How much rates vary
Facilitymedian $1,096 · 10th to 90th $603 to $1,585Professionalmedian $513 · 10th to 90th $355 to $1,096
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 $218.78 Median $218.78 Typical High $257.04 | Professional | 26 · Professional part | $218.78 | $218.78 | $257.04 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $891.25 Median $891.25 Typical High $1,023.29 | Professional | TC · Technical part | $891.25 | $891.25 | $1,023.29 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $398.11 Median $616.60 Typical High $776.25 | Professional | 26 · Professional part | $398.11 | $616.60 | $776.25 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $1,412.54 Median $2,041.74 Typical High $2,754.23 | Professional | TC · Technical part | $1,412.54 | $2,041.74 | $2,754.23 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $245.47 Median $245.47 Typical High $537.03 | Professional | 26 · Professional part | $245.47 | $245.47 | $537.03 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $891.25 Median $891.25 Typical High $1,905.46 | Professional | TC · Technical part | $891.25 | $891.25 | $1,905.46 |
United Setting Professional Modifier 26 · Professional part Typical Low $208.93 Median $323.59 Typical High $549.54 | Professional | 26 · Professional part | $208.93 | $323.59 | $549.54 |
United Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $151.36 Typical High $323.59 | Professional | TC · Technical part | $114.82 | $151.36 | $323.59 |
13 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 $870.96 Median $1,096.48 Typical High $1,905.46 | Facility | None | $870.96 | $1,096.48 | $1,905.46 |
Aetna Setting Professional Modifier None (both parts) Typical Low $630.96 Median $1,096.48 Typical High $1,174.90 | Professional | None (both parts) | $630.96 | $1,096.48 | $1,174.90 |
Cigna Setting Facility Modifier None Typical Low $436.52 Median $676.08 Typical High $676.08 | Facility | None | $436.52 | $676.08 | $676.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,819.70 Median $1,819.70 Typical High $1,819.70 | Professional | None (both parts) | $1,819.70 | $1,819.70 | $1,819.70 |
Medcost Setting Facility Modifier None Typical Low $1,000.00 Median $1,096.48 Typical High $1,174.90 | Facility | None | $1,000.00 | $1,096.48 | $1,174.90 |
Medcost Setting Professional Modifier None (both parts) Typical Low $354.81 Median $354.81 Typical High $794.33 | Professional | None (both parts) | $354.81 | $354.81 | $794.33 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $524.81 Median $524.81 Typical High $1,445.44 | Professional | 50 · Both sides | $524.81 | $524.81 | $1,445.44 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $173.78 Median $173.78 Typical High $478.63 | Professional | 51 · Multiple procedures | $173.78 | $173.78 | $478.63 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $70.79 Median $70.79 Typical High $190.55 | Professional | 80 · Assistant surgeon | $70.79 | $70.79 | $190.55 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $48.98 Median $48.98 Typical High $134.90 | Professional | 81 · Minimal assistant surgeon | $48.98 | $48.98 | $134.90 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $48.98 Median $48.98 Typical High $134.90 | Professional | 82 · Assistant surgeon, no resident | $48.98 | $48.98 | $134.90 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $48.98 Median $48.98 Typical High $134.90 | Professional | AS · PA/NP assist | $48.98 | $48.98 | $134.90 |
United Setting Professional Modifier None (both parts) Typical Low $371.54 Median $489.78 Typical High $812.83 | Professional | None (both parts) | $371.54 | $489.78 | $812.83 |
Where North Carolina sits
The same service costs 4.1 times more in Alaska 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· 33rd of 51
$525
AK $1,318AL $324
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.