How much rates vary
Facilitymedian $54 · 10th to 90th $54 to $132Professionalmedian $141 · 10th to 90th $54 to $141
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 Facility Modifier None Typical Low $53.70 Median $53.70 Typical High $131.83 | Facility | None | $53.70 | $53.70 | $131.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $51.29 Median $53.70 Typical High $57.54 | Professional | None (both parts) | $51.29 | $53.70 | $57.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $21.88 Typical High $23.44 | Professional | 26 · Professional part | $20.89 | $21.88 | $23.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $32.36 Typical High $33.88 | Professional | TC · Technical part | $30.20 | $32.36 | $33.88 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $23.44 Typical High $23.44 | Professional | 26 · Professional part | $23.44 | $23.44 | $23.44 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | None (both parts) | $141.25 | $141.25 | $141.25 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $54.95 Typical High $75.86 | Professional | 26 · Professional part | $36.31 | $54.95 | $75.86 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $70.79 Typical High $100.00 | Professional | TC · Technical part | $48.98 | $70.79 | $100.00 |
Cigna Setting Professional Modifier None (both parts) Typical Low $60.26 Median $70.79 Typical High $151.36 | Professional | None (both parts) | $60.26 | $70.79 | $151.36 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $30.90 Typical High $63.10 | Professional | 26 · Professional part | $26.30 | $30.90 | $63.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $39.81 Typical High $87.10 | Professional | TC · Technical part | $33.88 | $39.81 | $87.10 |
Medcost Setting Professional Modifier None Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | None | $138.04 | $138.04 | $138.04 |
Medcost Setting Facility Modifier None Typical Low $53.70 Median $53.70 Typical High $67.61 | Facility | None | $53.70 | $53.70 | $67.61 |
Medcost Setting Professional Modifier None (both parts) Typical Low $69.18 Median $85.11 Typical High $100.00 | Professional | None (both parts) | $69.18 | $85.11 | $100.00 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $38.02 Typical High $40.74 | Professional | 26 · Professional part | $32.36 | $38.02 | $40.74 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $47.86 Typical High $60.26 | Professional | TC · Technical part | $41.69 | $47.86 | $60.26 |
United Setting Professional Modifier None (both parts) Typical Low $53.70 Median $69.18 Typical High $134.90 | Professional | None (both parts) | $53.70 | $69.18 | $134.90 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $30.20 Typical High $58.88 | Professional | 26 · Professional part | $23.99 | $30.20 | $58.88 |
United Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $38.02 Typical High $77.62 | Professional | TC · Technical part | $30.20 | $38.02 | $77.62 |
5 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 |
|---|---|---|---|---|---|
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $42.66 Median $42.66 Typical High $81.28 | Professional | 51 · Multiple procedures | $42.66 | $42.66 | $81.28 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $16.98 Median $16.98 Typical High $32.36 | Professional | 80 · Assistant surgeon | $16.98 | $16.98 | $32.36 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $12.02 Median $12.02 Typical High $22.91 | Professional | 81 · Minimal assistant surgeon | $12.02 | $12.02 | $22.91 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $12.02 Median $12.02 Typical High $22.91 | Professional | 82 · Assistant surgeon, no resident | $12.02 | $12.02 | $22.91 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $12.02 Median $12.02 Typical High $22.91 | Professional | AS · PA/NP assist | $12.02 | $12.02 | $22.91 |
Where North Carolina sits
The same service costs 5.9 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· 3rd of 51
$141
AK $186UT $31.62
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.