How much rates vary
Facilitymedian $83 · 10th to 90th $59 to $309Professionalmedian $68 · 10th to 90th $30 to $117
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 $61.66 Median $61.66 Typical High $109.65 | Facility | None | $61.66 | $61.66 | $109.65 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $9.33 Median $9.77 Typical High $17.78 | Facility | 26 · Professional part | $9.33 | $9.77 | $17.78 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $52.48 Median $53.70 Typical High $95.50 | Facility | TC · Technical part | $52.48 | $53.70 | $95.50 |
Aetna Setting Professional Modifier None (both parts) Typical Low $38.02 Median $61.66 Typical High $131.83 | Professional | None (both parts) | $38.02 | $61.66 | $131.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $10.23 Typical High $21.88 | Professional | 26 · Professional part | $9.33 | $10.23 | $21.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $52.48 Typical High $109.65 | Professional | TC · Technical part | $50.12 | $52.48 | $109.65 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $38.02 Median $38.02 Typical High $64.57 | Professional | None (both parts) | $38.02 | $38.02 | $64.57 |
BCBS North Carolina Setting Facility Modifier None Typical Low $199.53 Median $199.53 Typical High $199.53 | Facility | None | $199.53 | $199.53 | $199.53 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $57.54 Median $85.11 Typical High $95.50 | Professional | None (both parts) | $57.54 | $85.11 | $95.50 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $22.91 Typical High $29.51 | Professional | 26 · Professional part | $10.96 | $22.91 | $29.51 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $48.98 Typical High $77.62 | Professional | TC · Technical part | $17.38 | $48.98 | $77.62 |
Cigna Setting Facility Modifier None Typical Low $51.29 Median $147.91 Typical High $309.03 | Facility | None | $51.29 | $147.91 | $309.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $26.92 Median $38.90 Typical High $114.82 | Professional | None (both parts) | $26.92 | $38.90 | $114.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $5.62 Median $6.46 Typical High $22.91 | Professional | 26 · Professional part | $5.62 | $6.46 | $22.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $33.11 Typical High $95.50 | Professional | TC · Technical part | $20.42 | $33.11 | $95.50 |
Medcost Setting Professional Modifier None Typical Low $85.11 Median $85.11 Typical High $100.00 | Professional | None | $85.11 | $85.11 | $100.00 |
Medcost Setting Facility Modifier None Typical Low $61.66 Median $61.66 Typical High $89.13 | Facility | None | $61.66 | $61.66 | $89.13 |
Medcost Setting Professional Modifier None (both parts) Typical Low $47.86 Median $79.43 Typical High $114.82 | Professional | None (both parts) | $47.86 | $79.43 | $114.82 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $20.89 Typical High $32.36 | Professional | 26 · Professional part | $16.60 | $20.89 | $32.36 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $74.13 Typical High $100.00 | Professional | TC · Technical part | $41.69 | $74.13 | $100.00 |
United Setting Professional Modifier None (both parts) Typical Low $38.90 Median $61.66 Typical High $131.83 | Professional | None (both parts) | $38.90 | $61.66 | $131.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $11.48 Typical High $21.38 | Professional | 26 · Professional part | $6.76 | $11.48 | $21.38 |
United Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $50.12 Typical High $109.65 | Professional | TC · Technical part | $32.36 | $50.12 | $109.65 |
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 $29.51 Median $30.90 Typical High $34.67 | Professional | 52 · Reduced service | $29.51 | $30.90 | $34.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.75 Median $12.30 Typical High $13.80 | Professional | 53 · Discontinued | $11.75 | $12.30 | $13.80 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $25.70 Median $39.81 Typical High $66.07 | Professional | 51 · Multiple procedures | $25.70 | $39.81 | $66.07 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $10.23 Median $15.85 Typical High $26.30 | Professional | 80 · Assistant surgeon | $10.23 | $15.85 | $26.30 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $7.08 Median $11.22 Typical High $18.20 | Professional | 81 · Minimal assistant surgeon | $7.08 | $11.22 | $18.20 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $7.08 Median $11.22 Typical High $18.20 | Professional | 82 · Assistant surgeon, no resident | $7.08 | $11.22 | $18.20 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $7.08 Median $11.22 Typical High $18.20 | Professional | AS · PA/NP assist | $7.08 | $11.22 | $18.20 |
Where North Carolina sits
The same service costs 6.0 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· 41st of 51
$67.61
AK $209AL $34.67
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.