How much rates vary
Facilitymedian $174 · 10th to 90th $174 to $490Professionalmedian $251 · 10th to 90th $174 to $437
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 $34.67 Median $36.31 Typical High $38.90 | Professional | 26 · Professional part | $34.67 | $36.31 | $38.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $134.90 Typical High $141.25 | Professional | TC · Technical part | $125.89 | $134.90 | $141.25 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $91.20 Typical High $125.89 | Professional | 26 · Professional part | $61.66 | $91.20 | $125.89 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $363.08 Typical High $501.19 | Professional | TC · Technical part | $213.80 | $363.08 | $501.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $51.29 Typical High $104.71 | Professional | 26 · Professional part | $44.67 | $51.29 | $104.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $199.53 Typical High $407.38 | Professional | TC · Technical part | $173.78 | $199.53 | $407.38 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $63.10 Typical High $69.18 | Professional | 26 · Professional part | $54.95 | $63.10 | $69.18 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $251.19 Typical High $251.19 | Professional | TC · Technical part | $190.55 | $251.19 | $251.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $51.29 Typical High $97.72 | Professional | 26 · Professional part | $39.81 | $51.29 | $97.72 |
United Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $190.55 Typical High $354.81 | Professional | TC · Technical part | $154.88 | $190.55 | $354.81 |
12 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 $173.78 Median $173.78 Typical High $489.78 | Facility | None | $173.78 | $173.78 | $489.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $173.78 Typical High $186.21 | Professional | None (both parts) | $162.18 | $173.78 | $186.21 |
Cigna Setting Professional Modifier None (both parts) Typical Low $213.80 Median $251.19 Typical High $512.86 | Professional | None (both parts) | $213.80 | $251.19 | $512.86 |
Medcost Setting Professional Modifier None Typical Low $467.74 Median $467.74 Typical High $467.74 | Professional | None | $467.74 | $467.74 | $467.74 |
Medcost Setting Facility Modifier None Typical Low $120.23 Median $120.23 Typical High $173.78 | Facility | None | $120.23 | $120.23 | $173.78 |
Medcost Setting Professional Modifier None (both parts) Typical Low $229.09 Median $316.23 Typical High $316.23 | Professional | None (both parts) | $229.09 | $316.23 | $316.23 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $158.49 Median $158.49 Typical High $281.84 | Professional | 51 · Multiple procedures | $158.49 | $158.49 | $281.84 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $63.10 Median $63.10 Typical High $114.82 | Professional | 80 · Assistant surgeon | $63.10 | $63.10 | $114.82 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $44.67 Median $44.67 Typical High $79.43 | Professional | 81 · Minimal assistant surgeon | $44.67 | $44.67 | $79.43 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $44.67 Median $44.67 Typical High $79.43 | Professional | 82 · Assistant surgeon, no resident | $44.67 | $44.67 | $79.43 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $44.67 Median $44.67 Typical High $79.43 | Professional | AS · PA/NP assist | $44.67 | $44.67 | $79.43 |
United Setting Professional Modifier None (both parts) Typical Low $194.98 Median $251.19 Typical High $446.68 | Professional | None (both parts) | $194.98 | $251.19 | $446.68 |
Where North Carolina sits
The same service costs 6.8 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
$245
AK $490UT $72.44
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.