How much rates vary
Facilitymedian $2,570 · 10th to 90th $2,570 to $4,266Professionalmedian $324 · 10th to 90th $209 to $4,074
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 $102.33 Median $102.33 Typical High $371.54 | Professional | 26 · Professional part | $102.33 | $102.33 | $371.54 |
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 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | 26 · Professional part | $169.82 | $169.82 | $169.82 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $177.83 Median $275.42 Typical High $323.59 | Professional | None (both parts) | $177.83 | $275.42 | $323.59 |
Cigna Setting Facility Modifier None Typical Low $2,398.83 Median $3,801.89 Typical High $3,801.89 | Facility | None | $2,398.83 | $3,801.89 | $3,801.89 |
Cigna Setting Professional Modifier None (both parts) Typical Low $977.24 Median $1,479.11 Typical High $2,398.83 | Professional | None (both parts) | $977.24 | $1,479.11 | $2,398.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $162.18 Typical High $302.00 | Professional | 26 · Professional part | $123.03 | $162.18 | $302.00 |
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 $4,677.35 | Professional | None (both parts) | $2,884.03 | $3,890.45 | $4,677.35 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $162.18 Typical High $245.47 | Professional | 26 · Professional part | $128.82 | $162.18 | $245.47 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $3,090.30 Median $3,801.89 Typical High $5,128.61 | Professional | TC · Technical part | $3,090.30 | $3,801.89 | $5,128.61 |
United Setting Professional Modifier None (both parts) Typical Low $2,511.89 Median $3,548.13 Typical High $5,888.44 | Professional | None (both parts) | $2,511.89 | $3,548.13 | $5,888.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $165.96 Typical High $281.84 | Professional | 26 · Professional part | $107.15 | $165.96 | $281.84 |
United Setting Professional Modifier TC · Technical part Typical Low $2,398.83 Median $3,311.31 Typical High $5,495.41 | Professional | TC · Technical part | $2,398.83 | $3,311.31 | $5,495.41 |
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 20.9 times more in Connecticut than in South Carolina. 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
$331
CT $4,467SC $214
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.