How much rates vary
Facilitymedian $1,413 · 10th to 90th $1,413 to $4,467Professionalmedian $1,413 · 10th to 90th $229 to $2,692
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 $1,412.54 Median $1,412.54 Typical High $1,995.26 | Professional | None (both parts) | $1,412.54 | $1,412.54 | $1,995.26 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $102.33 Typical High $263.03 | Professional | 26 · Professional part | $102.33 | $102.33 | $263.03 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $1,202.26 Median $1,412.54 Typical High $1,659.59 | Professional | TC · Technical part | $1,202.26 | $1,412.54 | $1,659.59 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | 26 · Professional part | $134.90 | $134.90 | $134.90 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $177.83 Median $239.88 Typical High $295.12 | Professional | None (both parts) | $177.83 | $239.88 | $295.12 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $263.03 Median $263.03 Typical High $263.03 | Professional | 26 · Professional part | $263.03 | $263.03 | $263.03 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $181.97 Typical High $3,019.95 | Professional | TC · Technical part | $181.97 | $181.97 | $3,019.95 |
Cigna Setting Facility Modifier None Typical Low $2,884.03 Median $4,466.84 Typical High $4,466.84 | Facility | None | $2,884.03 | $4,466.84 | $4,466.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $602.56 Median $1,288.25 Typical High $2,398.83 | Professional | None (both parts) | $602.56 | $1,288.25 | $2,398.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $162.18 Typical High $302.00 | Professional | 26 · Professional part | $123.03 | $162.18 | $302.00 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $478.63 Median $1,148.15 Typical High $2,089.30 | Professional | TC · Technical part | $478.63 | $1,148.15 | $2,089.30 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $194.98 Median $194.98 Typical High $194.98 | Professional | 26 · Professional part | $194.98 | $194.98 | $194.98 |
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 $1,862.09 Typical High $3,162.28 | Professional | None (both parts) | $1,445.44 | $1,862.09 | $3,162.28 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $165.96 Typical High $288.40 | Professional | 26 · Professional part | $125.89 | $165.96 | $288.40 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $1,412.54 Median $1,698.24 Typical High $3,311.31 | Professional | TC · Technical part | $1,412.54 | $1,698.24 | $3,311.31 |
United Setting Professional Modifier None (both parts) Typical Low $1,479.11 Median $2,570.40 Typical High $3,890.45 | Professional | None (both parts) | $1,479.11 | $2,570.40 | $3,890.45 |
United Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $165.96 Typical High $288.40 | Professional | 26 · Professional part | $107.15 | $165.96 | $288.40 |
United Setting Professional Modifier TC · Technical part Typical Low $1,348.96 Median $2,398.83 Typical High $3,548.13 | Professional | TC · Technical part | $1,348.96 | $2,398.83 | $3,548.13 |
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 $954.99 Typical High $1,949.84 | Professional | 51 · Multiple procedures | $724.44 | $954.99 | $1,949.84 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $288.40 Median $380.19 Typical High $776.25 | Professional | 80 · Assistant surgeon | $288.40 | $380.19 | $776.25 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $204.17 Median $263.03 Typical High $549.54 | Professional | 81 · Minimal assistant surgeon | $204.17 | $263.03 | $549.54 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $204.17 Median $263.03 Typical High $549.54 | Professional | 82 · Assistant surgeon, no resident | $204.17 | $263.03 | $549.54 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $204.17 Median $263.03 Typical High $549.54 | Professional | AS · PA/NP assist | $204.17 | $263.03 | $549.54 |
Where North Carolina sits
The same service costs 16.6 times more in Alaska 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· 42nd of 51
$1,413
AK $3,388WA $204
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.