How much rates vary
Facilitymedian $22 · 10th to 90th $12 to $38Professionalmedian $27 · 10th to 90th $15 to $52
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 $22.39 Median $22.39 Typical High $42.66 | Facility | None | $22.39 | $22.39 | $42.66 |
Aetna Setting Professional Modifier None (both parts) Typical Low $21.88 Median $22.39 Typical High $50.12 | Professional | None (both parts) | $21.88 | $22.39 | $50.12 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $16.98 Typical High $33.11 | Professional | 26 · Professional part | $16.22 | $16.98 | $33.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $5.37 Median $5.37 Typical High $13.80 | Professional | TC · Technical part | $5.37 | $5.37 | $13.80 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $38.90 Typical High $38.90 | Professional | 26 · Professional part | $38.90 | $38.90 | $38.90 |
BCBS North Carolina Setting Facility Modifier None Typical Low $58.88 Median $58.88 Typical High $58.88 | Facility | None | $58.88 | $58.88 | $58.88 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $34.67 Typical High $52.48 | Professional | 26 · Professional part | $19.95 | $34.67 | $52.48 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $7.24 Median $8.32 Typical High $16.22 | Professional | TC · Technical part | $7.24 | $8.32 | $16.22 |
Cigna Setting Facility Modifier None Typical Low $6.46 Median $18.20 Typical High $38.02 | Facility | None | $6.46 | $18.20 | $38.02 |
Cigna Setting Professional Modifier None (both parts) Typical Low $14.13 Median $14.79 Typical High $53.70 | Professional | None (both parts) | $14.13 | $14.79 | $53.70 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $11.48 Typical High $41.69 | Professional | 26 · Professional part | $10.72 | $11.48 | $41.69 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $3.24 Median $3.80 Typical High $11.75 | Professional | TC · Technical part | $3.24 | $3.80 | $11.75 |
Medcost Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $53.70 | Professional | None | $52.48 | $52.48 | $53.70 |
Medcost Setting Facility Modifier None Typical Low $22.39 Median $22.39 Typical High $33.11 | Facility | None | $22.39 | $22.39 | $33.11 |
Medcost Setting Professional Modifier None (both parts) Typical Low $26.92 Median $26.92 Typical High $34.67 | Professional | None (both parts) | $26.92 | $26.92 | $34.67 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $20.89 Typical High $26.92 | Professional | 26 · Professional part | $20.89 | $20.89 | $26.92 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $6.17 Median $6.17 Typical High $9.12 | Professional | TC · Technical part | $6.17 | $6.17 | $9.12 |
United Setting Professional Modifier None (both parts) Typical Low $16.98 Median $27.54 Typical High $51.29 | Professional | None (both parts) | $16.98 | $27.54 | $51.29 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $20.89 Typical High $38.90 | Professional | 26 · Professional part | $12.30 | $20.89 | $38.90 |
United Setting Professional Modifier TC · Technical part Typical Low $3.98 Median $6.46 Typical High $11.48 | Professional | TC · Technical part | $3.98 | $6.46 | $11.48 |
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 $13.49 Median $13.49 Typical High $28.18 | Professional | 51 · Multiple procedures | $13.49 | $13.49 | $28.18 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $5.37 Median $5.37 Typical High $11.48 | Professional | 80 · Assistant surgeon | $5.37 | $5.37 | $11.48 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $3.80 Median $3.80 Typical High $7.94 | Professional | 81 · Minimal assistant surgeon | $3.80 | $3.80 | $7.94 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $3.80 Median $3.80 Typical High $7.94 | Professional | 82 · Assistant surgeon, no resident | $3.80 | $3.80 | $7.94 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $3.80 Median $3.80 Typical High $7.94 | Professional | AS · PA/NP assist | $3.80 | $3.80 | $7.94 |
Where North Carolina sits
The same service costs 3.8 times more in Wyoming than in Nevada. 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· 37th of 51
$26.92
WY $56.23NV $14.79
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.