How much rates vary
Facilitymedian $191 · 10th to 90th $91 to $550Professionalmedian $107 · 10th to 90th $50 to $204
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 $64.57 Median $112.20 Typical High $112.20 | Facility | None | $64.57 | $112.20 | $112.20 |
Aetna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $112.20 Typical High $154.88 | Professional | None (both parts) | $100.00 | $112.20 | $154.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $30.20 Typical High $41.69 | Professional | 26 · Professional part | $28.84 | $30.20 | $41.69 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $81.28 Typical High $87.10 | Professional | TC · Technical part | $67.61 | $81.28 | $87.10 |
BCBS North Carolina Setting Facility Modifier None Typical Low $354.81 Median $354.81 Typical High $354.81 | Facility | None | $354.81 | $354.81 | $354.81 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $50.12 Typical High $87.10 | Professional | 26 · Professional part | $34.67 | $50.12 | $87.10 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $85.11 Typical High $169.82 | Professional | TC · Technical part | $69.18 | $85.11 | $169.82 |
Cigna Setting Facility Modifier None Typical Low $91.20 Median $263.03 Typical High $549.54 | Facility | None | $91.20 | $263.03 | $549.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $50.12 Median $77.62 Typical High $213.80 | Professional | None (both parts) | $50.12 | $77.62 | $213.80 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $20.89 Typical High $74.13 | Professional | 26 · Professional part | $18.20 | $20.89 | $74.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $54.95 Typical High $147.91 | Professional | TC · Technical part | $29.51 | $54.95 | $147.91 |
Medcost Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $186.21 | Professional | None | $162.18 | $162.18 | $186.21 |
Medcost Setting Facility Modifier None Typical Low $112.20 Median $112.20 Typical High $165.96 | Facility | None | $112.20 | $112.20 | $165.96 |
Medcost Setting Professional Modifier None (both parts) Typical Low $93.33 Median $107.15 Typical High $181.97 | Professional | None (both parts) | $93.33 | $107.15 | $181.97 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $52.48 Typical High $67.61 | Professional | 26 · Professional part | $33.11 | $52.48 | $67.61 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $95.50 Typical High $138.04 | Professional | TC · Technical part | $58.88 | $95.50 | $138.04 |
United Setting Professional Modifier None (both parts) Typical Low $64.57 Median $104.71 Typical High $223.87 | Professional | None (both parts) | $64.57 | $104.71 | $223.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $36.31 Typical High $67.61 | Professional | 26 · Professional part | $21.38 | $36.31 | $67.61 |
United Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $72.44 Typical High $158.49 | Professional | TC · Technical part | $40.74 | $72.44 | $158.49 |
7 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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $54.95 Median $56.23 Typical High $60.26 | Professional | 52 · Reduced service | $54.95 | $56.23 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $22.39 Typical High $24.55 | Professional | 53 · Discontinued | $21.88 | $22.39 | $24.55 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $46.77 Median $53.70 Typical High $128.82 | Professional | 51 · Multiple procedures | $46.77 | $53.70 | $128.82 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $18.62 Median $21.38 Typical High $51.29 | Professional | 80 · Assistant surgeon | $18.62 | $21.38 | $51.29 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $12.88 Median $15.14 Typical High $36.31 | Professional | 81 · Minimal assistant surgeon | $12.88 | $15.14 | $36.31 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $12.88 Median $15.14 Typical High $36.31 | Professional | 82 · Assistant surgeon, no resident | $12.88 | $15.14 | $36.31 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $12.88 Median $15.14 Typical High $36.31 | Professional | AS · PA/NP assist | $12.88 | $15.14 | $36.31 |
Where North Carolina sits
The same service costs 5.8 times more in Alaska than in Alabama. 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· 43rd of 51
$107
AK $331AL $57.54
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.