How much rates vary
Facilitymedian $955 · 10th to 90th $275 to $1,660Professionalmedian $389 · 10th to 90th $162 to $871
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 $275.42 Median $275.42 Typical High $275.42 | Facility | None | $275.42 | $275.42 | $275.42 |
Aetna Setting Professional Modifier None (both parts) Typical Low $269.15 Median $275.42 Typical High $275.42 | Professional | None (both parts) | $269.15 | $275.42 | $275.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $26.30 Typical High $26.30 | Professional | 26 · Professional part | $26.30 | $26.30 | $26.30 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $251.19 Typical High $251.19 | Professional | TC · Technical part | $234.42 | $251.19 | $251.19 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $52.48 Typical High $83.18 | Professional | 26 · Professional part | $38.90 | $52.48 | $83.18 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $407.38 Typical High $707.95 | Professional | TC · Technical part | $269.15 | $407.38 | $707.95 |
Cigna Setting Facility Modifier None Typical Low $1,071.52 Median $1,659.59 Typical High $1,659.59 | Facility | None | $1,071.52 | $1,659.59 | $1,659.59 |
Cigna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $457.09 Typical High $912.01 | Professional | None (both parts) | $138.04 | $457.09 | $912.01 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $44.67 Typical High $85.11 | Professional | 26 · Professional part | $34.67 | $44.67 | $85.11 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $416.87 Typical High $831.76 | Professional | TC · Technical part | $102.33 | $416.87 | $831.76 |
Medcost Setting Professional Modifier None Typical Low $363.08 Median $363.08 Typical High $363.08 | Professional | None | $363.08 | $363.08 | $363.08 |
Medcost Setting Facility Modifier None Typical Low $275.42 Median $275.42 Typical High $331.13 | Facility | None | $275.42 | $275.42 | $331.13 |
Medcost Setting Professional Modifier None (both parts) Typical Low $162.18 Median $389.05 Typical High $691.83 | Professional | None (both parts) | $162.18 | $389.05 | $691.83 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $43.65 Typical High $81.28 | Professional | 26 · Professional part | $36.31 | $43.65 | $81.28 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $354.81 Typical High $645.65 | Professional | TC · Technical part | $234.42 | $354.81 | $645.65 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | None (both parts) | $162.18 | $162.18 | $162.18 |
United Setting Professional Modifier None (both parts) Typical Low $218.78 Median $416.87 Typical High $891.25 | Professional | None (both parts) | $218.78 | $416.87 | $891.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $45.71 Typical High $85.11 | Professional | 26 · Professional part | $30.20 | $45.71 | $85.11 |
United Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $389.05 Typical High $812.83 | Professional | TC · Technical part | $181.97 | $389.05 | $812.83 |
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 $131.83 Median $138.04 Typical High $138.04 | Professional | 52 · Reduced service | $131.83 | $138.04 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $52.48 Median $54.95 Typical High $54.95 | Professional | 53 · Discontinued | $52.48 | $54.95 | $54.95 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $208.93 Median $223.87 Typical High $223.87 | Professional | FX · Film X-ray | $208.93 | $223.87 | $223.87 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $81.28 Median $199.53 Typical High $446.68 | Professional | 51 · Multiple procedures | $81.28 | $199.53 | $446.68 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $32.36 Median $79.43 Typical High $177.83 | Professional | 80 · Assistant surgeon | $32.36 | $79.43 | $177.83 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $22.91 Median $56.23 Typical High $125.89 | Professional | 81 · Minimal assistant surgeon | $22.91 | $56.23 | $125.89 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $22.91 Median $56.23 Typical High $125.89 | Professional | 82 · Assistant surgeon, no resident | $22.91 | $56.23 | $125.89 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $22.91 Median $56.23 Typical High $125.89 | Professional | AS · PA/NP assist | $22.91 | $56.23 | $125.89 |
Where North Carolina sits
The same service costs 4.9 times more in Alaska 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· 26th of 51
$389
AK $1,202IN $245
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.