How much rates vary
Facilitymedian $525 · 10th to 90th $151 to $891Professionalmedian $229 · 10th to 90th $151 to $468
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 $151.36 Median $151.36 Typical High $151.36 | Facility | None | $151.36 | $151.36 | $151.36 |
Aetna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $151.36 Typical High $251.19 | Professional | None (both parts) | $151.36 | $151.36 | $251.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $19.05 Typical High $32.36 | Professional | 26 · Professional part | $19.05 | $19.05 | $32.36 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $131.83 Typical High $218.78 | Professional | TC · Technical part | $131.83 | $131.83 | $218.78 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $41.69 Typical High $58.88 | Professional | 26 · Professional part | $33.11 | $41.69 | $58.88 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $234.42 Typical High $380.19 | Professional | TC · Technical part | $173.78 | $234.42 | $380.19 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $891.25 Typical High $891.25 | Facility | None | $562.34 | $891.25 | $891.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $251.19 Typical High $501.19 | Professional | None (both parts) | $138.04 | $251.19 | $501.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $32.36 Typical High $61.66 | Professional | 26 · Professional part | $24.55 | $32.36 | $61.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $223.87 Typical High $436.52 | Professional | TC · Technical part | $114.82 | $223.87 | $436.52 |
Medcost Setting Professional Modifier None Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | None | $208.93 | $208.93 | $208.93 |
Medcost Setting Facility Modifier None Typical Low $151.36 Median $151.36 Typical High $186.21 | Facility | None | $151.36 | $151.36 | $186.21 |
Medcost Setting Professional Modifier None (both parts) Typical Low $165.96 Median $229.09 Typical High $389.05 | Professional | None (both parts) | $165.96 | $229.09 | $389.05 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $31.62 Typical High $58.88 | Professional | 26 · Professional part | $26.30 | $31.62 | $58.88 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $234.42 Typical High $338.84 | Professional | TC · Technical part | $186.21 | $234.42 | $338.84 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | None (both parts) | $165.96 | $165.96 | $165.96 |
United Setting Professional Modifier None (both parts) Typical Low $158.49 Median $245.47 Typical High $489.78 | Professional | None (both parts) | $158.49 | $245.47 | $489.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $32.36 Typical High $60.26 | Professional | 26 · Professional part | $21.88 | $32.36 | $60.26 |
United Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $213.80 Typical High $426.58 | Professional | TC · Technical part | $134.90 | $213.80 | $426.58 |
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 $74.13 Median $75.86 Typical High $75.86 | Professional | 52 · Reduced service | $74.13 | $75.86 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $30.20 Typical High $30.20 | Professional | 53 · Discontinued | $29.51 | $30.20 | $30.20 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $117.49 Median $120.23 Typical High $120.23 | Professional | FX · Film X-ray | $117.49 | $120.23 | $120.23 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $83.18 Median $114.82 Typical High $245.47 | Professional | 51 · Multiple procedures | $83.18 | $114.82 | $245.47 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $33.11 Median $45.71 Typical High $97.72 | Professional | 80 · Assistant surgeon | $33.11 | $45.71 | $97.72 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $23.44 Median $32.36 Typical High $69.18 | Professional | 81 · Minimal assistant surgeon | $23.44 | $32.36 | $69.18 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $23.44 Median $32.36 Typical High $69.18 | Professional | 82 · Assistant surgeon, no resident | $23.44 | $32.36 | $69.18 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $23.44 Median $32.36 Typical High $69.18 | Professional | AS · PA/NP assist | $23.44 | $32.36 | $69.18 |
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· 25th of 51
$229
AK $676TX $145
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.