How much rates vary
Facilitymedian $2,570 · 10th to 90th $2,570 to $3,981Professionalmedian $1,380 · 10th to 90th $182 to $4,467
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 $2,570.40 Median $2,570.40 Typical High $6,165.95 | Facility | None | $2,570.40 | $2,570.40 | $6,165.95 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,288.25 Median $2,570.40 Typical High $2,570.40 | Professional | None (both parts) | $1,288.25 | $2,570.40 | $2,570.40 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $93.33 Typical High $125.89 | Professional | 26 · Professional part | $93.33 | $93.33 | $125.89 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $1,202.26 Median $2,570.40 Typical High $2,570.40 | Professional | TC · Technical part | $1,202.26 | $2,570.40 | $2,570.40 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $151.36 Median $229.09 Typical High $281.84 | Professional | None (both parts) | $151.36 | $229.09 | $281.84 |
Cigna Setting Facility Modifier None Typical Low $2,290.87 Median $3,548.13 Typical High $3,548.13 | Facility | None | $2,290.87 | $3,548.13 | $3,548.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $912.01 Median $1,348.96 Typical High $2,187.76 | Professional | None (both parts) | $912.01 | $1,348.96 | $2,187.76 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $147.91 Typical High $275.42 | Professional | 26 · Professional part | $112.20 | $147.91 | $275.42 |
Medcost Setting Facility Modifier None Typical Low $2,570.40 Median $2,570.40 Typical High $2,754.23 | Facility | None | $2,570.40 | $2,570.40 | $2,754.23 |
Medcost Setting Professional Modifier None (both parts) Typical Low $2,884.03 Median $3,890.45 Typical High $4,466.84 | Professional | None (both parts) | $2,884.03 | $3,890.45 | $4,466.84 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $147.91 Typical High $229.09 | Professional | 26 · Professional part | $117.49 | $147.91 | $229.09 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $3,019.95 Median $3,801.89 Typical High $4,897.79 | Professional | TC · Technical part | $3,019.95 | $3,801.89 | $4,897.79 |
United Setting Professional Modifier None (both parts) Typical Low $2,511.89 Median $3,467.37 Typical High $5,495.41 | Professional | None (both parts) | $2,511.89 | $3,467.37 | $5,495.41 |
United Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $151.36 Typical High $257.04 | Professional | 26 · Professional part | $97.72 | $151.36 | $257.04 |
United Setting Professional Modifier TC · Technical part Typical Low $2,398.83 Median $3,311.31 Typical High $5,248.07 | Professional | TC · Technical part | $2,398.83 | $3,311.31 | $5,248.07 |
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 $1,949.84 Median $1,949.84 Typical High $3,548.13 | Professional | 51 · Multiple procedures | $1,949.84 | $1,949.84 | $3,548.13 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $776.25 Median $776.25 Typical High $1,412.54 | Professional | 80 · Assistant surgeon | $776.25 | $776.25 | $1,412.54 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $537.03 Median $537.03 Typical High $1,000.00 | Professional | 81 · Minimal assistant surgeon | $537.03 | $537.03 | $1,000.00 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $537.03 Median $537.03 Typical High $1,000.00 | Professional | 82 · Assistant surgeon, no resident | $537.03 | $537.03 | $1,000.00 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $537.03 Median $537.03 Typical High $1,000.00 | Professional | AS · PA/NP assist | $537.03 | $537.03 | $1,000.00 |
Where North Carolina sits
The same service costs 20.0 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· 34th of 51
$1,905
NE $4,169WA $209
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.