How much rates vary
Facilitymedian $120 · 10th to 90th $71 to $380Professionalmedian $93 · 10th to 90th $41 to $170
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 $85.11 Median $85.11 Typical High $147.91 | Facility | None | $85.11 | $85.11 | $147.91 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $20.42 Median $20.89 Typical High $39.81 | Facility | 26 · Professional part | $20.42 | $20.89 | $39.81 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $66.07 Median $66.07 Typical High $112.20 | Facility | TC · Technical part | $66.07 | $66.07 | $112.20 |
Aetna Setting Professional Modifier None (both parts) Typical Low $66.07 Median $85.11 Typical High $194.98 | Professional | None (both parts) | $66.07 | $85.11 | $194.98 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $23.99 Typical High $52.48 | Professional | 26 · Professional part | $20.42 | $23.99 | $52.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $66.07 Typical High $141.25 | Professional | TC · Technical part | $61.66 | $66.07 | $141.25 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $51.29 Median $56.23 Typical High $190.55 | Professional | None (both parts) | $51.29 | $56.23 | $190.55 |
BCBS North Carolina Setting Facility Modifier None Typical Low $275.42 Median $275.42 Typical High $275.42 | Facility | None | $275.42 | $275.42 | $275.42 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $83.18 Median $123.03 Typical High $131.83 | Professional | None (both parts) | $83.18 | $123.03 | $131.83 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $47.86 Typical High $66.07 | Professional | 26 · Professional part | $24.55 | $47.86 | $66.07 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $61.66 Typical High $93.33 | Professional | TC · Technical part | $50.12 | $61.66 | $93.33 |
Cigna Setting Facility Modifier None Typical Low $63.10 Median $181.97 Typical High $380.19 | Facility | None | $63.10 | $181.97 | $380.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $37.15 Median $53.70 Typical High $158.49 | Professional | None (both parts) | $37.15 | $53.70 | $158.49 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $14.45 Typical High $52.48 | Professional | 26 · Professional part | $12.59 | $14.45 | $52.48 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $39.81 Typical High $117.49 | Professional | TC · Technical part | $22.91 | $39.81 | $117.49 |
Medcost Setting Professional Modifier None Typical Low $120.23 Median $120.23 Typical High $138.04 | Professional | None | $120.23 | $120.23 | $138.04 |
Medcost Setting Facility Modifier None Typical Low $85.11 Median $85.11 Typical High $123.03 | Facility | None | $85.11 | $85.11 | $123.03 |
Medcost Setting Professional Modifier None (both parts) Typical Low $46.77 Median $120.23 Typical High $158.49 | Professional | None (both parts) | $46.77 | $120.23 | $158.49 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $37.15 Typical High $57.54 | Professional | 26 · Professional part | $25.70 | $37.15 | $57.54 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $87.10 Typical High $109.65 | Professional | TC · Technical part | $54.95 | $87.10 | $109.65 |
United Setting Professional Modifier None (both parts) Typical Low $53.70 Median $89.13 Typical High $181.97 | Professional | None (both parts) | $53.70 | $89.13 | $181.97 |
United Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $25.12 Typical High $46.77 | Professional | 26 · Professional part | $15.14 | $25.12 | $46.77 |
United Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $61.66 Typical High $134.90 | Professional | TC · Technical part | $38.90 | $61.66 | $134.90 |
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 $40.74 Median $42.66 Typical High $48.98 | Professional | 52 · Reduced service | $40.74 | $42.66 | $48.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.22 Median $17.38 Typical High $19.50 | Professional | 53 · Discontinued | $16.22 | $17.38 | $19.50 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $32.36 Median $60.26 Typical High $89.13 | Professional | 51 · Multiple procedures | $32.36 | $60.26 | $89.13 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $12.88 Median $23.99 Typical High $35.48 | Professional | 80 · Assistant surgeon | $12.88 | $23.99 | $35.48 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $9.12 Median $16.98 Typical High $24.55 | Professional | 81 · Minimal assistant surgeon | $9.12 | $16.98 | $24.55 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $9.12 Median $16.98 Typical High $24.55 | Professional | 82 · Assistant surgeon, no resident | $9.12 | $16.98 | $24.55 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $9.12 Median $16.98 Typical High $24.55 | Professional | AS · PA/NP assist | $9.12 | $16.98 | $24.55 |
Where North Carolina sits
The same service costs 5.5 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
$93.33
AK $269AL $48.98
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.