How much rates vary
Facilitymedian $550 · 10th to 90th $145 to $891Professionalmedian $209 · 10th to 90th $95 to $457
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 $144.54 Median $144.54 Typical High $144.54 | Facility | None | $144.54 | $144.54 | $144.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $144.54 Typical High $199.53 | Professional | None (both parts) | $144.54 | $144.54 | $199.53 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $12.59 Typical High $15.49 | Professional | 26 · Professional part | $12.59 | $12.59 | $15.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $131.83 Typical High $186.21 | Professional | TC · Technical part | $131.83 | $131.83 | $186.21 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $26.92 Typical High $41.69 | Professional | 26 · Professional part | $23.44 | $26.92 | $41.69 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $239.88 Typical High $416.87 | Professional | TC · Technical part | $194.98 | $239.88 | $416.87 |
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 $81.28 Median $239.88 Typical High $467.74 | Professional | None (both parts) | $81.28 | $239.88 | $467.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $22.39 Typical High $40.74 | Professional | 26 · Professional part | $16.98 | $22.39 | $40.74 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $218.78 Typical High $426.58 | Professional | TC · Technical part | $63.10 | $218.78 | $426.58 |
Medcost Setting Professional Modifier None Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | None | $218.78 | $218.78 | $218.78 |
Medcost Setting Facility Modifier None Typical Low $144.54 Median $144.54 Typical High $173.78 | Facility | None | $144.54 | $144.54 | $173.78 |
Medcost Setting Professional Modifier None (both parts) Typical Low $95.50 Median $199.53 Typical High $371.54 | Professional | None (both parts) | $95.50 | $199.53 | $371.54 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $22.39 Typical High $40.74 | Professional | 26 · Professional part | $17.78 | $22.39 | $40.74 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $208.93 Typical High $338.84 | Professional | TC · Technical part | $134.90 | $208.93 | $338.84 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | None (both parts) | $95.50 | $95.50 | $95.50 |
United Setting Professional Modifier None (both parts) Typical Low $123.03 Median $251.19 Typical High $457.09 | Professional | None (both parts) | $123.03 | $251.19 | $457.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $22.39 Typical High $40.74 | Professional | 26 · Professional part | $14.79 | $22.39 | $40.74 |
United Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $234.42 Typical High $416.87 | Professional | TC · Technical part | $102.33 | $234.42 | $416.87 |
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 $70.79 Median $72.44 Typical High $72.44 | Professional | 52 · Reduced service | $70.79 | $72.44 | $72.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $28.84 Typical High $28.84 | Professional | 53 · Discontinued | $28.18 | $28.84 | $28.84 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $112.20 Median $114.82 Typical High $114.82 | Professional | FX · Film X-ray | $112.20 | $114.82 | $114.82 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $47.86 Median $114.82 Typical High $234.42 | Professional | 51 · Multiple procedures | $47.86 | $114.82 | $234.42 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $19.05 Median $45.71 Typical High $93.33 | Professional | 80 · Assistant surgeon | $19.05 | $45.71 | $93.33 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $13.18 Median $32.36 Typical High $66.07 | Professional | 81 · Minimal assistant surgeon | $13.18 | $32.36 | $66.07 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $13.18 Median $32.36 Typical High $66.07 | Professional | 82 · Assistant surgeon, no resident | $13.18 | $32.36 | $66.07 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $13.18 Median $32.36 Typical High $66.07 | Professional | AS · PA/NP assist | $13.18 | $32.36 | $66.07 |
Where North Carolina sits
The same service costs 4.3 times more in Alabama than in Indiana. 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· 30th of 51
$209
AL $562IN $132
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.