How much rates vary
Facilitymedian $490 · 10th to 90th $195 to $1,096Professionalmedian $191 · 10th to 90th $105 to $427
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 Professional Modifier 26 · Professional part Typical Low $74.13 Median $74.13 Typical High $79.43 | Professional | 26 · Professional part | $74.13 | $74.13 | $79.43 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $102.33 Typical High $141.25 | Professional | TC · Technical part | $102.33 | $102.33 | $141.25 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $186.21 Typical High $239.88 | Professional | 26 · Professional part | $123.03 | $186.21 | $239.88 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $245.47 Typical High $331.13 | Professional | TC · Technical part | $169.82 | $245.47 | $331.13 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $72.44 Typical High $186.21 | Professional | 26 · Professional part | $72.44 | $72.44 | $186.21 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $100.00 Typical High $263.03 | Professional | TC · Technical part | $100.00 | $100.00 | $263.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $141.25 Typical High $223.87 | Professional | 26 · Professional part | $70.79 | $141.25 | $223.87 |
United Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $112.20 Typical High $218.78 | Professional | TC · Technical part | $72.44 | $112.20 | $218.78 |
14 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 Facility Modifier None Typical Low $194.98 Median $194.98 Typical High $1,584.89 | Facility | None | $194.98 | $194.98 | $1,584.89 |
Aetna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $194.98 Typical High $275.42 | Professional | None (both parts) | $194.98 | $194.98 | $275.42 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $426.58 Median $426.58 Typical High $426.58 | Professional | None (both parts) | $426.58 | $426.58 | $426.58 |
Cigna Setting Facility Modifier None Typical Low $489.78 Median $758.58 Typical High $758.58 | Facility | None | $489.78 | $758.58 | $758.58 |
Cigna Setting Professional Modifier None (both parts) Typical Low $346.74 Median $389.05 Typical High $954.99 | Professional | None (both parts) | $346.74 | $389.05 | $954.99 |
Medcost Setting Facility Modifier None Typical Low $177.83 Median $194.98 Typical High $208.93 | Facility | None | $177.83 | $194.98 | $208.93 |
Medcost Setting Professional Modifier None (both parts) Typical Low $190.55 Median $190.55 Typical High $501.19 | Professional | None (both parts) | $190.55 | $190.55 | $501.19 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $288.40 Median $288.40 Typical High $776.25 | Professional | 50 · Both sides | $288.40 | $288.40 | $776.25 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $95.50 Median $95.50 Typical High $263.03 | Professional | 51 · Multiple procedures | $95.50 | $95.50 | $263.03 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $38.02 Median $38.02 Typical High $104.71 | Professional | 80 · Assistant surgeon | $38.02 | $38.02 | $104.71 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $26.92 Median $26.92 Typical High $72.44 | Professional | 81 · Minimal assistant surgeon | $26.92 | $26.92 | $72.44 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $26.92 Median $26.92 Typical High $72.44 | Professional | 82 · Assistant surgeon, no resident | $26.92 | $26.92 | $72.44 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $26.92 Median $26.92 Typical High $72.44 | Professional | AS · PA/NP assist | $26.92 | $26.92 | $72.44 |
United Setting Professional Modifier None (both parts) Typical Low $102.33 Median $131.83 Typical High $275.42 | Professional | None (both parts) | $102.33 | $131.83 | $275.42 |
Where North Carolina sits
The same service costs 7.8 times more in Alaska than in Michigan. 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· 34th of 51
$191
AK $794MI $102
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.