How much rates vary
Facilitymedian $95 · 10th to 90th $68 to $302Professionalmedian $81 · 10th to 90th $34 to $148
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 $67.61 Median $67.61 Typical High $120.23 | Facility | None | $67.61 | $67.61 | $120.23 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $21.88 Median $21.88 Typical High $37.15 | Facility | 26 · Professional part | $21.88 | $21.88 | $37.15 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $45.71 Median $45.71 Typical High $83.18 | Facility | TC · Technical part | $45.71 | $45.71 | $83.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $63.10 Median $67.61 Typical High $177.83 | Professional | None (both parts) | $63.10 | $67.61 | $177.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $21.88 Typical High $46.77 | Professional | 26 · Professional part | $20.42 | $21.88 | $46.77 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $45.71 Typical High $120.23 | Professional | TC · Technical part | $43.65 | $45.71 | $120.23 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $44.67 Median $44.67 Typical High $162.18 | Professional | None (both parts) | $44.67 | $44.67 | $162.18 |
BCBS North Carolina Setting Facility Modifier None Typical Low $234.42 Median $234.42 Typical High $234.42 | Facility | None | $234.42 | $234.42 | $234.42 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $41.69 Typical High $56.23 | Professional | 26 · Professional part | $25.70 | $41.69 | $56.23 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $58.88 Typical High $109.65 | Professional | TC · Technical part | $56.23 | $58.88 | $109.65 |
Cigna Setting Facility Modifier None Typical Low $51.29 Median $147.91 Typical High $302.00 | Facility | None | $51.29 | $147.91 | $302.00 |
Cigna Setting Professional Modifier None (both parts) Typical Low $33.88 Median $43.65 Typical High $138.04 | Professional | None (both parts) | $33.88 | $43.65 | $138.04 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $13.80 Typical High $40.74 | Professional | 26 · Professional part | $11.22 | $13.80 | $40.74 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $29.51 Typical High $79.43 | Professional | TC · Technical part | $22.39 | $29.51 | $79.43 |
Medcost Setting Facility Modifier None Typical Low $67.61 Median $67.61 Typical High $104.71 | Facility | None | $67.61 | $67.61 | $104.71 |
Medcost Setting Professional Modifier None (both parts) Typical Low $95.50 Median $95.50 Typical High $107.15 | Professional | None (both parts) | $95.50 | $95.50 | $107.15 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $31.62 Typical High $38.90 | Professional | 26 · Professional part | $31.62 | $31.62 | $38.90 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $63.10 Typical High $72.44 | Professional | TC · Technical part | $63.10 | $63.10 | $72.44 |
United Setting Professional Modifier None (both parts) Typical Low $48.98 Median $64.57 Typical High $158.49 | Professional | None (both parts) | $48.98 | $64.57 | $158.49 |
United Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $21.38 Typical High $50.12 | Professional | 26 · Professional part | $15.49 | $21.38 | $50.12 |
United Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $42.66 Typical High $109.65 | Professional | TC · Technical part | $30.20 | $42.66 | $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 $31.62 Median $33.88 Typical High $40.74 | Professional | 52 · Reduced service | $31.62 | $33.88 | $40.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.59 Median $13.49 Typical High $16.22 | Professional | 53 · Discontinued | $12.59 | $13.49 | $16.22 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $47.86 Median $47.86 Typical High $77.62 | Professional | 51 · Multiple procedures | $47.86 | $47.86 | $77.62 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $19.05 Median $19.05 Typical High $30.90 | Professional | 80 · Assistant surgeon | $19.05 | $19.05 | $30.90 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $13.49 Median $13.49 Typical High $21.38 | Professional | 81 · Minimal assistant surgeon | $13.49 | $13.49 | $21.38 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $13.49 Median $13.49 Typical High $21.38 | Professional | 82 · Assistant surgeon, no resident | $13.49 | $13.49 | $21.38 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $13.49 Median $13.49 Typical High $21.38 | Professional | AS · PA/NP assist | $13.49 | $13.49 | $21.38 |
Where North Carolina sits
The same service costs 5.9 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· 36th of 51
$81.28
AK $347AL $58.88
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.