How much rates vary
Facilitymedian $162 · 10th to 90th $93 to $251Professionalmedian $195 · 10th to 90th $93 to $331
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 $93.33 Median $93.33 Typical High $93.33 | Facility | None | $93.33 | $93.33 | $93.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | None (both parts) | $93.33 | $93.33 | $93.33 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $57.54 Typical High $58.88 | Professional | 26 · Professional part | $57.54 | $57.54 | $58.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $36.31 Typical High $36.31 | Professional | TC · Technical part | $36.31 | $36.31 | $36.31 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $128.82 Typical High $234.42 | Professional | 26 · Professional part | $117.49 | $128.82 | $234.42 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $89.13 Typical High $151.36 | Professional | TC · Technical part | $72.44 | $89.13 | $151.36 |
Cigna Setting Facility Modifier None Typical Low $162.18 Median $251.19 Typical High $251.19 | Facility | None | $162.18 | $251.19 | $251.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $190.55 Typical High $331.13 | Professional | None (both parts) | $134.90 | $190.55 | $331.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $114.82 Typical High $194.98 | Professional | 26 · Professional part | $81.28 | $114.82 | $194.98 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $74.13 Typical High $128.82 | Professional | TC · Technical part | $54.95 | $74.13 | $128.82 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | 26 · Professional part | $147.91 | $147.91 | $147.91 |
Medcost Setting Facility Modifier None Typical Low $93.33 Median $93.33 Typical High $100.00 | Facility | None | $93.33 | $93.33 | $100.00 |
Medcost Setting Professional Modifier None (both parts) Typical Low $131.83 Median $199.53 Typical High $251.19 | Professional | None (both parts) | $131.83 | $199.53 | $251.19 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $107.15 Typical High $173.78 | Professional | 26 · Professional part | $81.28 | $107.15 | $173.78 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $87.10 Typical High $95.50 | Professional | TC · Technical part | $50.12 | $87.10 | $95.50 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | None (both parts) | $239.88 | $239.88 | $239.88 |
United Setting Professional Modifier None (both parts) Typical Low $131.83 Median $263.03 Typical High $407.38 | Professional | None (both parts) | $131.83 | $263.03 | $407.38 |
United Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $114.82 Typical High $186.21 | Professional | 26 · Professional part | $79.43 | $114.82 | $186.21 |
United Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $120.23 Typical High $275.42 | Professional | TC · Technical part | $50.12 | $120.23 | $275.42 |
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 $46.77 Median $46.77 Typical High $46.77 | Professional | 52 · Reduced service | $46.77 | $46.77 | $46.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $19.05 Typical High $19.05 | Professional | 53 · Discontinued | $18.62 | $19.05 | $19.05 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $74.13 Median $75.86 Typical High $75.86 | Professional | FX · Film X-ray | $74.13 | $75.86 | $75.86 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $95.50 Median $109.65 Typical High $154.88 | Professional | 51 · Multiple procedures | $95.50 | $109.65 | $154.88 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $38.02 Median $43.65 Typical High $63.10 | Professional | 80 · Assistant surgeon | $38.02 | $43.65 | $63.10 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $26.92 Median $30.90 Typical High $43.65 | Professional | 81 · Minimal assistant surgeon | $26.92 | $30.90 | $43.65 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $26.92 Median $30.90 Typical High $43.65 | Professional | 82 · Assistant surgeon, no resident | $26.92 | $30.90 | $43.65 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $26.92 Median $30.90 Typical High $43.65 | Professional | AS · PA/NP assist | $26.92 | $30.90 | $43.65 |
Where North Carolina sits
The same service costs 4.7 times more in Nebraska than in New Jersey. 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· 19th of 51
$191
NE $537NJ $115
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.