How much rates vary
Facilitymedian $55 · 10th to 90th $55 to $55Professionalmedian $56 · 10th to 90th $55 to $91
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 $36.31 Median $36.31 Typical High $37.15 | Professional | 26 · Professional part | $36.31 | $36.31 | $37.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $19.05 Typical High $19.05 | Professional | TC · Technical part | $19.05 | $19.05 | $19.05 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $53.70 Typical High $128.82 | Professional | 26 · Professional part | $40.74 | $53.70 | $128.82 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $28.18 Typical High $66.07 | Professional | TC · Technical part | $21.38 | $28.18 | $66.07 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $37.15 Typical High $37.15 | Professional | 26 · Professional part | $32.36 | $37.15 | $37.15 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $19.05 Typical High $19.05 | Professional | TC · Technical part | $16.60 | $19.05 | $19.05 |
United Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $51.29 Typical High $107.15 | Professional | 26 · Professional part | $35.48 | $51.29 | $107.15 |
United Setting Professional Modifier TC · Technical part Typical Low $15.49 Median $24.55 Typical High $40.74 | Professional | TC · Technical part | $15.49 | $24.55 | $40.74 |
12 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 $54.95 Median $54.95 Typical High $54.95 | Facility | None | $54.95 | $54.95 | $54.95 |
Aetna Setting Professional Modifier None (both parts) Typical Low $54.95 Median $54.95 Typical High $56.23 | Professional | None (both parts) | $54.95 | $54.95 | $56.23 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | None (both parts) | $79.43 | $79.43 | $79.43 |
Cigna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $93.33 Typical High $316.23 | Professional | None (both parts) | $93.33 | $93.33 | $316.23 |
Medcost Setting Facility Modifier None Typical Low $54.95 Median $54.95 Typical High $58.88 | Facility | None | $54.95 | $54.95 | $58.88 |
Medcost Setting Professional Modifier None (both parts) Typical Low $40.74 Median $56.23 Typical High $56.23 | Professional | None (both parts) | $40.74 | $56.23 | $56.23 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $19.95 Median $28.18 Typical High $28.18 | Professional | 51 · Multiple procedures | $19.95 | $28.18 | $28.18 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $8.13 Median $11.22 Typical High $11.22 | Professional | 80 · Assistant surgeon | $8.13 | $11.22 | $11.22 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $5.62 Median $7.76 Typical High $7.76 | Professional | 81 · Minimal assistant surgeon | $5.62 | $7.76 | $7.76 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $5.62 Median $7.76 Typical High $7.76 | Professional | 82 · Assistant surgeon, no resident | $5.62 | $7.76 | $7.76 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $5.62 Median $7.76 Typical High $7.76 | Professional | AS · PA/NP assist | $5.62 | $7.76 | $7.76 |
United Setting Professional Modifier None (both parts) Typical Low $53.70 Median $75.86 Typical High $154.88 | Professional | None (both parts) | $53.70 | $75.86 | $154.88 |
Where North Carolina sits
The same service costs 141.3 times more in New York than in Arkansas. 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· 43rd of 51
$56.23
NY $5,129AR $36.31
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.