How much rates vary
Facilitymedian $263 · 10th to 90th $191 to $1,023Professionalmedian $316 · 10th to 90th $191 to $603
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 $190.55 Median $190.55 Typical High $281.84 | Facility | None | $190.55 | $190.55 | $281.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $190.55 Typical High $407.38 | Professional | None (both parts) | $190.55 | $190.55 | $407.38 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $39.81 Typical High $81.28 | Professional | 26 · Professional part | $39.81 | $39.81 | $81.28 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $151.36 Typical High $323.59 | Professional | TC · Technical part | $151.36 | $151.36 | $323.59 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $107.15 Typical High $128.82 | Professional | 26 · Professional part | $74.13 | $107.15 | $128.82 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $316.23 Typical High $501.19 | Professional | TC · Technical part | $251.19 | $316.23 | $501.19 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $1,023.29 Typical High $1,023.29 | Facility | None | $660.69 | $1,023.29 | $1,023.29 |
Cigna Setting Professional Modifier None (both parts) Typical Low $234.42 Median $323.59 Typical High $630.96 | Professional | None (both parts) | $234.42 | $323.59 | $630.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $70.79 Typical High $128.82 | Professional | 26 · Professional part | $53.70 | $70.79 | $128.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $257.04 Typical High $501.19 | Professional | TC · Technical part | $177.83 | $257.04 | $501.19 |
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 $190.55 Median $190.55 Typical High $234.42 | Facility | None | $190.55 | $190.55 | $234.42 |
Medcost Setting Professional Modifier None (both parts) Typical Low $251.19 Median $346.74 Typical High $512.86 | Professional | None (both parts) | $251.19 | $346.74 | $512.86 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $79.43 Typical High $141.25 | Professional | 26 · Professional part | $56.23 | $79.43 | $141.25 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $281.84 Typical High $407.38 | Professional | TC · Technical part | $213.80 | $281.84 | $407.38 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $275.42 Median $275.42 Typical High $275.42 | Professional | None (both parts) | $275.42 | $275.42 | $275.42 |
United Setting Professional Modifier None (both parts) Typical Low $223.87 Median $338.84 Typical High $616.60 | Professional | None (both parts) | $223.87 | $338.84 | $616.60 |
United Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $69.18 Typical High $128.82 | Professional | 26 · Professional part | $46.77 | $69.18 | $128.82 |
United Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $269.15 Typical High $489.78 | Professional | TC · Technical part | $177.83 | $269.15 | $489.78 |
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 $95.50 Median $95.50 Typical High $102.33 | Professional | 52 · Reduced service | $95.50 | $95.50 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $38.02 Typical High $40.74 | Professional | 53 · Discontinued | $38.02 | $38.02 | $40.74 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | FX · Film X-ray | $154.88 | $154.88 | $154.88 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $158.49 Median $173.78 Typical High $316.23 | Professional | 51 · Multiple procedures | $158.49 | $173.78 | $316.23 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $63.10 Median $69.18 Typical High $125.89 | Professional | 80 · Assistant surgeon | $63.10 | $69.18 | $125.89 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $43.65 Median $48.98 Typical High $89.13 | Professional | 81 · Minimal assistant surgeon | $43.65 | $48.98 | $89.13 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $43.65 Median $48.98 Typical High $89.13 | Professional | 82 · Assistant surgeon, no resident | $43.65 | $48.98 | $89.13 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $43.65 Median $48.98 Typical High $89.13 | Professional | AS · PA/NP assist | $43.65 | $48.98 | $89.13 |
Where North Carolina sits
The same service costs 3.8 times more in Alaska than in Florida. 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· 22nd of 51
$316
AK $708FL $186
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.