How much rates vary
Facilitymedian $1,413 · 10th to 90th $1,413 to $3,890Professionalmedian $1,413 · 10th to 90th $200 to $2,754
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 $1,412.54 Median $1,412.54 Typical High $1,412.54 | Facility | None | $1,412.54 | $1,412.54 | $1,412.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,288.25 Median $1,412.54 Typical High $1,548.82 | Professional | None (both parts) | $1,288.25 | $1,412.54 | $1,548.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $89.13 Typical High $125.89 | Professional | 26 · Professional part | $89.13 | $89.13 | $125.89 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $1,202.26 Median $1,412.54 Typical High $1,412.54 | Professional | TC · Technical part | $1,202.26 | $1,412.54 | $1,412.54 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | 26 · Professional part | $165.96 | $165.96 | $165.96 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $158.49 Median $213.80 Typical High $257.04 | Professional | None (both parts) | $158.49 | $213.80 | $257.04 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | 26 · Professional part | $208.93 | $208.93 | $208.93 |
Cigna Setting Facility Modifier None Typical Low $2,511.89 Median $3,890.45 Typical High $3,890.45 | Facility | None | $2,511.89 | $3,890.45 | $3,890.45 |
Cigna Setting Professional Modifier None (both parts) Typical Low $562.34 Median $1,122.02 Typical High $2,089.30 | Professional | None (both parts) | $562.34 | $1,122.02 | $2,089.30 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $144.54 Typical High $263.03 | Professional | 26 · Professional part | $109.65 | $144.54 | $263.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $426.58 Median $1,000.00 Typical High $1,819.70 | Professional | TC · Technical part | $426.58 | $1,000.00 | $1,819.70 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | 26 · Professional part | $173.78 | $173.78 | $173.78 |
Medcost Setting Facility Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $1,513.56 | Facility | None | $1,412.54 | $1,412.54 | $1,513.56 |
Medcost Setting Professional Modifier None (both parts) Typical Low $1,445.44 Median $2,137.96 Typical High $3,162.28 | Professional | None (both parts) | $1,445.44 | $2,137.96 | $3,162.28 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $141.25 Typical High $229.09 | Professional | 26 · Professional part | $112.20 | $141.25 | $229.09 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $1,412.54 Median $2,398.83 Typical High $3,467.37 | Professional | TC · Technical part | $1,412.54 | $2,398.83 | $3,467.37 |
United Setting Professional Modifier None (both parts) Typical Low $1,479.11 Median $2,290.87 Typical High $3,715.35 | Professional | None (both parts) | $1,479.11 | $2,290.87 | $3,715.35 |
United Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $144.54 Typical High $251.19 | Professional | 26 · Professional part | $93.33 | $144.54 | $251.19 |
United Setting Professional Modifier TC · Technical part Typical Low $1,348.96 Median $2,187.76 Typical High $3,467.37 | Professional | TC · Technical part | $1,348.96 | $2,187.76 | $3,467.37 |
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 $1,047.13 Median $1,148.15 Typical High $1,148.15 | Professional | FX · Film X-ray | $1,047.13 | $1,148.15 | $1,148.15 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $724.44 Median $1,380.38 Typical High $2,238.72 | Professional | 51 · Multiple procedures | $724.44 | $1,380.38 | $2,238.72 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $288.40 Median $549.54 Typical High $891.25 | Professional | 80 · Assistant surgeon | $288.40 | $549.54 | $891.25 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $204.17 Median $380.19 Typical High $630.96 | Professional | 81 · Minimal assistant surgeon | $204.17 | $380.19 | $630.96 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $204.17 Median $380.19 Typical High $630.96 | Professional | 82 · Assistant surgeon, no resident | $204.17 | $380.19 | $630.96 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $204.17 Median $380.19 Typical High $630.96 | Professional | AS · PA/NP assist | $204.17 | $380.19 | $630.96 |
Where North Carolina sits
The same service costs 16.2 times more in Nebraska than in Washington. 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· 40th of 51
$1,413
NE $3,236WA $200
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.