How much rates vary
Facilitymedian $204 · 10th to 90th $98 to $589Professionalmedian $148 · 10th to 90th $71 to $275
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 $95.50 Median $138.04 Typical High $263.03 | Facility | None | $95.50 | $138.04 | $263.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $138.04 Typical High $316.23 | Professional | None (both parts) | $131.83 | $138.04 | $316.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $33.88 Typical High $93.33 | Professional | 26 · Professional part | $33.88 | $33.88 | $93.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $102.33 Typical High $218.78 | Professional | TC · Technical part | $97.72 | $102.33 | $218.78 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $56.23 Typical High $77.62 | Professional | 26 · Professional part | $43.65 | $56.23 | $77.62 |
BCBS North Carolina Setting Facility Modifier None Typical Low $457.09 Median $457.09 Typical High $457.09 | Facility | None | $457.09 | $457.09 | $457.09 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $102.33 Typical High $141.25 | Professional | 26 · Professional part | $38.90 | $102.33 | $141.25 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $114.82 Typical High $263.03 | Professional | TC · Technical part | $72.44 | $114.82 | $263.03 |
Cigna Setting Facility Modifier None Typical Low $97.72 Median $281.84 Typical High $588.84 | Facility | None | $97.72 | $281.84 | $588.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $60.26 Median $87.10 Typical High $263.03 | Professional | None (both parts) | $60.26 | $87.10 | $263.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $32.36 Typical High $107.15 | Professional | 26 · Professional part | $22.39 | $32.36 | $107.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $64.57 Typical High $186.21 | Professional | TC · Technical part | $28.84 | $64.57 | $186.21 |
Medcost Setting Professional Modifier None Typical Low $199.53 Median $199.53 Typical High $371.54 | Professional | None | $199.53 | $199.53 | $371.54 |
Medcost Setting Facility Modifier None Typical Low $138.04 Median $138.04 Typical High $190.55 | Facility | None | $138.04 | $138.04 | $190.55 |
Medcost Setting Professional Modifier None (both parts) Typical Low $158.49 Median $177.83 Typical High $295.12 | Professional | None (both parts) | $158.49 | $177.83 | $295.12 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $77.62 Typical High $95.50 | Professional | 26 · Professional part | $60.26 | $77.62 | $95.50 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $112.20 Typical High $213.80 | Professional | TC · Technical part | $104.71 | $112.20 | $213.80 |
United Setting Professional Modifier None (both parts) Typical Low $83.18 Median $104.71 Typical High $275.42 | Professional | None (both parts) | $83.18 | $104.71 | $275.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $34.67 Typical High $91.20 | Professional | 26 · Professional part | $23.99 | $34.67 | $91.20 |
United Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $81.28 Typical High $213.80 | Professional | TC · Technical part | $48.98 | $81.28 | $213.80 |
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 $69.18 Median $69.18 Typical High $79.43 | Professional | 52 · Reduced service | $69.18 | $69.18 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $27.54 Typical High $32.36 | Professional | 53 · Discontinued | $27.54 | $27.54 | $32.36 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $83.18 Median $83.18 Typical High $204.17 | Professional | 51 · Multiple procedures | $83.18 | $83.18 | $204.17 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $33.11 Median $33.11 Typical High $81.28 | Professional | 80 · Assistant surgeon | $33.11 | $33.11 | $81.28 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $23.44 Median $23.44 Typical High $57.54 | Professional | 81 · Minimal assistant surgeon | $23.44 | $23.44 | $57.54 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $23.44 Median $23.44 Typical High $57.54 | Professional | 82 · Assistant surgeon, no resident | $23.44 | $23.44 | $57.54 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $23.44 Median $23.44 Typical High $57.54 | Professional | AS · PA/NP assist | $23.44 | $23.44 | $57.54 |
Where North Carolina sits
The same service costs 4.9 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· 41st of 51
$148
AK $468AL $95.50
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.