How much rates vary
Facilitymedian $257 · 10th to 90th $182 to $1,096Professionalmedian $263 · 10th to 90th $174 to $550
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 $181.97 Median $181.97 Typical High $257.04 | Facility | None | $181.97 | $181.97 | $257.04 |
Aetna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | None (both parts) | $181.97 | $181.97 | $181.97 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $20.89 Typical High $20.89 | Professional | 26 · Professional part | $20.89 | $20.89 | $20.89 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | TC · Technical part | $162.18 | $162.18 | $162.18 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $53.70 Typical High $64.57 | Professional | 26 · Professional part | $38.02 | $53.70 | $64.57 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $281.84 Typical High $457.09 | Professional | TC · Technical part | $213.80 | $281.84 | $457.09 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $1,096.48 Typical High $1,096.48 | Facility | None | $707.95 | $1,096.48 | $1,096.48 |
Cigna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $302.00 Typical High $575.44 | Professional | None (both parts) | $169.82 | $302.00 | $575.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $35.48 Typical High $64.57 | Professional | 26 · Professional part | $26.92 | $35.48 | $64.57 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $269.15 Typical High $501.19 | Professional | TC · Technical part | $141.25 | $269.15 | $501.19 |
Medcost Setting Professional Modifier None Typical Low $251.19 Median $251.19 Typical High $251.19 | Professional | None | $251.19 | $251.19 | $251.19 |
Medcost Setting Facility Modifier None Typical Low $181.97 Median $181.97 Typical High $223.87 | Facility | None | $181.97 | $181.97 | $223.87 |
Medcost Setting Professional Modifier None (both parts) Typical Low $199.53 Median $275.42 Typical High $467.74 | Professional | None (both parts) | $199.53 | $275.42 | $467.74 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $34.67 Typical High $70.79 | Professional | 26 · Professional part | $28.84 | $34.67 | $70.79 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $239.88 Typical High $416.87 | Professional | TC · Technical part | $223.87 | $239.88 | $416.87 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $204.17 Median $204.17 Typical High $204.17 | Professional | None (both parts) | $204.17 | $204.17 | $204.17 |
United Setting Professional Modifier None (both parts) Typical Low $181.97 Median $295.12 Typical High $588.84 | Professional | None (both parts) | $181.97 | $295.12 | $588.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $35.48 Typical High $67.61 | Professional | 26 · Professional part | $23.99 | $35.48 | $67.61 |
United Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $263.03 Typical High $524.81 | Professional | TC · Technical part | $158.49 | $263.03 | $524.81 |
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 $91.20 Median $91.20 Typical High $91.20 | Professional | 52 · Reduced service | $91.20 | $91.20 | $91.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $36.31 Typical High $36.31 | Professional | 53 · Discontinued | $36.31 | $36.31 | $36.31 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | FX · Film X-ray | $144.54 | $144.54 | $144.54 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $100.00 Median $138.04 Typical High $302.00 | Professional | 51 · Multiple procedures | $100.00 | $138.04 | $302.00 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $39.81 Median $56.23 Typical High $120.23 | Professional | 80 · Assistant surgeon | $39.81 | $56.23 | $120.23 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $28.18 Median $38.90 Typical High $85.11 | Professional | 81 · Minimal assistant surgeon | $28.18 | $38.90 | $85.11 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $28.18 Median $38.90 Typical High $85.11 | Professional | 82 · Assistant surgeon, no resident | $28.18 | $38.90 | $85.11 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $28.18 Median $38.90 Typical High $85.11 | Professional | AS · PA/NP assist | $28.18 | $38.90 | $85.11 |
Where North Carolina sits
The same service costs 4.8 times more in Alaska than in Kentucky. 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
$263
AK $851KY $178
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.