How much rates vary
Facilitymedian $2,239 · 10th to 90th $2,089 to $3,631Professionalmedian $269 · 10th to 90th $178 to $3,981
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 $2,089.30 Median $2,089.30 Typical High $5,128.61 | Facility | None | $2,089.30 | $2,089.30 | $5,128.61 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,288.25 Median $2,089.30 Typical High $2,187.76 | Professional | None (both parts) | $1,288.25 | $2,089.30 | $2,187.76 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $87.10 Typical High $363.08 | Professional | 26 · Professional part | $87.10 | $87.10 | $363.08 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $1,202.26 Median $2,089.30 Typical High $2,089.30 | Professional | TC · Technical part | $1,202.26 | $2,089.30 | $2,089.30 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $1,698.24 Median $1,698.24 Typical High $1,698.24 | Professional | None (both parts) | $1,698.24 | $1,698.24 | $1,698.24 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $151.36 Median $239.88 Typical High $263.03 | Professional | None (both parts) | $151.36 | $239.88 | $263.03 |
Cigna Setting Facility Modifier None Typical Low $2,041.74 Median $3,235.94 Typical High $3,235.94 | Facility | None | $2,041.74 | $3,235.94 | $3,235.94 |
Cigna Setting Professional Modifier None (both parts) Typical Low $831.76 Median $1,258.93 Typical High $2,041.74 | Professional | None (both parts) | $831.76 | $1,258.93 | $2,041.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $138.04 Typical High $263.03 | Professional | 26 · Professional part | $107.15 | $138.04 | $263.03 |
Medcost Setting Facility Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $2,238.72 | Facility | None | $2,089.30 | $2,089.30 | $2,238.72 |
Medcost Setting Professional Modifier None (both parts) Typical Low $2,511.89 Median $3,162.28 Typical High $5,370.32 | Professional | None (both parts) | $2,511.89 | $3,162.28 | $5,370.32 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $138.04 Typical High $208.93 | Professional | 26 · Professional part | $109.65 | $138.04 | $208.93 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $3,019.95 Median $3,162.28 Typical High $5,370.32 | Professional | TC · Technical part | $3,019.95 | $3,162.28 | $5,370.32 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | None (both parts) | $100.00 | $100.00 | $100.00 |
United Setting Professional Modifier None (both parts) Typical Low $2,187.76 Median $3,467.37 Typical High $6,606.93 | Professional | None (both parts) | $2,187.76 | $3,467.37 | $6,606.93 |
United Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $141.25 Typical High $245.47 | Professional | 26 · Professional part | $91.20 | $141.25 | $245.47 |
United Setting Professional Modifier TC · Technical part Typical Low $2,089.30 Median $3,311.31 Typical High $6,309.57 | Professional | TC · Technical part | $2,089.30 | $3,311.31 | $6,309.57 |
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 $1,584.89 Median $1,584.89 Typical High $3,090.30 | Professional | 51 · Multiple procedures | $1,584.89 | $1,584.89 | $3,090.30 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $630.96 Median $630.96 Typical High $1,230.27 | Professional | 80 · Assistant surgeon | $630.96 | $630.96 | $1,230.27 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $446.68 Median $446.68 Typical High $851.14 | Professional | 81 · Minimal assistant surgeon | $446.68 | $446.68 | $851.14 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $446.68 Median $446.68 Typical High $851.14 | Professional | 82 · Assistant surgeon, no resident | $446.68 | $446.68 | $851.14 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $446.68 Median $446.68 Typical High $851.14 | Professional | AS · PA/NP assist | $446.68 | $446.68 | $851.14 |
Where North Carolina sits
The same service costs 22.9 times more in Connecticut 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· 50th of 51
$295
CT $4,467WA $195
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.