How much rates vary
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 $758.58 Median $758.58 Typical High $758.58 | Facility | None | $758.58 | $758.58 | $758.58 |
Aetna Setting Professional Modifier None (both parts) Typical Low $302.00 Median $489.78 Typical High $758.58 | Professional | None (both parts) | $302.00 | $489.78 | $758.58 |
BCBS Setting Professional Modifier None (both parts) Typical Low $371.54 Median $467.74 Typical High $1,445.44 | Professional | None (both parts) | $371.54 | $467.74 | $1,445.44 |
Cigna Setting Facility Modifier None Typical Low $338.84 Median $1,071.52 Typical High $1,862.09 | Facility | None | $338.84 | $1,071.52 | $1,862.09 |
Medcost Setting Facility Modifier None Typical Low $331.13 Median $331.13 Typical High $489.78 | Facility | None | $331.13 | $331.13 | $489.78 |
Medcost Setting Professional Modifier None (both parts) Typical Low $457.09 Median $457.09 Typical High $707.95 | Professional | None (both parts) | $457.09 | $457.09 | $707.95 |
United Setting Professional Modifier None (both parts) Typical Low $173.78 Median $245.47 Typical High $457.09 | Professional | None (both parts) | $173.78 | $245.47 | $457.09 |
9 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 26 · Professional part Typical Low $331.13 Median $331.13 Typical High $380.19 | Professional | 26 · Professional part | $331.13 | $331.13 | $380.19 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $181.97 Median $181.97 Typical High $302.00 | Professional | 26 · Professional part | $181.97 | $181.97 | $302.00 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $676.08 Median $676.08 Typical High $1,698.24 | Professional | 50 · Both sides | $676.08 | $676.08 | $1,698.24 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $229.09 Median $229.09 Typical High $562.34 | Professional | 51 · Multiple procedures | $229.09 | $229.09 | $562.34 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $91.20 Median $91.20 Typical High $223.87 | Professional | 80 · Assistant surgeon | $91.20 | $91.20 | $223.87 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $63.10 Median $63.10 Typical High $158.49 | Professional | 81 · Minimal assistant surgeon | $63.10 | $63.10 | $158.49 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $63.10 Median $63.10 Typical High $158.49 | Professional | 82 · Assistant surgeon, no resident | $63.10 | $63.10 | $158.49 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $63.10 Median $63.10 Typical High $158.49 | Professional | AS · PA/NP assist | $63.10 | $63.10 | $158.49 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $426.58 Median $426.58 Typical High $707.95 | Professional | TC · Technical part | $426.58 | $426.58 | $707.95 |
Where North Carolina sits
The same service costs 11.7 times more in Texas than in Alabama. 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· 14th of 51
$457
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.