How much rates vary
Facilitymedian $204 · 10th to 90th $117 to $316Professionalmedian $224 · 10th to 90th $117 to $380
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 $117.49 Median $117.49 Typical High $117.49 | Facility | None | $117.49 | $117.49 | $117.49 |
Aetna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | None (both parts) | $117.49 | $117.49 | $117.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | 26 · Professional part | $72.44 | $72.44 | $72.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $45.71 Typical High $54.95 | Professional | TC · Technical part | $45.71 | $45.71 | $54.95 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $144.54 Median $158.49 Typical High $269.15 | Professional | 26 · Professional part | $144.54 | $158.49 | $269.15 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $125.89 Typical High $173.78 | Professional | TC · Technical part | $93.33 | $125.89 | $173.78 |
Cigna Setting Facility Modifier None Typical Low $204.17 Median $316.23 Typical High $316.23 | Facility | None | $204.17 | $316.23 | $316.23 |
Cigna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $239.88 Typical High $389.05 | Professional | None (both parts) | $181.97 | $239.88 | $389.05 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $138.04 Typical High $239.88 | Professional | 26 · Professional part | $97.72 | $138.04 | $239.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $104.71 Typical High $151.36 | Professional | TC · Technical part | $70.79 | $104.71 | $151.36 |
Medcost Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $331.13 | Professional | None | $331.13 | $331.13 | $331.13 |
Medcost Setting Facility Modifier None Typical Low $117.49 Median $117.49 Typical High $147.91 | Facility | None | $117.49 | $117.49 | $147.91 |
Medcost Setting Professional Modifier None (both parts) Typical Low $162.18 Median $257.04 Typical High $354.81 | Professional | None (both parts) | $162.18 | $257.04 | $354.81 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $131.83 Typical High $218.78 | Professional | 26 · Professional part | $100.00 | $131.83 | $218.78 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $107.15 Typical High $144.54 | Professional | TC · Technical part | $60.26 | $107.15 | $144.54 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $251.19 Median $251.19 Typical High $251.19 | Professional | None (both parts) | $251.19 | $251.19 | $251.19 |
United Setting Professional Modifier None (both parts) Typical Low $154.88 Median $229.09 Typical High $380.19 | Professional | None (both parts) | $154.88 | $229.09 | $380.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $138.04 Typical High $229.09 | Professional | 26 · Professional part | $95.50 | $138.04 | $229.09 |
United Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $93.33 Typical High $147.91 | Professional | TC · Technical part | $57.54 | $93.33 | $147.91 |
8 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 52 · Reduced service Typical Low $58.88 Median $58.88 Typical High $69.18 | Professional | 52 · Reduced service | $58.88 | $58.88 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $23.99 Typical High $27.54 | Professional | 53 · Discontinued | $23.99 | $23.99 | $27.54 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $93.33 Median $95.50 Typical High $95.50 | Professional | FX · Film X-ray | $93.33 | $95.50 | $95.50 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $117.49 Median $128.82 Typical High $194.98 | Professional | 51 · Multiple procedures | $117.49 | $128.82 | $194.98 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $46.77 Median $51.29 Typical High $77.62 | Professional | 80 · Assistant surgeon | $46.77 | $51.29 | $77.62 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $33.11 Median $35.48 Typical High $54.95 | Professional | 81 · Minimal assistant surgeon | $33.11 | $35.48 | $54.95 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $33.11 Median $35.48 Typical High $54.95 | Professional | 82 · Assistant surgeon, no resident | $33.11 | $35.48 | $54.95 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $33.11 Median $35.48 Typical High $54.95 | Professional | AS · PA/NP assist | $33.11 | $35.48 | $54.95 |
Where North Carolina sits
The same service costs 5.6 times more in Alaska than in Texas. 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· 12th of 51
$224
AK $525TX $93.33
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.