How much rates vary
Facilitymedian $66 · 10th to 90th $41 to $186Professionalmedian $51 · 10th to 90th $40 to $100
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 $13.18 Median $13.49 Typical High $22.39 | Professional | 26 · Professional part | $13.18 | $13.49 | $22.39 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $26.92 Typical High $43.65 | Professional | TC · Technical part | $23.44 | $26.92 | $43.65 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $38.90 Typical High $588.84 | Professional | 26 · Professional part | $26.30 | $38.90 | $588.84 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $51.29 Typical High $74.13 | Professional | TC · Technical part | $42.66 | $51.29 | $74.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $19.95 Typical High $42.66 | Professional | 26 · Professional part | $16.60 | $19.95 | $42.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $32.36 Typical High $77.62 | Professional | TC · Technical part | $25.12 | $32.36 | $77.62 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $23.99 Typical High $34.67 | Professional | 26 · Professional part | $19.50 | $23.99 | $34.67 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $36.31 Typical High $53.70 | Professional | TC · Technical part | $35.48 | $36.31 | $53.70 |
United Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $20.89 Typical High $33.11 | Professional | 26 · Professional part | $15.49 | $20.89 | $33.11 |
United Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $33.11 Typical High $63.10 | Professional | TC · Technical part | $24.55 | $33.11 | $63.10 |
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 $40.74 Median $40.74 Typical High $95.50 | Facility | None | $40.74 | $40.74 | $95.50 |
Aetna Setting Professional Modifier None (both parts) Typical Low $38.02 Median $40.74 Typical High $69.18 | Professional | None (both parts) | $38.02 | $40.74 | $69.18 |
Cigna Setting Facility Modifier None Typical Low $47.86 Median $120.23 Typical High $186.21 | Facility | None | $47.86 | $120.23 | $186.21 |
Cigna Setting Professional Modifier None (both parts) Typical Low $41.69 Median $54.95 Typical High $117.49 | Professional | None (both parts) | $41.69 | $54.95 | $117.49 |
Medcost Setting Facility Modifier None Typical Low $40.74 Median $40.74 Typical High $50.12 | Facility | None | $40.74 | $40.74 | $50.12 |
Medcost Setting Professional Modifier None (both parts) Typical Low $43.65 Median $60.26 Typical High $93.33 | Professional | None (both parts) | $43.65 | $60.26 | $93.33 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $30.20 Median $30.20 Typical High $61.66 | Professional | 51 · Multiple procedures | $30.20 | $30.20 | $61.66 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $12.02 Median $12.02 Typical High $24.55 | Professional | 80 · Assistant surgeon | $12.02 | $12.02 | $24.55 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $8.32 Median $8.32 Typical High $17.38 | Professional | 81 · Minimal assistant surgeon | $8.32 | $8.32 | $17.38 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $8.32 Median $8.32 Typical High $17.38 | Professional | 82 · Assistant surgeon, no resident | $8.32 | $8.32 | $17.38 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $8.32 Median $8.32 Typical High $17.38 | Professional | AS · PA/NP assist | $8.32 | $8.32 | $17.38 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $15.85 Median $41.69 Typical High $83.18 | Professional | None (both parts) | $15.85 | $41.69 | $83.18 |
United Setting Professional Modifier None (both parts) Typical Low $39.81 Median $52.48 Typical High $95.50 | Professional | None (both parts) | $39.81 | $52.48 | $95.50 |
Where North Carolina sits
The same service costs 3.9 times more in Alaska than in Utah. 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· 29th of 51
$51.29
AK $129UT $33.11
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.