How much rates vary
Facilitymedian $295 · 10th to 90th $166 to $912Professionalmedian $219 · 10th to 90th $93 to $447
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 $199.53 Median $218.78 Typical High $380.19 | Facility | None | $199.53 | $218.78 | $380.19 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $64.57 Median $66.07 Typical High $123.03 | Facility | 26 · Professional part | $64.57 | $66.07 | $123.03 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $154.88 Median $158.49 Typical High $269.15 | Facility | TC · Technical part | $154.88 | $158.49 | $269.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $218.78 Typical High $512.86 | Professional | None (both parts) | $162.18 | $218.78 | $512.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $74.13 Typical High $154.88 | Professional | 26 · Professional part | $63.10 | $74.13 | $154.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $154.88 Typical High $363.08 | Professional | TC · Technical part | $125.89 | $154.88 | $363.08 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $331.13 Median $331.13 Typical High $331.13 | Professional | None (both parts) | $331.13 | $331.13 | $331.13 |
BCBS North Carolina Setting Facility Modifier None Typical Low $707.95 Median $707.95 Typical High $707.95 | Facility | None | $707.95 | $707.95 | $707.95 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $154.88 Typical High $199.53 | Professional | 26 · Professional part | $74.13 | $154.88 | $199.53 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $134.90 Typical High $380.19 | Professional | TC · Technical part | $100.00 | $134.90 | $380.19 |
Cigna Setting Facility Modifier None Typical Low $154.88 Median $436.52 Typical High $912.01 | Facility | None | $154.88 | $436.52 | $912.01 |
Cigna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $138.04 Typical High $426.58 | Professional | None (both parts) | $87.10 | $138.04 | $426.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $45.71 Typical High $154.88 | Professional | 26 · Professional part | $38.90 | $45.71 | $154.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $91.20 Typical High $288.40 | Professional | TC · Technical part | $43.65 | $91.20 | $288.40 |
Medcost Setting Professional Modifier None Typical Low $288.40 Median $288.40 Typical High $316.23 | Professional | None | $288.40 | $288.40 | $316.23 |
Medcost Setting Facility Modifier None Typical Low $218.78 Median $218.78 Typical High $309.03 | Facility | None | $218.78 | $218.78 | $309.03 |
Medcost Setting Professional Modifier None (both parts) Typical Low $158.49 Median $213.80 Typical High $416.87 | Professional | None (both parts) | $158.49 | $213.80 | $416.87 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $114.82 Typical High $186.21 | Professional | 26 · Professional part | $100.00 | $114.82 | $186.21 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $162.18 Typical High $251.19 | Professional | TC · Technical part | $141.25 | $162.18 | $251.19 |
United Setting Professional Modifier None (both parts) Typical Low $131.83 Median $251.19 Typical High $457.09 | Professional | None (both parts) | $131.83 | $251.19 | $457.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $79.43 Typical High $144.54 | Professional | 26 · Professional part | $45.71 | $79.43 | $144.54 |
United Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $141.25 Typical High $331.13 | Professional | TC · Technical part | $100.00 | $141.25 | $331.13 |
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 $100.00 Median $109.65 Typical High $125.89 | Professional | 52 · Reduced service | $100.00 | $109.65 | $125.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $43.65 Typical High $50.12 | Professional | 53 · Discontinued | $39.81 | $43.65 | $50.12 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $79.43 Median $107.15 Typical High $234.42 | Professional | 51 · Multiple procedures | $79.43 | $107.15 | $234.42 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $32.36 Median $42.66 Typical High $93.33 | Professional | 80 · Assistant surgeon | $32.36 | $42.66 | $93.33 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $22.39 Median $29.51 Typical High $66.07 | Professional | 81 · Minimal assistant surgeon | $22.39 | $29.51 | $66.07 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $22.39 Median $29.51 Typical High $66.07 | Professional | 82 · Assistant surgeon, no resident | $22.39 | $29.51 | $66.07 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $22.39 Median $29.51 Typical High $66.07 | Professional | AS · PA/NP assist | $22.39 | $29.51 | $66.07 |
Where North Carolina sits
The same service costs 4.2 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· 46th of 51
$219
AK $575AL $138
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.