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 $7.94 Median $7.94 Typical High $7.94 | Facility | None | $7.94 | $7.94 | $7.94 |
Aetna Setting Professional Modifier None (both parts) Typical Low $7.94 Median $7.94 Typical High $9.33 | Professional | None (both parts) | $7.94 | $7.94 | $9.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $7.94 Median $7.94 Typical High $9.33 | Professional | TC · Technical part | $7.94 | $7.94 | $9.33 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $8.13 Median $12.02 Typical High $28.18 | Professional | None (both parts) | $8.13 | $12.02 | $28.18 |
Cigna Setting Professional Modifier None (both parts) Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | None (both parts) | $41.69 | $41.69 | $41.69 |
Medcost Setting Facility Modifier None Typical Low $7.24 Median $7.94 Typical High $8.51 | Facility | None | $7.24 | $7.94 | $8.51 |
Medcost Setting Professional Modifier None (both parts) Typical Low $8.13 Median $8.13 Typical High $21.38 | Professional | None (both parts) | $8.13 | $8.13 | $21.38 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $8.13 Median $8.13 Typical High $21.38 | Professional | TC · Technical part | $8.13 | $8.13 | $21.38 |
United Setting Professional Modifier None (both parts) Typical Low $8.13 Median $10.96 Typical High $21.88 | Professional | None (both parts) | $8.13 | $10.96 | $21.88 |
United Setting Professional Modifier TC · Technical part Typical Low $8.13 Median $10.96 Typical High $21.88 | Professional | TC · Technical part | $8.13 | $10.96 | $21.88 |
6 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 |
|---|---|---|---|---|---|
Medcost Setting Professional Modifier 26 · Professional part Typical Low $3.24 Median $3.24 Typical High $6.92 | Professional | 26 · Professional part | $3.24 | $3.24 | $6.92 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $4.07 Median $4.07 Typical High $10.96 | Professional | 51 · Multiple procedures | $4.07 | $4.07 | $10.96 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $1.62 Median $1.62 Typical High $4.37 | Professional | 80 · Assistant surgeon | $1.62 | $1.62 | $4.37 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $1.15 Median $1.15 Typical High $3.09 | Professional | 81 · Minimal assistant surgeon | $1.15 | $1.15 | $3.09 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $1.15 Median $1.15 Typical High $3.09 | Professional | 82 · Assistant surgeon, no resident | $1.15 | $1.15 | $3.09 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $1.15 Median $1.15 Typical High $3.09 | Professional | AS · PA/NP assist | $1.15 | $1.15 | $3.09 |
Where North Carolina sits
The same service costs 10.5 times more in California than in Mississippi. 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· 25th of 51
$12.02
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.