How much rates vary
Facilitymedian $257 · 10th to 90th $209 to $1,202Professionalmedian $257 · 10th to 90th $174 to $525
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 $208.93 Median $208.93 Typical High $302.00 | Facility | None | $208.93 | $208.93 | $302.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $199.53 Median $208.93 Typical High $302.00 | Professional | None (both parts) | $199.53 | $208.93 | $302.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $27.54 Typical High $40.74 | Professional | 26 · Professional part | $27.54 | $27.54 | $40.74 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $181.97 Typical High $263.03 | Professional | TC · Technical part | $169.82 | $181.97 | $263.03 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $48.98 Typical High $63.10 | Professional | 26 · Professional part | $31.62 | $48.98 | $63.10 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $70.79 Typical High $87.10 | Professional | 26 · Professional part | $51.29 | $70.79 | $87.10 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $281.84 Typical High $407.38 | Professional | TC · Technical part | $190.55 | $281.84 | $407.38 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $1,202.26 Typical High $1,202.26 | Facility | None | $758.58 | $1,202.26 | $1,202.26 |
Cigna Setting Professional Modifier None (both parts) Typical Low $173.78 Median $316.23 Typical High $562.34 | Professional | None (both parts) | $173.78 | $316.23 | $562.34 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $47.86 Typical High $91.20 | Professional | 26 · Professional part | $37.15 | $47.86 | $91.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $281.84 Typical High $478.63 | Professional | TC · Technical part | $134.90 | $281.84 | $478.63 |
Medcost Setting Professional Modifier None Typical Low $263.03 Median $263.03 Typical High $263.03 | Professional | None | $263.03 | $263.03 | $263.03 |
Medcost Setting Facility Modifier None Typical Low $208.93 Median $208.93 Typical High $257.04 | Facility | None | $208.93 | $208.93 | $257.04 |
Medcost Setting Professional Modifier None (both parts) Typical Low $245.47 Median $257.04 Typical High $457.09 | Professional | None (both parts) | $245.47 | $257.04 | $457.09 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $54.95 Typical High $97.72 | Professional | 26 · Professional part | $38.02 | $54.95 | $97.72 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $218.78 Typical High $407.38 | Professional | TC · Technical part | $194.98 | $218.78 | $407.38 |
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 $173.78 Median $295.12 Typical High $660.69 | Professional | None (both parts) | $173.78 | $295.12 | $660.69 |
United Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $48.98 Typical High $87.10 | Professional | 26 · Professional part | $32.36 | $48.98 | $87.10 |
United Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $251.19 Typical High $575.44 | Professional | TC · Technical part | $141.25 | $251.19 | $575.44 |
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 $102.33 Median $104.71 Typical High $104.71 | Professional | 52 · Reduced service | $102.33 | $104.71 | $104.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $41.69 Typical High $41.69 | Professional | 53 · Discontinued | $40.74 | $41.69 | $41.69 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $158.49 Median $165.96 Typical High $165.96 | Professional | FX · Film X-ray | $158.49 | $165.96 | $165.96 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $123.03 Median $131.83 Typical High $338.84 | Professional | 51 · Multiple procedures | $123.03 | $131.83 | $338.84 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $48.98 Median $52.48 Typical High $134.90 | Professional | 80 · Assistant surgeon | $48.98 | $52.48 | $134.90 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $33.88 Median $37.15 Typical High $95.50 | Professional | 81 · Minimal assistant surgeon | $33.88 | $37.15 | $95.50 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $33.88 Median $37.15 Typical High $95.50 | Professional | 82 · Assistant surgeon, no resident | $33.88 | $37.15 | $95.50 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $33.88 Median $37.15 Typical High $95.50 | Professional | AS · PA/NP assist | $33.88 | $37.15 | $95.50 |
Where North Carolina sits
The same service costs 5.2 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· 37th of 51
$257
AK $933KY $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.