How much rates vary
Facilitymedian $1,514 · 10th to 90th $1,413 to $3,981Professionalmedian $1,413 · 10th to 90th $204 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 $1,412.54 | Professional | None (both parts) | $1,288.25 | $1,412.54 | $1,412.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $89.13 Typical High $102.33 | Professional | 26 · Professional part | $89.13 | $89.13 | $102.33 |
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 $173.78 Median $173.78 Typical High $173.78 | Professional | 26 · Professional part | $173.78 | $173.78 | $173.78 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $162.18 Median $218.78 Typical High $269.15 | Professional | None (both parts) | $162.18 | $218.78 | $269.15 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | 26 · Professional part | $218.78 | $218.78 | $218.78 |
Cigna Setting Facility Modifier None Typical Low $2,570.40 Median $3,981.07 Typical High $3,981.07 | Facility | None | $2,570.40 | $3,981.07 | $3,981.07 |
Cigna Setting Professional Modifier None (both parts) Typical Low $588.84 Median $1,174.90 Typical High $2,137.96 | Professional | None (both parts) | $588.84 | $1,174.90 | $2,137.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $147.91 Typical High $269.15 | Professional | 26 · Professional part | $112.20 | $147.91 | $269.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $436.52 Median $1,047.13 Typical High $1,862.09 | Professional | TC · Technical part | $436.52 | $1,047.13 | $1,862.09 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | 26 · Professional part | $177.83 | $177.83 | $177.83 |
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 $2,089.30 Typical High $3,162.28 | Professional | None (both parts) | $1,445.44 | $2,089.30 | $3,162.28 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $151.36 Typical High $257.04 | Professional | 26 · Professional part | $112.20 | $151.36 | $257.04 |
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 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $1,258.93 Median $1,258.93 Typical High $1,258.93 | Professional | None (both parts) | $1,258.93 | $1,258.93 | $1,258.93 |
United Setting Professional Modifier None (both parts) Typical Low $1,479.11 Median $2,398.83 Typical High $3,715.35 | Professional | None (both parts) | $1,479.11 | $2,398.83 | $3,715.35 |
United Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $151.36 Typical High $257.04 | Professional | 26 · Professional part | $95.50 | $151.36 | $257.04 |
United Setting Professional Modifier TC · Technical part Typical Low $1,348.96 Median $2,290.87 Typical High $3,467.37 | Professional | TC · Technical part | $1,348.96 | $2,290.87 | $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· 38th 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.