How much rates vary
Facilitymedian $148 · 10th to 90th $74 to $427Professionalmedian $105 · 10th to 90th $48 to $195
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 $66.07 Median $104.71 Typical High $194.98 | Facility | None | $66.07 | $104.71 | $194.98 |
Aetna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $104.71 Typical High $204.17 | Professional | None (both parts) | $100.00 | $104.71 | $204.17 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $26.92 Typical High $51.29 | Professional | 26 · Professional part | $25.70 | $26.92 | $51.29 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $79.43 Typical High $144.54 | Professional | TC · Technical part | $72.44 | $79.43 | $144.54 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $46.77 Typical High $46.77 | Professional | 26 · Professional part | $33.88 | $46.77 | $46.77 |
BCBS North Carolina Setting Facility Modifier None Typical Low $446.68 Median $446.68 Typical High $446.68 | Facility | None | $446.68 | $446.68 | $446.68 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $51.29 Typical High $69.18 | Professional | 26 · Professional part | $28.18 | $51.29 | $69.18 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $89.13 Typical High $169.82 | Professional | TC · Technical part | $79.43 | $89.13 | $169.82 |
Cigna Setting Facility Modifier None Typical Low $74.13 Median $204.17 Typical High $426.58 | Facility | None | $74.13 | $204.17 | $426.58 |
Cigna Setting Professional Modifier None (both parts) Typical Low $47.86 Median $66.07 Typical High $190.55 | Professional | None (both parts) | $47.86 | $66.07 | $190.55 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $17.38 Typical High $51.29 | Professional | 26 · Professional part | $13.49 | $17.38 | $51.29 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $48.98 Typical High $141.25 | Professional | TC · Technical part | $32.36 | $48.98 | $141.25 |
Medcost Setting Professional Modifier None Typical Low $288.40 Median $288.40 Typical High $288.40 | Professional | None | $288.40 | $288.40 | $288.40 |
Medcost Setting Facility Modifier None Typical Low $104.71 Median $104.71 Typical High $141.25 | Facility | None | $104.71 | $104.71 | $141.25 |
Medcost Setting Professional Modifier None (both parts) Typical Low $134.90 Median $138.04 Typical High $213.80 | Professional | None (both parts) | $134.90 | $138.04 | $213.80 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $39.81 Typical High $54.95 | Professional | 26 · Professional part | $39.81 | $39.81 | $54.95 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $97.72 Typical High $158.49 | Professional | TC · Technical part | $97.72 | $97.72 | $158.49 |
United Setting Professional Modifier None (both parts) Typical Low $57.54 Median $79.43 Typical High $208.93 | Professional | None (both parts) | $57.54 | $79.43 | $208.93 |
United Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $21.88 Typical High $57.54 | Professional | 26 · Professional part | $16.98 | $21.88 | $57.54 |
United Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $60.26 Typical High $162.18 | Professional | TC · Technical part | $41.69 | $60.26 | $162.18 |
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 $52.48 Median $52.48 Typical High $61.66 | Professional | 52 · Reduced service | $52.48 | $52.48 | $61.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $20.89 Typical High $25.12 | Professional | 53 · Discontinued | $20.89 | $20.89 | $25.12 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $69.18 Median $69.18 Typical High $173.78 | Professional | 51 · Multiple procedures | $69.18 | $69.18 | $173.78 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $27.54 Median $27.54 Typical High $69.18 | Professional | 80 · Assistant surgeon | $27.54 | $27.54 | $69.18 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $19.05 Median $19.05 Typical High $48.98 | Professional | 81 · Minimal assistant surgeon | $19.05 | $19.05 | $48.98 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $19.05 Median $19.05 Typical High $48.98 | Professional | 82 · Assistant surgeon, no resident | $19.05 | $19.05 | $48.98 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $19.05 Median $19.05 Typical High $48.98 | Professional | AS · PA/NP assist | $19.05 | $19.05 | $48.98 |
Where North Carolina sits
The same service costs 5.5 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· 38th of 51
$105
AK $380AL $69.18
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.