How much rates vary
Facilitymedian $589 · 10th to 90th $174 to $977Professionalmedian $263 · 10th to 90th $166 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 $173.78 Median $173.78 Typical High $173.78 | Facility | None | $173.78 | $173.78 | $173.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | None (both parts) | $173.78 | $173.78 | $173.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | 26 · Professional part | $30.90 | $30.90 | $30.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | TC · Technical part | $144.54 | $144.54 | $144.54 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $81.28 Typical High $95.50 | Professional | 26 · Professional part | $54.95 | $81.28 | $95.50 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $251.19 Typical High $426.58 | Professional | TC · Technical part | $194.98 | $251.19 | $426.58 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $977.24 Typical High $977.24 | Facility | None | $630.96 | $977.24 | $977.24 |
Cigna Setting Professional Modifier None (both parts) Typical Low $165.96 Median $288.40 Typical High $575.44 | Professional | None (both parts) | $165.96 | $288.40 | $575.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $52.48 Typical High $97.72 | Professional | 26 · Professional part | $39.81 | $52.48 | $97.72 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $239.88 Typical High $478.63 | Professional | TC · Technical part | $128.82 | $239.88 | $478.63 |
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 $173.78 Median $173.78 Typical High $213.80 | Facility | None | $173.78 | $173.78 | $213.80 |
Medcost Setting Professional Modifier None (both parts) Typical Low $199.53 Median $275.42 Typical High $457.09 | Professional | None (both parts) | $199.53 | $275.42 | $457.09 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $51.29 Typical High $104.71 | Professional | 26 · Professional part | $42.66 | $51.29 | $104.71 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $223.87 Typical High $371.54 | Professional | TC · Technical part | $204.17 | $223.87 | $371.54 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | None (both parts) | $199.53 | $199.53 | $199.53 |
United Setting Professional Modifier None (both parts) Typical Low $177.83 Median $288.40 Typical High $562.34 | Professional | None (both parts) | $177.83 | $288.40 | $562.34 |
United Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $52.48 Typical High $97.72 | Professional | 26 · Professional part | $35.48 | $52.48 | $97.72 |
United Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $239.88 Typical High $467.74 | Professional | TC · Technical part | $144.54 | $239.88 | $467.74 |
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 $87.10 Typical High $87.10 | Professional | 52 · Reduced service | $87.10 | $87.10 | $87.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $35.48 Typical High $35.48 | Professional | 53 · Discontinued | $34.67 | $35.48 | $35.48 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $138.04 Median $141.25 Typical High $141.25 | Professional | FX · Film X-ray | $138.04 | $141.25 | $141.25 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $100.00 Median $138.04 Typical High $288.40 | Professional | 51 · Multiple procedures | $100.00 | $138.04 | $288.40 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $39.81 Median $54.95 Typical High $114.82 | Professional | 80 · Assistant surgeon | $39.81 | $54.95 | $114.82 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $27.54 Median $38.90 Typical High $81.28 | Professional | 81 · Minimal assistant surgeon | $27.54 | $38.90 | $81.28 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $27.54 Median $38.90 Typical High $81.28 | Professional | 82 · Assistant surgeon, no resident | $27.54 | $38.90 | $81.28 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $27.54 Median $38.90 Typical High $81.28 | Professional | AS · PA/NP assist | $27.54 | $38.90 | $81.28 |
Where North Carolina sits
The same service costs 4.6 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· 26th of 51
$263
AK $794FL $174
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.