How much rates vary
Facilitymedian $871 · 10th to 90th $195 to $1,585Professionalmedian $355 · 10th to 90th $195 to $759
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 $61.66 Median $61.66 Typical High $147.91 | Professional | 26 · Professional part | $61.66 | $61.66 | $147.91 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $134.90 Typical High $302.00 | Professional | TC · Technical part | $134.90 | $134.90 | $302.00 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $177.83 Typical High $229.09 | Professional | 26 · Professional part | $120.23 | $177.83 | $229.09 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $398.11 Typical High $537.03 | Professional | TC · Technical part | $275.42 | $398.11 | $537.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $93.33 Typical High $199.53 | Professional | 26 · Professional part | $74.13 | $93.33 | $199.53 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $223.87 Typical High $457.09 | Professional | TC · Technical part | $173.78 | $223.87 | $457.09 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $107.15 Typical High $162.18 | Professional | 26 · Professional part | $87.10 | $107.15 | $162.18 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $251.19 Typical High $363.08 | Professional | TC · Technical part | $194.98 | $251.19 | $363.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $93.33 Typical High $194.98 | Professional | 26 · Professional part | $70.79 | $93.33 | $194.98 |
United Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $363.08 Typical High $977.24 | Professional | TC · Technical part | $162.18 | $363.08 | $977.24 |
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 $194.98 Median $549.54 Typical High $1,698.24 | Facility | None | $194.98 | $549.54 | $1,698.24 |
Aetna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $194.98 Typical High $524.81 | Professional | None (both parts) | $194.98 | $194.98 | $524.81 |
BCBS North Carolina Setting Facility Modifier None Typical Low $1,148.15 Median $1,348.96 Typical High $1,621.81 | Facility | None | $1,148.15 | $1,348.96 | $1,621.81 |
Cigna Setting Facility Modifier None Typical Low $575.44 Median $891.25 Typical High $891.25 | Facility | None | $575.44 | $891.25 | $891.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $251.19 Median $323.59 Typical High $645.65 | Professional | None (both parts) | $251.19 | $323.59 | $645.65 |
Medcost Setting Facility Modifier None Typical Low $177.83 Median $194.98 Typical High $239.88 | Facility | None | $177.83 | $194.98 | $239.88 |
Medcost Setting Professional Modifier None (both parts) Typical Low $263.03 Median $354.81 Typical High $549.54 | Professional | None (both parts) | $263.03 | $354.81 | $549.54 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $177.83 Median $177.83 Typical High $338.84 | Professional | 51 · Multiple procedures | $177.83 | $177.83 | $338.84 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $70.79 Median $70.79 Typical High $134.90 | Professional | 80 · Assistant surgeon | $70.79 | $70.79 | $134.90 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $50.12 Median $50.12 Typical High $93.33 | Professional | 81 · Minimal assistant surgeon | $50.12 | $50.12 | $93.33 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $50.12 Median $50.12 Typical High $93.33 | Professional | 82 · Assistant surgeon, no resident | $50.12 | $50.12 | $93.33 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $50.12 Median $50.12 Typical High $93.33 | Professional | AS · PA/NP assist | $50.12 | $50.12 | $93.33 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $70.79 Median $199.53 Typical High $389.05 | Professional | None (both parts) | $70.79 | $199.53 | $389.05 |
United Setting Professional Modifier None (both parts) Typical Low $234.42 Median $512.86 Typical High $1,122.02 | Professional | None (both parts) | $234.42 | $512.86 | $1,122.02 |
Where North Carolina sits
The same service costs 6.5 times more in Wyoming 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
$355
WY $851TX $132
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.