How much rates vary
Facilitymedian $36 · 10th to 90th $24 to $117Professionalmedian $32 · 10th to 90th $18 to $69
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $23.99 Median $28.84 Typical High $45.71 | Facility | None | $23.99 | $28.84 | $45.71 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $5.37 Median $5.50 Typical High $10.23 | Facility | 26 · Professional part | $5.37 | $5.50 | $10.23 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $18.62 Median $22.39 Typical High $66.07 | Facility | TC · Technical part | $18.62 | $22.39 | $66.07 |
Aetna Setting Professional Modifier None (both parts) Typical Low $23.99 Median $27.54 Typical High $66.07 | Professional | None (both parts) | $23.99 | $27.54 | $66.07 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $5.25 Median $5.75 Typical High $13.18 | Professional | 26 · Professional part | $5.25 | $5.75 | $13.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $20.89 Typical High $52.48 | Professional | TC · Technical part | $18.62 | $20.89 | $52.48 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $7.94 Typical High $12.02 | Professional | 26 · Professional part | $6.92 | $7.94 | $12.02 |
BCBS North Carolina Setting Facility Modifier None Typical Low $77.62 Median $77.62 Typical High $77.62 | Facility | None | $77.62 | $77.62 | $77.62 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $6.46 Median $15.14 Typical High $16.98 | Professional | 26 · Professional part | $6.46 | $15.14 | $16.98 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $26.92 Typical High $75.86 | Professional | TC · Technical part | $21.38 | $26.92 | $75.86 |
Cigna Setting Facility Modifier None Typical Low $21.38 Median $56.23 Typical High $117.49 | Facility | None | $21.38 | $56.23 | $117.49 |
Cigna Setting Professional Modifier None (both parts) Typical Low $15.14 Median $25.70 Typical High $74.13 | Professional | None (both parts) | $15.14 | $25.70 | $74.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $3.24 Median $3.72 Typical High $13.18 | Professional | 26 · Professional part | $3.24 | $3.72 | $13.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $11.75 Median $19.95 Typical High $61.66 | Professional | TC · Technical part | $11.75 | $19.95 | $61.66 |
Medcost Setting Professional Modifier None Typical Low $67.61 Median $67.61 Typical High $77.62 | Professional | None | $67.61 | $67.61 | $77.62 |
Medcost Setting Facility Modifier None Typical Low $23.99 Median $23.99 Typical High $36.31 | Facility | None | $23.99 | $23.99 | $36.31 |
Medcost Setting Professional Modifier None (both parts) Typical Low $38.02 Median $48.98 Typical High $67.61 | Professional | None (both parts) | $38.02 | $48.98 | $67.61 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $12.02 Typical High $34.67 | Professional | 26 · Professional part | $9.12 | $12.02 | $34.67 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $57.54 Typical High $58.88 | Professional | TC · Technical part | $30.90 | $57.54 | $58.88 |
United Setting Professional Modifier None (both parts) Typical Low $17.78 Median $28.18 Typical High $69.18 | Professional | None (both parts) | $17.78 | $28.18 | $69.18 |
United Setting Professional Modifier 26 · Professional part Typical Low $3.80 Median $6.46 Typical High $12.02 | Professional | 26 · Professional part | $3.80 | $6.46 | $12.02 |
United Setting Professional Modifier TC · Technical part Typical Low $13.49 Median $22.39 Typical High $58.88 | Professional | TC · Technical part | $13.49 | $22.39 | $58.88 |
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 $11.75 Median $12.02 Typical High $17.38 | Professional | 52 · Reduced service | $11.75 | $12.02 | $17.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.79 Median $4.79 Typical High $6.92 | Professional | 53 · Discontinued | $4.79 | $4.79 | $6.92 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $23.44 Median $24.55 Typical High $38.02 | Professional | 51 · Multiple procedures | $23.44 | $24.55 | $38.02 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $9.33 Median $9.77 Typical High $15.49 | Professional | 80 · Assistant surgeon | $9.33 | $9.77 | $15.49 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $6.61 Median $6.92 Typical High $10.72 | Professional | 81 · Minimal assistant surgeon | $6.61 | $6.92 | $10.72 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $6.61 Median $6.92 Typical High $10.72 | Professional | 82 · Assistant surgeon, no resident | $6.61 | $6.92 | $10.72 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $6.61 Median $6.92 Typical High $10.72 | Professional | AS · PA/NP assist | $6.61 | $6.92 | $10.72 |
Where North Carolina sits
The same service costs 4.4 times more in Alaska than in Arkansas. 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· 41st of 51
$33.11
AK $123AR $28.18
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.