How much rates vary
Facilitymedian $631 · 10th to 90th $178 to $1,096Professionalmedian $257 · 10th to 90th $135 to $562
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 $177.83 Median $177.83 Typical High $177.83 | Facility | None | $177.83 | $177.83 | $177.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $177.83 Median $177.83 Typical High $213.80 | Professional | None (both parts) | $177.83 | $177.83 | $213.80 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $23.44 Typical High $26.30 | Professional | 26 · Professional part | $23.44 | $23.44 | $26.30 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $154.88 Typical High $169.82 | Professional | TC · Technical part | $154.88 | $154.88 | $169.82 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $64.57 Typical High $75.86 | Professional | 26 · Professional part | $43.65 | $64.57 | $75.86 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $281.84 Typical High $467.74 | Professional | TC · Technical part | $181.97 | $281.84 | $467.74 |
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 $117.49 Median $295.12 Typical High $588.84 | Professional | None (both parts) | $117.49 | $295.12 | $588.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $41.69 Typical High $75.86 | Professional | 26 · Professional part | $31.62 | $41.69 | $75.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $263.03 Typical High $524.81 | Professional | TC · Technical part | $85.11 | $263.03 | $524.81 |
Medcost Setting Professional Modifier None Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | None | $257.04 | $257.04 | $257.04 |
Medcost Setting Facility Modifier None Typical Low $177.83 Median $177.83 Typical High $245.47 | Facility | None | $177.83 | $177.83 | $245.47 |
Medcost Setting Professional Modifier None (both parts) Typical Low $173.78 Median $263.03 Typical High $478.63 | Professional | None (both parts) | $173.78 | $263.03 | $478.63 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $46.77 Typical High $75.86 | Professional | 26 · Professional part | $32.36 | $46.77 | $75.86 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $234.42 Typical High $416.87 | Professional | TC · Technical part | $173.78 | $234.42 | $416.87 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | None (both parts) | $138.04 | $138.04 | $138.04 |
United Setting Professional Modifier None (both parts) Typical Low $162.18 Median $281.84 Typical High $575.44 | Professional | None (both parts) | $162.18 | $281.84 | $575.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $40.74 Typical High $75.86 | Professional | 26 · Professional part | $27.54 | $40.74 | $75.86 |
United Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $245.47 Typical High $501.19 | Professional | TC · Technical part | $131.83 | $245.47 | $501.19 |
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 $87.10 Median $89.13 Typical High $89.13 | Professional | 52 · Reduced service | $87.10 | $89.13 | $89.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | 53 · Discontinued | $35.48 | $35.48 | $35.48 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $138.04 Median $144.54 Typical High $144.54 | Professional | FX · Film X-ray | $138.04 | $144.54 | $144.54 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $87.10 Median $138.04 Typical High $302.00 | Professional | 51 · Multiple procedures | $87.10 | $138.04 | $302.00 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $34.67 Median $56.23 Typical High $120.23 | Professional | 80 · Assistant surgeon | $34.67 | $56.23 | $120.23 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $23.99 Median $38.90 Typical High $83.18 | Professional | 81 · Minimal assistant surgeon | $23.99 | $38.90 | $83.18 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $23.99 Median $38.90 Typical High $83.18 | Professional | 82 · Assistant surgeon, no resident | $23.99 | $38.90 | $83.18 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $23.99 Median $38.90 Typical High $83.18 | Professional | AS · PA/NP assist | $23.99 | $38.90 | $83.18 |
Where North Carolina sits
The same service costs 4.8 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· 32nd of 51
$257
AK $851IN $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.