How much rates vary
Facilitymedian $1,413 · 10th to 90th $1,413 to $2,754Professionalmedian $200 · 10th to 90th $89 to $2,399
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 $213.80 Median $1,412.54 Typical High $1,412.54 | Facility | None | $213.80 | $1,412.54 | $1,412.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,071.52 Median $1,412.54 Typical High $1,412.54 | Professional | None (both parts) | $1,071.52 | $1,412.54 | $1,412.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $75.86 Typical High $125.89 | Professional | 26 · Professional part | $75.86 | $75.86 | $125.89 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $954.99 Median $1,412.54 Typical High $1,412.54 | Professional | TC · Technical part | $954.99 | $1,412.54 | $1,412.54 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $125.89 Median $173.78 Typical High $223.87 | Professional | None (both parts) | $125.89 | $173.78 | $223.87 |
Cigna Setting Facility Modifier None Typical Low $1,737.80 Median $2,754.23 Typical High $2,754.23 | Facility | None | $1,737.80 | $2,754.23 | $2,754.23 |
Cigna Setting Professional Modifier None (both parts) Typical Low $707.95 Median $1,071.52 Typical High $1,737.80 | Professional | None (both parts) | $707.95 | $1,071.52 | $1,737.80 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $120.23 Typical High $223.87 | Professional | 26 · Professional part | $91.20 | $120.23 | $223.87 |
Medcost Setting Facility Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $1,513.56 | Facility | None | $1,412.54 | $1,412.54 | $1,513.56 |
Medcost Setting Professional Modifier None (both parts) Typical Low $38.90 Median $48.98 Typical High $2,454.71 | Professional | None (both parts) | $38.90 | $48.98 | $2,454.71 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $120.23 Typical High $177.83 | Professional | 26 · Professional part | $95.50 | $120.23 | $177.83 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $19.95 Typical High $2,398.83 | Professional | TC · Technical part | $19.95 | $19.95 | $2,398.83 |
United Setting Professional Modifier None (both parts) Typical Low $91.20 Median $251.19 Typical High $3,630.78 | Professional | None (both parts) | $91.20 | $251.19 | $3,630.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $123.03 Typical High $208.93 | Professional | 26 · Professional part | $79.43 | $123.03 | $208.93 |
United Setting Professional Modifier TC · Technical part Typical Low $15.14 Median $1,698.24 Typical High $3,467.37 | Professional | TC · Technical part | $15.14 | $1,698.24 | $3,467.37 |
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 $24.55 Median $24.55 Typical High $1,737.80 | Professional | 51 · Multiple procedures | $24.55 | $24.55 | $1,737.80 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $9.77 Median $9.77 Typical High $707.95 | Professional | 80 · Assistant surgeon | $9.77 | $9.77 | $707.95 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $6.76 Median $6.76 Typical High $489.78 | Professional | 81 · Minimal assistant surgeon | $6.76 | $6.76 | $489.78 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $6.76 Median $6.76 Typical High $489.78 | Professional | 82 · Assistant surgeon, no resident | $6.76 | $6.76 | $489.78 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $6.76 Median $6.76 Typical High $489.78 | Professional | AS · PA/NP assist | $6.76 | $6.76 | $489.78 |
Where North Carolina sits
The same service costs 14.1 times more in Nebraska than in Washington. 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· 49th of 51
$204
NE $2,692WA $191
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.