How much rates vary
Facilitymedian $78 · 10th to 90th $74 to $123Professionalmedian $100 · 10th to 90th $74 to $195
Distribution of negotiated rates across all payers (price axis is log-scale). 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 26 · Professional part Typical Low $30.20 Median $30.90 Typical High $50.12 | Facility | 26 · Professional part | $30.20 | $30.90 | $50.12 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $44.67 Median $45.71 Typical High $72.44 | Facility | TC · Technical part | $44.67 | $45.71 | $72.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $30.20 Typical High $51.29 | Professional | 26 · Professional part | $29.51 | $30.20 | $51.29 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $44.67 Typical High $72.44 | Professional | TC · Technical part | $42.66 | $44.67 | $72.44 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $33.88 Typical High $57.54 | Professional | 26 · Professional part | $33.88 | $33.88 | $57.54 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $81.28 Typical High $102.33 | Professional | 26 · Professional part | $57.54 | $81.28 | $102.33 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $93.33 Typical High $134.90 | Professional | TC · Technical part | $74.13 | $93.33 | $134.90 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $45.71 Typical High $91.20 | Professional | 26 · Professional part | $36.31 | $45.71 | $91.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $60.26 Typical High $125.89 | Professional | TC · Technical part | $45.71 | $60.26 | $125.89 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $52.48 Typical High $75.86 | Professional | 26 · Professional part | $41.69 | $52.48 | $75.86 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $67.61 Typical High $95.50 | Professional | TC · Technical part | $56.23 | $67.61 | $95.50 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $44.67 Typical High $72.44 | Professional | 26 · Professional part | $33.11 | $44.67 | $72.44 |
United Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $58.88 Typical High $102.33 | Professional | TC · Technical part | $44.67 | $58.88 | $102.33 |
11 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 $74.13 Median $77.62 Typical High $123.03 | Facility | None | $74.13 | $77.62 | $123.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $72.44 Median $74.13 Typical High $134.90 | Professional | None (both parts) | $72.44 | $74.13 | $134.90 |
Cigna Setting Professional Modifier None (both parts) Typical Low $81.28 Median $107.15 Typical High $218.78 | Professional | None (both parts) | $81.28 | $107.15 | $218.78 |
Medcost Setting Facility Modifier None Typical Low $74.13 Median $74.13 Typical High $89.13 | Facility | None | $74.13 | $74.13 | $89.13 |
Medcost Setting Professional Modifier None (both parts) Typical Low $87.10 Median $120.23 Typical High $181.97 | Professional | None (both parts) | $87.10 | $120.23 | $181.97 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $60.26 Median $60.26 Typical High $114.82 | Professional | 51 · Multiple procedures | $60.26 | $60.26 | $114.82 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $23.99 Median $23.99 Typical High $45.71 | Professional | 80 · Assistant surgeon | $23.99 | $23.99 | $45.71 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $16.60 Median $16.60 Typical High $31.62 | Professional | 81 · Minimal assistant surgeon | $16.60 | $16.60 | $31.62 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $16.60 Median $16.60 Typical High $31.62 | Professional | 82 · Assistant surgeon, no resident | $16.60 | $16.60 | $31.62 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $16.60 Median $16.60 Typical High $31.62 | Professional | AS · PA/NP assist | $16.60 | $16.60 | $31.62 |
United Setting Professional Modifier None (both parts) Typical Low $77.62 Median $104.71 Typical High $173.78 | Professional | None (both parts) | $77.62 | $104.71 | $173.78 |
Where North Carolina sits
The same service costs 3.8 times more in Alaska than in Texas. 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· 21st of 51
$100
AK $240TX $63.10
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.