How much rates vary
Facilitymedian $1,514 · 10th to 90th $1,445 to $5,012Professionalmedian $1,445 · 10th to 90th $251 to $3,020
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 $1,445.44 Median $1,445.44 Typical High $1,698.24 | Facility | None | $1,445.44 | $1,445.44 | $1,698.24 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $112.20 Median $112.20 Typical High $186.21 | Facility | 26 · Professional part | $112.20 | $112.20 | $186.21 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,288.25 Median $1,445.44 Typical High $2,187.76 | Professional | None (both parts) | $1,288.25 | $1,445.44 | $2,187.76 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $112.20 Typical High $331.13 | Professional | 26 · Professional part | $112.20 | $112.20 | $331.13 |
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 None (both parts) Typical Low $2,570.40 Median $2,570.40 Typical High $2,570.40 | Professional | None (both parts) | $2,570.40 | $2,570.40 | $2,570.40 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $199.53 Median $269.15 Typical High $323.59 | Professional | None (both parts) | $199.53 | $269.15 | $323.59 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $281.84 Median $281.84 Typical High $281.84 | Professional | 26 · Professional part | $281.84 | $281.84 | $281.84 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $251.19 Typical High $3,019.95 | Professional | TC · Technical part | $251.19 | $251.19 | $3,019.95 |
Cigna Setting Facility Modifier None Typical Low $3,162.28 Median $5,011.87 Typical High $5,011.87 | Facility | None | $3,162.28 | $5,011.87 | $5,011.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $660.69 Median $1,445.44 Typical High $2,691.53 | Professional | None (both parts) | $660.69 | $1,445.44 | $2,691.53 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $138.04 Median $181.97 Typical High $338.84 | Professional | 26 · Professional part | $138.04 | $181.97 | $338.84 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $537.03 Median $1,258.93 Typical High $2,344.23 | Professional | TC · Technical part | $537.03 | $1,258.93 | $2,344.23 |
Medcost 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 |
Medcost Setting Facility Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $1,513.56 | Facility | None | $1,445.44 | $1,445.44 | $1,513.56 |
Medcost Setting Professional Modifier None (both parts) Typical Low $1,445.44 Median $2,454.71 Typical High $3,630.78 | Professional | None (both parts) | $1,445.44 | $2,454.71 | $3,630.78 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $147.91 Median $204.17 Typical High $363.08 | Professional | 26 · Professional part | $147.91 | $204.17 | $363.08 |
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 Facility Modifier None Typical Low $3,467.37 Median $3,467.37 Typical High $3,467.37 | Facility | None | $3,467.37 | $3,467.37 | $3,467.37 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $1,288.25 Median $1,288.25 Typical High $1,288.25 | Professional | None (both parts) | $1,288.25 | $1,288.25 | $1,288.25 |
United Setting Professional Modifier None (both parts) Typical Low $1,513.56 Median $2,630.27 Typical High $3,890.45 | Professional | None (both parts) | $1,513.56 | $2,630.27 | $3,890.45 |
United Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $186.21 Typical High $316.23 | Professional | 26 · Professional part | $117.49 | $186.21 | $316.23 |
United Setting Professional Modifier TC · Technical part Typical Low $1,348.96 Median $2,454.71 Typical High $3,630.78 | Professional | TC · Technical part | $1,348.96 | $2,454.71 | $3,630.78 |
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 $389.05 Typical High $630.96 | Professional | 81 · Minimal assistant surgeon | $204.17 | $389.05 | $630.96 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $204.17 Median $389.05 Typical High $630.96 | Professional | 82 · Assistant surgeon, no resident | $204.17 | $389.05 | $630.96 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $204.17 Median $389.05 Typical High $630.96 | Professional | AS · PA/NP assist | $204.17 | $389.05 | $630.96 |
Where North Carolina sits
The same service costs 21.9 times more in Minnesota 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· 43rd of 51
$1,445
MN $4,786WA $219
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.