How much rates vary
Facilitymedian $200 · 10th to 90th $166 to $891Professionalmedian $275 · 10th to 90th $166 to $537
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 $165.96 Median $165.96 Typical High $173.78 | Facility | None | $165.96 | $165.96 | $173.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $165.96 Median $165.96 Typical High $223.87 | Professional | None (both parts) | $165.96 | $165.96 | $223.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $30.20 Typical High $38.02 | Professional | 26 · Professional part | $30.20 | $30.20 | $38.02 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $134.90 Typical High $194.98 | Professional | TC · Technical part | $134.90 | $134.90 | $194.98 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | 26 · Professional part | $63.10 | $63.10 | $63.10 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $74.13 Typical High $100.00 | Professional | 26 · Professional part | $54.95 | $74.13 | $100.00 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $269.15 Typical High $478.63 | Professional | TC · Technical part | $239.88 | $269.15 | $478.63 |
Cigna Setting Facility Modifier None Typical Low $575.44 Median $891.25 Typical High $1,000.00 | Facility | None | $575.44 | $891.25 | $1,000.00 |
Cigna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $302.00 Typical High $562.34 | Professional | None (both parts) | $218.78 | $302.00 | $562.34 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $53.70 Typical High $97.72 | Professional | 26 · Professional part | $40.74 | $53.70 | $97.72 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $251.19 Typical High $457.09 | Professional | TC · Technical part | $181.97 | $251.19 | $457.09 |
Medcost Setting Facility Modifier None Typical Low $165.96 Median $165.96 Typical High $199.53 | Facility | None | $165.96 | $165.96 | $199.53 |
Medcost Setting Professional Modifier None (both parts) Typical Low $218.78 Median $275.42 Typical High $426.58 | Professional | None (both parts) | $218.78 | $275.42 | $426.58 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $50.12 Typical High $81.28 | Professional | 26 · Professional part | $42.66 | $50.12 | $81.28 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $223.87 Typical High $416.87 | Professional | TC · Technical part | $190.55 | $223.87 | $416.87 |
United Setting Professional Modifier None (both parts) Typical Low $194.98 Median $295.12 Typical High $537.03 | Professional | None (both parts) | $194.98 | $295.12 | $537.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $52.48 Typical High $97.72 | Professional | 26 · Professional part | $35.48 | $52.48 | $97.72 |
United Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $245.47 Typical High $436.52 | Professional | TC · Technical part | $162.18 | $245.47 | $436.52 |
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 $131.83 Median $131.83 Typical High $131.83 | Professional | FX · Film X-ray | $131.83 | $131.83 | $131.83 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $138.04 Median $138.04 Typical High $269.15 | Professional | 51 · Multiple procedures | $138.04 | $138.04 | $269.15 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $54.95 Median $54.95 Typical High $107.15 | Professional | 80 · Assistant surgeon | $54.95 | $54.95 | $107.15 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $38.90 Median $38.90 Typical High $75.86 | Professional | 81 · Minimal assistant surgeon | $38.90 | $38.90 | $75.86 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $38.90 Median $38.90 Typical High $75.86 | Professional | 82 · Assistant surgeon, no resident | $38.90 | $38.90 | $75.86 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $38.90 Median $38.90 Typical High $75.86 | Professional | AS · PA/NP assist | $38.90 | $38.90 | $75.86 |
Where North Carolina sits
The same service costs 4.6 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· 19th of 51
$275
AK $741FL $162
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.