How much rates vary
Facilitymedian $282 · 10th to 90th $98 to $490Professionalmedian $132 · 10th to 90th $93 to $282
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 $97.72 Median $97.72 Typical High $97.72 | Facility | None | $97.72 | $97.72 | $97.72 |
Aetna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $97.72 Typical High $181.97 | Professional | None (both parts) | $97.72 | $97.72 | $181.97 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $15.85 Typical High $28.18 | Professional | 26 · Professional part | $15.85 | $15.85 | $28.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $81.28 Typical High $151.36 | Professional | TC · Technical part | $81.28 | $81.28 | $151.36 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $31.62 Typical High $31.62 | Professional | 26 · Professional part | $31.62 | $31.62 | $31.62 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $38.90 Typical High $50.12 | Professional | 26 · Professional part | $28.84 | $38.90 | $50.12 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $138.04 Typical High $218.78 | Professional | TC · Technical part | $97.72 | $138.04 | $218.78 |
Cigna Setting Facility Modifier None Typical Low $316.23 Median $489.78 Typical High $489.78 | Facility | None | $316.23 | $489.78 | $489.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $158.49 Typical High $288.40 | Professional | None (both parts) | $93.33 | $158.49 | $288.40 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $27.54 Typical High $50.12 | Professional | 26 · Professional part | $20.89 | $27.54 | $50.12 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $128.82 Typical High $239.88 | Professional | TC · Technical part | $70.79 | $128.82 | $239.88 |
Medcost Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | None | $141.25 | $141.25 | $141.25 |
Medcost Setting Facility Modifier None Typical Low $97.72 Median $97.72 Typical High $109.65 | Facility | None | $97.72 | $97.72 | $109.65 |
Medcost Setting Professional Modifier None (both parts) Typical Low $109.65 Median $131.83 Typical High $239.88 | Professional | None (both parts) | $109.65 | $131.83 | $239.88 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $26.92 Typical High $56.23 | Professional | 26 · Professional part | $21.38 | $26.92 | $56.23 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $114.82 Typical High $186.21 | Professional | TC · Technical part | $104.71 | $114.82 | $186.21 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | None (both parts) | $109.65 | $109.65 | $109.65 |
United Setting Professional Modifier None (both parts) Typical Low $95.50 Median $151.36 Typical High $316.23 | Professional | None (both parts) | $95.50 | $151.36 | $316.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $26.92 Typical High $51.29 | Professional | 26 · Professional part | $18.20 | $26.92 | $51.29 |
United Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $120.23 Typical High $263.03 | Professional | TC · Technical part | $74.13 | $120.23 | $263.03 |
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 $47.86 Median $48.98 Typical High $48.98 | Professional | 52 · Reduced service | $47.86 | $48.98 | $48.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $19.50 Typical High $19.50 | Professional | 53 · Discontinued | $19.50 | $19.50 | $19.50 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $72.44 Median $77.62 Typical High $77.62 | Professional | FX · Film X-ray | $72.44 | $77.62 | $77.62 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $54.95 Median $75.86 Typical High $147.91 | Professional | 51 · Multiple procedures | $54.95 | $75.86 | $147.91 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $21.88 Median $30.20 Typical High $58.88 | Professional | 80 · Assistant surgeon | $21.88 | $30.20 | $58.88 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $15.49 Median $21.38 Typical High $41.69 | Professional | 81 · Minimal assistant surgeon | $15.49 | $21.38 | $41.69 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $15.49 Median $21.38 Typical High $41.69 | Professional | 82 · Assistant surgeon, no resident | $15.49 | $21.38 | $41.69 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $15.49 Median $21.38 Typical High $41.69 | Professional | AS · PA/NP assist | $15.49 | $21.38 | $41.69 |
Where North Carolina sits
The same service costs 5.5 times more in Alabama 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· 26th of 51
$132
AL $479FL $87.10
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.