How much rates vary
Facilitymedian $851 · 10th to 90th $229 to $1,318Professionalmedian $347 · 10th to 90th $229 to $741
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 $229.09 Median $229.09 Typical High $229.09 | Facility | None | $229.09 | $229.09 | $229.09 |
Aetna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $229.09 Typical High $239.88 | Professional | None (both parts) | $229.09 | $229.09 | $239.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $22.39 Typical High $25.12 | Professional | 26 · Professional part | $22.39 | $22.39 | $25.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $204.17 Typical High $218.78 | Professional | TC · Technical part | $204.17 | $204.17 | $218.78 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $63.10 Typical High $79.43 | Professional | 26 · Professional part | $41.69 | $63.10 | $79.43 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $398.11 Typical High $707.95 | Professional | TC · Technical part | $316.23 | $398.11 | $707.95 |
Cigna Setting Facility Modifier None Typical Low $851.14 Median $1,318.26 Typical High $1,318.26 | Facility | None | $851.14 | $1,318.26 | $1,318.26 |
Cigna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $416.87 Typical High $812.83 | Professional | None (both parts) | $218.78 | $416.87 | $812.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $44.67 Typical High $75.86 | Professional | 26 · Professional part | $32.36 | $44.67 | $75.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $398.11 Typical High $724.44 | Professional | TC · Technical part | $186.21 | $398.11 | $724.44 |
Medcost Setting Professional Modifier None Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | None | $346.74 | $346.74 | $346.74 |
Medcost Setting Facility Modifier None Typical Low $229.09 Median $229.09 Typical High $275.42 | Facility | None | $229.09 | $229.09 | $275.42 |
Medcost Setting Professional Modifier None (both parts) Typical Low $257.04 Median $363.08 Typical High $602.56 | Professional | None (both parts) | $257.04 | $363.08 | $602.56 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $40.74 Typical High $91.20 | Professional | 26 · Professional part | $30.90 | $40.74 | $91.20 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $354.81 Typical High $602.56 | Professional | TC · Technical part | $288.40 | $354.81 | $602.56 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $263.03 Median $263.03 Typical High $263.03 | Professional | None (both parts) | $263.03 | $263.03 | $263.03 |
United Setting Professional Modifier None (both parts) Typical Low $251.19 Median $407.38 Typical High $724.44 | Professional | None (both parts) | $251.19 | $407.38 | $724.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $40.74 Typical High $70.79 | Professional | 26 · Professional part | $28.84 | $40.74 | $70.79 |
United Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $371.54 Typical High $660.69 | Professional | TC · Technical part | $234.42 | $371.54 | $660.69 |
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 $114.82 Median $114.82 Typical High $120.23 | Professional | 52 · Reduced service | $114.82 | $114.82 | $120.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $45.71 Typical High $47.86 | Professional | 53 · Discontinued | $45.71 | $45.71 | $47.86 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $173.78 Median $181.97 Typical High $181.97 | Professional | FX · Film X-ray | $173.78 | $181.97 | $181.97 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $128.82 Median $208.93 Typical High $371.54 | Professional | 51 · Multiple procedures | $128.82 | $208.93 | $371.54 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $52.48 Median $83.18 Typical High $147.91 | Professional | 80 · Assistant surgeon | $52.48 | $83.18 | $147.91 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $36.31 Median $58.88 Typical High $102.33 | Professional | 81 · Minimal assistant surgeon | $36.31 | $58.88 | $102.33 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $36.31 Median $58.88 Typical High $102.33 | Professional | 82 · Assistant surgeon, no resident | $36.31 | $58.88 | $102.33 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $36.31 Median $58.88 Typical High $102.33 | Professional | AS · PA/NP assist | $36.31 | $58.88 | $102.33 |
Where North Carolina sits
The same service costs 4.3 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· 27th of 51
$347
AK $1,000TX $234
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.