How much rates vary
Facilitymedian $120 · 10th to 90th $74 to $347Professionalmedian $123 · 10th to 90th $52 to $204
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 $93.33 Median $95.50 Typical High $177.83 | Facility | None | $93.33 | $95.50 | $177.83 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $32.36 Median $34.67 Typical High $67.61 | Facility | 26 · Professional part | $32.36 | $34.67 | $67.61 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $60.26 Median $61.66 Typical High $104.71 | Facility | TC · Technical part | $60.26 | $61.66 | $104.71 |
Aetna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $104.71 Typical High $223.87 | Professional | None (both parts) | $89.13 | $104.71 | $223.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $38.02 Typical High $107.15 | Professional | 26 · Professional part | $32.36 | $38.02 | $107.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $63.10 Typical High $147.91 | Professional | TC · Technical part | $54.95 | $63.10 | $147.91 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $57.54 Median $57.54 Typical High $128.82 | Professional | None (both parts) | $57.54 | $57.54 | $128.82 |
BCBS North Carolina Setting Facility Modifier None Typical Low $309.03 Median $309.03 Typical High $309.03 | Facility | None | $309.03 | $309.03 | $309.03 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $104.71 Typical High $131.83 | Professional | 26 · Professional part | $38.02 | $104.71 | $131.83 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $67.61 Typical High $169.82 | Professional | TC · Technical part | $63.10 | $67.61 | $169.82 |
Cigna Setting Facility Modifier None Typical Low $58.88 Median $165.96 Typical High $346.74 | Facility | None | $58.88 | $165.96 | $346.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $52.48 Median $69.18 Typical High $186.21 | Professional | None (both parts) | $52.48 | $69.18 | $186.21 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $29.51 Typical High $107.15 | Professional | 26 · Professional part | $20.42 | $29.51 | $107.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $38.90 Typical High $117.49 | Professional | TC · Technical part | $22.39 | $38.90 | $117.49 |
Medcost Setting Professional Modifier None Typical Low $173.78 Median $173.78 Typical High $190.55 | Professional | None | $173.78 | $173.78 | $190.55 |
Medcost Setting Facility Modifier None Typical Low $93.33 Median $93.33 Typical High $134.90 | Facility | None | $93.33 | $93.33 | $134.90 |
Medcost Setting Professional Modifier None (both parts) Typical Low $134.90 Median $165.96 Typical High $199.53 | Professional | None (both parts) | $134.90 | $165.96 | $199.53 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $69.18 Typical High $87.10 | Professional | 26 · Professional part | $61.66 | $69.18 | $87.10 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $81.28 Typical High $128.82 | Professional | TC · Technical part | $81.28 | $81.28 | $128.82 |
United Setting Professional Modifier None (both parts) Typical Low $67.61 Median $112.20 Typical High $204.17 | Professional | None (both parts) | $67.61 | $112.20 | $204.17 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $39.81 Typical High $87.10 | Professional | 26 · Professional part | $23.44 | $39.81 | $87.10 |
United Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $69.18 Typical High $134.90 | Professional | TC · Technical part | $38.90 | $69.18 | $134.90 |
5 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 |
|---|---|---|---|---|---|
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $67.61 Median $83.18 Typical High $114.82 | Professional | 51 · Multiple procedures | $67.61 | $83.18 | $114.82 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $26.92 Median $33.11 Typical High $45.71 | Professional | 80 · Assistant surgeon | $26.92 | $33.11 | $45.71 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $19.05 Median $23.44 Typical High $31.62 | Professional | 81 · Minimal assistant surgeon | $19.05 | $23.44 | $31.62 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $19.05 Median $23.44 Typical High $31.62 | Professional | 82 · Assistant surgeon, no resident | $19.05 | $23.44 | $31.62 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $19.05 Median $23.44 Typical High $31.62 | Professional | AS · PA/NP assist | $19.05 | $23.44 | $31.62 |
Where North Carolina sits
The same service costs 7.4 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· 29th of 51
$123
AK $457AL $61.66
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.