How much rates vary
Facilitymedian $263 · 10th to 90th $182 to $708Professionalmedian $363 · 10th to 90th $263 to $646
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 $66.07 Median $69.18 Typical High $79.43 | Professional | 26 · Professional part | $66.07 | $69.18 | $79.43 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $190.55 Typical High $204.17 | Professional | TC · Technical part | $177.83 | $190.55 | $204.17 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $173.78 Typical High $239.88 | Professional | 26 · Professional part | $117.49 | $173.78 | $239.88 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $501.19 Typical High $691.83 | Professional | TC · Technical part | $309.03 | $501.19 | $691.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $97.72 Typical High $199.53 | Professional | 26 · Professional part | $85.11 | $97.72 | $199.53 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $275.42 Typical High $562.34 | Professional | TC · Technical part | $234.42 | $275.42 | $562.34 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $120.23 Typical High $131.83 | Professional | 26 · Professional part | $104.71 | $120.23 | $131.83 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $346.74 Typical High $346.74 | Professional | TC · Technical part | $269.15 | $346.74 | $346.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $97.72 Typical High $186.21 | Professional | 26 · Professional part | $75.86 | $97.72 | $186.21 |
United Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $269.15 Typical High $489.78 | Professional | TC · Technical part | $213.80 | $269.15 | $489.78 |
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 $263.03 Median $263.03 Typical High $724.44 | Facility | None | $263.03 | $263.03 | $724.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $245.47 Median $263.03 Typical High $288.40 | Professional | None (both parts) | $245.47 | $263.03 | $288.40 |
Cigna Setting Facility Modifier None Typical Low $181.97 Median $457.09 Typical High $707.95 | Facility | None | $181.97 | $457.09 | $707.95 |
Cigna Setting Professional Modifier None (both parts) Typical Low $316.23 Median $371.54 Typical High $758.58 | Professional | None (both parts) | $316.23 | $371.54 | $758.58 |
Medcost Setting Professional Modifier None Typical Low $691.83 Median $691.83 Typical High $691.83 | Professional | None | $691.83 | $691.83 | $691.83 |
Medcost Setting Facility Modifier None Typical Low $194.98 Median $194.98 Typical High $263.03 | Facility | None | $194.98 | $194.98 | $263.03 |
Medcost Setting Professional Modifier None (both parts) Typical Low $354.81 Median $467.74 Typical High $467.74 | Professional | None (both parts) | $354.81 | $467.74 | $467.74 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $234.42 Median $234.42 Typical High $416.87 | Professional | 51 · Multiple procedures | $234.42 | $234.42 | $416.87 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $93.33 Median $93.33 Typical High $165.96 | Professional | 80 · Assistant surgeon | $93.33 | $93.33 | $165.96 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $66.07 Median $66.07 Typical High $117.49 | Professional | 81 · Minimal assistant surgeon | $66.07 | $66.07 | $117.49 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $66.07 Median $66.07 Typical High $117.49 | Professional | 82 · Assistant surgeon, no resident | $66.07 | $66.07 | $117.49 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $66.07 Median $66.07 Typical High $117.49 | Professional | AS · PA/NP assist | $66.07 | $66.07 | $117.49 |
United Setting Professional Modifier None (both parts) Typical Low $288.40 Median $371.54 Typical High $660.69 | Professional | None (both parts) | $288.40 | $371.54 | $660.69 |
Where North Carolina sits
The same service costs 7.4 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· 16th of 51
$363
AK $759UT $102
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.