How much rates vary
Facilitymedian $646 · 10th to 90th $347 to $1,862Professionalmedian $398 · 10th to 90th $195 to $871
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 $346.74 Median $346.74 Typical High $616.60 | Facility | None | $346.74 | $346.74 | $616.60 |
Aetna Setting Professional Modifier None (both parts) Typical Low $288.40 Median $346.74 Typical High $707.95 | Professional | None (both parts) | $288.40 | $346.74 | $707.95 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $60.26 Typical High $138.04 | Professional | 26 · Professional part | $57.54 | $60.26 | $138.04 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $288.40 Typical High $537.03 | Professional | TC · Technical part | $269.15 | $288.40 | $537.03 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $134.90 Typical High $134.90 | Professional | 26 · Professional part | $77.62 | $134.90 | $134.90 |
BCBS North Carolina Setting Facility Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Facility | None | $1,071.52 | $1,071.52 | $1,071.52 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $158.49 Typical High $186.21 | Professional | 26 · Professional part | $70.79 | $158.49 | $186.21 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $630.96 Typical High $977.24 | Professional | TC · Technical part | $295.12 | $630.96 | $977.24 |
Cigna Setting Facility Modifier None Typical Low $331.13 Median $891.25 Typical High $1,862.09 | Facility | None | $331.13 | $891.25 | $1,862.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $323.59 Typical High $691.83 | Professional | None (both parts) | $194.98 | $323.59 | $691.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $40.74 Typical High $144.54 | Professional | 26 · Professional part | $36.31 | $40.74 | $144.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $251.19 Typical High $575.44 | Professional | TC · Technical part | $154.88 | $251.19 | $575.44 |
Medcost Setting Professional Modifier None Typical Low $724.44 Median $724.44 Typical High $724.44 | Professional | None | $724.44 | $724.44 | $724.44 |
Medcost Setting Facility Modifier None Typical Low $346.74 Median $346.74 Typical High $537.03 | Facility | None | $346.74 | $346.74 | $537.03 |
Medcost Setting Professional Modifier None (both parts) Typical Low $436.52 Median $537.03 Typical High $870.96 | Professional | None (both parts) | $436.52 | $537.03 | $870.96 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $125.89 Typical High $147.91 | Professional | 26 · Professional part | $104.71 | $125.89 | $147.91 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $478.63 Median $616.60 Typical High $758.58 | Professional | TC · Technical part | $478.63 | $616.60 | $758.58 |
United Setting Professional Modifier None (both parts) Typical Low $204.17 Median $371.54 Typical High $812.83 | Professional | None (both parts) | $204.17 | $371.54 | $812.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $72.44 Typical High $131.83 | Professional | 26 · Professional part | $43.65 | $72.44 | $131.83 |
United Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $295.12 Typical High $707.95 | Professional | TC · Technical part | $173.78 | $295.12 | $707.95 |
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 $169.82 Median $173.78 Typical High $213.80 | Professional | 52 · Reduced service | $169.82 | $173.78 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $67.61 Median $69.18 Typical High $85.11 | Professional | 53 · Discontinued | $67.61 | $69.18 | $85.11 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $229.09 Median $269.15 Typical High $436.52 | Professional | 51 · Multiple procedures | $229.09 | $269.15 | $436.52 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $91.20 Median $107.15 Typical High $173.78 | Professional | 80 · Assistant surgeon | $91.20 | $107.15 | $173.78 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $64.57 Median $74.13 Typical High $120.23 | Professional | 81 · Minimal assistant surgeon | $64.57 | $74.13 | $120.23 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $64.57 Median $74.13 Typical High $120.23 | Professional | 82 · Assistant surgeon, no resident | $64.57 | $74.13 | $120.23 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $64.57 Median $74.13 Typical High $120.23 | Professional | AS · PA/NP assist | $64.57 | $74.13 | $120.23 |
Where North Carolina sits
The same service costs 11.5 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· 36th of 51
$427
AK $1,778AL $155
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.