Facilitymedian $562 · 10th to 90th $155 to $891Professionalmedian $245 · 10th to 90th $155 to $490
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 $154.88 Median $154.88 Typical High $154.88 | Facility | None | $154.88 | $154.88 | $154.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | None (both parts) | $154.88 | $154.88 | $154.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $20.42 Typical High $20.42 | Professional | 26 · Professional part | $20.42 | $20.42 | $20.42 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $134.90 Typical High $141.25 | Professional | TC · Technical part | $134.90 | $134.90 | $141.25 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $57.54 Typical High $66.07 | Professional | 26 · Professional part | $37.15 | $57.54 | $66.07 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $257.04 Typical High $446.68 | Professional | TC · Technical part | $223.87 | $257.04 | $446.68 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $891.25 Typical High $1,000.00 | Facility | None | $562.34 | $891.25 | $1,000.00 |
Cigna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $269.15 Typical High $524.81 | Professional | None (both parts) | $194.98 | $269.15 | $524.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $36.31 Typical High $66.07 | Professional | 26 · Professional part | $26.92 | $36.31 | $66.07 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $234.42 Typical High $457.09 | Professional | TC · Technical part | $169.82 | $234.42 | $457.09 |
Medcost Setting Facility Modifier None Typical Low $154.88 Median $154.88 Typical High $186.21 | Facility | None | $154.88 | $154.88 | $186.21 |
Medcost Setting Professional Modifier None (both parts) Typical Low $204.17 Median $245.47 Typical High $389.05 | Professional | None (both parts) | $204.17 | $245.47 | $389.05 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $33.88 Typical High $54.95 | Professional | 26 · Professional part | $28.84 | $33.88 | $54.95 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $208.93 Typical High $407.38 | Professional | TC · Technical part | $186.21 | $208.93 | $407.38 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $194.98 Median $194.98 Typical High $194.98 | Professional | None (both parts) | $194.98 | $194.98 | $194.98 |
United Setting Professional Modifier None (both parts) Typical Low $181.97 Median $275.42 Typical High $501.19 | Professional | None (both parts) | $181.97 | $275.42 | $501.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $35.48 Typical High $66.07 | Professional | 26 · Professional part | $23.99 | $35.48 | $66.07 |
United Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $239.88 Typical High $426.58 | Professional | TC · Technical part | $154.88 | $239.88 | $426.58 |
6 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 FX · Film X-ray Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | FX · Film X-ray | $123.03 | $123.03 | $123.03 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $123.03 Median $123.03 Typical High $251.19 | Professional | 51 · Multiple procedures | $123.03 | $123.03 | $251.19 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $48.98 Median $48.98 Typical High $100.00 | Professional | 80 · Assistant surgeon | $48.98 | $48.98 | $100.00 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $33.88 Median $33.88 Typical High $70.79 | Professional | 81 · Minimal assistant surgeon | $33.88 | $33.88 | $70.79 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $33.88 Median $33.88 Typical High $70.79 | Professional | 82 · Assistant surgeon, no resident | $33.88 | $33.88 | $70.79 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $33.88 Median $33.88 Typical High $70.79 | Professional | AS · PA/NP assist | $33.88 | $33.88 | $70.79 |
Where North Carolina sits
The same service costs 4.5 times more in Alaska than in Florida. 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· 22nd of 51
$245
AK $676FL $151
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.