How much rates vary
Facilitymedian $56 · 10th to 90th $38 to $182Professionalmedian $48 · 10th to 90th $35 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 $11.48 Median $11.48 Typical High $19.95 | Professional | 26 · Professional part | $11.48 | $11.48 | $19.95 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $26.30 Typical High $48.98 | Professional | TC · Technical part | $23.44 | $26.30 | $48.98 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $29.51 Typical High $40.74 | Professional | 26 · Professional part | $22.91 | $29.51 | $40.74 |
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 $14.13 Median $16.60 Typical High $35.48 | Professional | 26 · Professional part | $14.13 | $16.60 | $35.48 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $32.36 Typical High $75.86 | Professional | TC · Technical part | $24.55 | $32.36 | $75.86 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $19.95 Typical High $29.51 | Professional | 26 · Professional part | $16.22 | $19.95 | $29.51 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $35.48 Typical High $53.70 | Professional | TC · Technical part | $33.88 | $35.48 | $53.70 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $17.38 Typical High $28.18 | Professional | 26 · Professional part | $12.88 | $17.38 | $28.18 |
United Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $32.36 Typical High $60.26 | Professional | TC · Technical part | $23.99 | $32.36 | $60.26 |
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 $38.02 Median $38.02 Typical High $66.07 | Facility | None | $38.02 | $38.02 | $66.07 |
Aetna Setting Professional Modifier None (both parts) Typical Low $35.48 Median $38.02 Typical High $70.79 | Professional | None (both parts) | $35.48 | $38.02 | $70.79 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $24.55 Median $24.55 Typical High $24.55 | Professional | None (both parts) | $24.55 | $24.55 | $24.55 |
Cigna Setting Facility Modifier None Typical Low $45.71 Median $120.23 Typical High $181.97 | Facility | None | $45.71 | $120.23 | $181.97 |
Cigna Setting Professional Modifier None (both parts) Typical Low $38.90 Median $51.29 Typical High $109.65 | Professional | None (both parts) | $38.90 | $51.29 | $109.65 |
Medcost Setting Facility Modifier None Typical Low $38.02 Median $38.02 Typical High $46.77 | Facility | None | $38.02 | $38.02 | $46.77 |
Medcost Setting Professional Modifier None (both parts) Typical Low $40.74 Median $54.95 Typical High $85.11 | Professional | None (both parts) | $40.74 | $54.95 | $85.11 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $27.54 Median $27.54 Typical High $57.54 | Professional | 51 · Multiple procedures | $27.54 | $27.54 | $57.54 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $11.22 Median $11.22 Typical High $22.91 | Professional | 80 · Assistant surgeon | $11.22 | $11.22 | $22.91 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $7.76 Median $7.76 Typical High $15.85 | Professional | 81 · Minimal assistant surgeon | $7.76 | $7.76 | $15.85 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $7.76 Median $7.76 Typical High $15.85 | Professional | 82 · Assistant surgeon, no resident | $7.76 | $7.76 | $15.85 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $7.76 Median $7.76 Typical High $15.85 | Professional | AS · PA/NP assist | $7.76 | $7.76 | $15.85 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $13.18 Median $38.90 Typical High $75.86 | Professional | None (both parts) | $13.18 | $38.90 | $75.86 |
United Setting Professional Modifier None (both parts) Typical Low $37.15 Median $48.98 Typical High $87.10 | Professional | None (both parts) | $37.15 | $48.98 | $87.10 |
Where North Carolina sits
The same service costs 4.1 times more in Alaska than in New York. 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· 27th of 51
$47.86
AK $126NY $30.90
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.