How much rates vary
Facilitymedian $200 · 10th to 90th $200 to $209Professionalmedian $74 · 10th to 90th $39 to $324
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 $199.53 Median $199.53 Typical High $199.53 | Facility | None | $199.53 | $199.53 | $199.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $199.53 Median $199.53 Typical High $1,905.46 | Professional | None (both parts) | $199.53 | $199.53 | $1,905.46 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $28.84 Typical High $288.40 | Professional | 26 · Professional part | $28.84 | $28.84 | $288.40 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $169.82 Typical High $1,513.56 | Professional | TC · Technical part | $169.82 | $169.82 | $1,513.56 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $42.66 Typical High $43.65 | Professional | 26 · Professional part | $42.66 | $42.66 | $43.65 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $47.86 Median $70.79 Typical High $87.10 | Professional | None (both parts) | $47.86 | $70.79 | $87.10 |
Cigna Setting Professional Modifier None (both parts) Typical Low $275.42 Median $416.87 Typical High $676.08 | Professional | None (both parts) | $275.42 | $416.87 | $676.08 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $46.77 Typical High $87.10 | Professional | 26 · Professional part | $35.48 | $46.77 | $87.10 |
Medcost Setting Facility Modifier None Typical Low $199.53 Median $199.53 Typical High $208.93 | Facility | None | $199.53 | $199.53 | $208.93 |
Medcost Setting Professional Modifier None (both parts) Typical Low $37.15 Median $46.77 Typical High $323.59 | Professional | None (both parts) | $37.15 | $46.77 | $323.59 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $46.77 Typical High $69.18 | Professional | 26 · Professional part | $37.15 | $46.77 | $69.18 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $245.47 Typical High $407.38 | Professional | TC · Technical part | $204.17 | $245.47 | $407.38 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | None (both parts) | $33.88 | $33.88 | $33.88 |
United Setting Professional Modifier None (both parts) Typical Low $30.90 Median $56.23 Typical High $281.84 | Professional | None (both parts) | $30.90 | $56.23 | $281.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $47.86 Typical High $81.28 | Professional | 26 · Professional part | $30.90 | $47.86 | $81.28 |
United Setting Professional Modifier TC · Technical part Typical Low $2.75 Median $89.13 Typical High $223.87 | Professional | TC · Technical part | $2.75 | $89.13 | $223.87 |
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 $23.44 Median $23.44 Typical High $234.42 | Professional | 51 · Multiple procedures | $23.44 | $23.44 | $234.42 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $9.33 Median $9.33 Typical High $95.50 | Professional | 80 · Assistant surgeon | $9.33 | $9.33 | $95.50 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $6.46 Median $6.46 Typical High $66.07 | Professional | 81 · Minimal assistant surgeon | $6.46 | $6.46 | $66.07 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $6.46 Median $6.46 Typical High $66.07 | Professional | 82 · Assistant surgeon, no resident | $6.46 | $6.46 | $66.07 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $6.46 Median $6.46 Typical High $66.07 | Professional | AS · PA/NP assist | $6.46 | $6.46 | $66.07 |
Where North Carolina sits
The same service costs 57.5 times more in Alabama than in New Mexico. 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· 47th of 51
$75.86
AL $1,905NM $33.11
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.