How much rates vary
Facilitymedian $1,585 · 10th to 90th $575 to $3,311Professionalmedian $1,000 · 10th to 90th $575 to $1,862
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 $575.44 Median $575.44 Typical High $1,584.89 | Facility | None | $575.44 | $575.44 | $1,584.89 |
Aetna Setting Professional Modifier None (both parts) Typical Low $575.44 Median $575.44 Typical High $954.99 | Professional | None (both parts) | $575.44 | $575.44 | $954.99 |
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 $501.19 Median $501.19 Typical High $831.76 | Professional | TC · Technical part | $501.19 | $501.19 | $831.76 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $138.04 Median $204.17 Typical High $257.04 | Professional | 26 · Professional part | $138.04 | $204.17 | $257.04 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $954.99 Median $1,380.38 Typical High $1,778.28 | Professional | TC · Technical part | $954.99 | $1,380.38 | $1,778.28 |
Cigna Setting Facility Modifier None Typical Low $2,137.96 Median $3,311.31 Typical High $3,311.31 | Facility | None | $2,137.96 | $3,311.31 | $3,311.31 |
Cigna Setting Professional Modifier None (both parts) Typical Low $794.33 Median $1,071.52 Typical High $1,949.84 | Professional | None (both parts) | $794.33 | $1,071.52 | $1,949.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $131.83 Typical High $245.47 | Professional | 26 · Professional part | $100.00 | $131.83 | $245.47 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $691.83 Median $933.25 Typical High $1,698.24 | Professional | TC · Technical part | $691.83 | $933.25 | $1,698.24 |
Medcost Setting Facility Modifier None Typical Low $575.44 Median $575.44 Typical High $691.83 | Facility | None | $575.44 | $575.44 | $691.83 |
Medcost Setting Professional Modifier None (both parts) Typical Low $776.25 Median $1,023.29 Typical High $1,479.11 | Professional | None (both parts) | $776.25 | $1,023.29 | $1,479.11 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $131.83 Typical High $199.53 | Professional | 26 · Professional part | $104.71 | $131.83 | $199.53 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $724.44 Median $891.25 Typical High $1,288.25 | Professional | TC · Technical part | $724.44 | $891.25 | $1,288.25 |
United Setting Professional Modifier None (both parts) Typical Low $691.83 Median $1,023.29 Typical High $1,905.46 | Professional | None (both parts) | $691.83 | $1,023.29 | $1,905.46 |
United Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $131.83 Typical High $245.47 | Professional | 26 · Professional part | $87.10 | $131.83 | $245.47 |
United Setting Professional Modifier TC · Technical part Typical Low $602.56 Median $912.01 Typical High $1,659.59 | Professional | TC · Technical part | $602.56 | $912.01 | $1,659.59 |
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 $512.86 Median $512.86 Typical High $954.99 | Professional | 51 · Multiple procedures | $512.86 | $512.86 | $954.99 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $204.17 Median $204.17 Typical High $380.19 | Professional | 80 · Assistant surgeon | $204.17 | $204.17 | $380.19 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $144.54 Median $144.54 Typical High $263.03 | Professional | 81 · Minimal assistant surgeon | $144.54 | $144.54 | $263.03 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $144.54 Median $144.54 Typical High $263.03 | Professional | 82 · Assistant surgeon, no resident | $144.54 | $144.54 | $263.03 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $144.54 Median $144.54 Typical High $263.03 | Professional | AS · PA/NP assist | $144.54 | $144.54 | $263.03 |
Where North Carolina sits
The same service costs 5.0 times more in Alaska than in Texas. 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· 20th of 51
$1,000
AK $2,630TX $525
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.