How much rates vary
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 $34.67 Median $34.67 Typical High $34.67 | Facility | None | $34.67 | $34.67 | $34.67 |
Aetna Setting Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $38.02 | Professional | None | $34.67 | $34.67 | $38.02 |
BCBS North Carolina Setting Professional Modifier None Typical Low $66.07 Median $102.33 Typical High $125.89 | Professional | None | $66.07 | $102.33 | $125.89 |
Cigna Setting Facility Modifier None Typical Low $1,621.81 Median $2,511.89 Typical High $2,511.89 | Facility | None | $1,621.81 | $2,511.89 | $2,511.89 |
Cigna Setting Professional Modifier None Typical Low $47.86 Median $64.57 Typical High $114.82 | Professional | None | $47.86 | $64.57 | $114.82 |
Medcost Setting Professional Modifier None Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | None | $70.79 | $70.79 | $70.79 |
Medcost Setting Facility Modifier None Typical Low $34.67 Median $34.67 Typical High $45.71 | Facility | None | $34.67 | $34.67 | $45.71 |
Medcost Setting Professional Modifier None Typical Low $46.77 Median $61.66 Typical High $93.33 | Professional | None | $46.77 | $61.66 | $93.33 |
United Setting Professional Modifier None Typical Low $40.74 Median $57.54 Typical High $109.65 | Professional | None | $40.74 | $57.54 | $109.65 |
6 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 FX · Film X-ray Typical Low $27.54 Median $27.54 Typical High $27.54 | Professional | FX · Film X-ray | $27.54 | $27.54 | $27.54 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $30.20 Median $30.90 Typical High $57.54 | Professional | 51 · Multiple procedures | $30.20 | $30.90 | $57.54 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $12.02 Median $12.30 Typical High $23.44 | Professional | 80 · Assistant surgeon | $12.02 | $12.30 | $23.44 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $8.32 Median $8.71 Typical High $16.22 | Professional | 81 · Minimal assistant surgeon | $8.32 | $8.71 | $16.22 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $8.32 Median $8.71 Typical High $16.22 | Professional | 82 · Assistant surgeon, no resident | $8.32 | $8.71 | $16.22 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $8.32 Median $8.71 Typical High $16.22 | Professional | AS · PA/NP assist | $8.32 | $8.71 | $16.22 |
Where North Carolina sits
The same service costs 4.5 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· 10th of 51
$77.62
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.