How much rates vary
Facilitymedian $195 · 10th to 90th $107 to $603Professionalmedian $151 · 10th to 90th $59 to $263
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $128.82 Median $128.82 Typical High $218.78 | Facility | None | $128.82 | $128.82 | $218.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $128.82 Typical High $331.13 | Professional | None (both parts) | $117.49 | $128.82 | $331.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $29.51 Typical High $64.57 | Professional | 26 · Professional part | $29.51 | $29.51 | $64.57 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $100.00 Typical High $239.88 | Professional | TC · Technical part | $83.18 | $100.00 | $239.88 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $50.12 Typical High $69.18 | Professional | 26 · Professional part | $38.90 | $50.12 | $69.18 |
BCBS North Carolina Setting Facility Modifier None Typical Low $549.54 Median $549.54 Typical High $549.54 | Facility | None | $549.54 | $549.54 | $549.54 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $60.26 Typical High $102.33 | Professional | 26 · Professional part | $35.48 | $60.26 | $102.33 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $114.82 Typical High $204.17 | Professional | TC · Technical part | $107.15 | $114.82 | $204.17 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $288.40 Typical High $602.56 | Facility | None | $100.00 | $288.40 | $602.56 |
Cigna Setting Professional Modifier None (both parts) Typical Low $57.54 Median $81.28 Typical High $239.88 | Professional | None (both parts) | $57.54 | $81.28 | $239.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $20.89 Typical High $74.13 | Professional | 26 · Professional part | $18.62 | $20.89 | $74.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $63.10 Typical High $158.49 | Professional | TC · Technical part | $37.15 | $63.10 | $158.49 |
Medcost Setting Facility Modifier None Typical Low $128.82 Median $128.82 Typical High $194.98 | Facility | None | $128.82 | $128.82 | $194.98 |
Medcost Setting Professional Modifier None (both parts) Typical Low $165.96 Median $165.96 Typical High $199.53 | Professional | None (both parts) | $165.96 | $165.96 | $199.53 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $58.88 Typical High $61.66 | Professional | 26 · Professional part | $58.88 | $58.88 | $61.66 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $107.15 Typical High $154.88 | Professional | TC · Technical part | $107.15 | $107.15 | $154.88 |
United Setting Professional Modifier None (both parts) Typical Low $93.33 Median $114.82 Typical High $295.12 | Professional | None (both parts) | $93.33 | $114.82 | $295.12 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $36.31 Typical High $79.43 | Professional | 26 · Professional part | $21.38 | $36.31 | $79.43 |
United Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $81.28 Typical High $218.78 | Professional | TC · Technical part | $69.18 | $81.28 | $218.78 |
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 $61.66 Median $64.57 Typical High $75.86 | Professional | 52 · Reduced service | $61.66 | $64.57 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $25.70 Typical High $30.90 | Professional | 53 · Discontinued | $24.55 | $25.70 | $30.90 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $83.18 Median $83.18 Typical High $144.54 | Professional | 51 · Multiple procedures | $83.18 | $83.18 | $144.54 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $33.11 Median $33.11 Typical High $57.54 | Professional | 80 · Assistant surgeon | $33.11 | $33.11 | $57.54 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $23.44 Median $23.44 Typical High $40.74 | Professional | 81 · Minimal assistant surgeon | $23.44 | $23.44 | $40.74 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $23.44 Median $23.44 Typical High $40.74 | Professional | 82 · Assistant surgeon, no resident | $23.44 | $23.44 | $40.74 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $23.44 Median $23.44 Typical High $40.74 | Professional | AS · PA/NP assist | $23.44 | $23.44 | $40.74 |
Where North Carolina sits
The same service costs 7.1 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· 34th of 51
$155
AK $417AL $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.