How much rates vary
Facilitymedian $166 · 10th to 90th $105 to $479Professionalmedian $141 · 10th to 90th $76 to $288
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 $104.71 Median $104.71 Typical High $229.09 | Facility | None | $104.71 | $104.71 | $229.09 |
Aetna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $104.71 Typical High $269.15 | Professional | None (both parts) | $104.71 | $104.71 | $269.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $32.36 Typical High $75.86 | Professional | 26 · Professional part | $30.90 | $32.36 | $75.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $72.44 Typical High $165.96 | Professional | TC · Technical part | $72.44 | $72.44 | $165.96 |
BCBS North Carolina Setting Facility Modifier None Typical Low $338.84 Median $338.84 Typical High $338.84 | Facility | None | $338.84 | $338.84 | $338.84 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $141.25 Typical High $147.91 | Professional | 26 · Professional part | $38.90 | $141.25 | $147.91 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $144.54 Typical High $251.19 | Professional | TC · Technical part | $89.13 | $144.54 | $251.19 |
Cigna Setting Facility Modifier None Typical Low $87.10 Median $229.09 Typical High $478.63 | Facility | None | $87.10 | $229.09 | $478.63 |
Cigna Setting Professional Modifier None (both parts) Typical Low $67.61 Median $107.15 Typical High $251.19 | Professional | None (both parts) | $67.61 | $107.15 | $251.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $38.02 Typical High $114.82 | Professional | 26 · Professional part | $20.42 | $38.02 | $114.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $70.79 Typical High $158.49 | Professional | TC · Technical part | $43.65 | $70.79 | $158.49 |
Medcost Setting Professional Modifier None Typical Low $234.42 Median $234.42 Typical High $331.13 | Professional | None | $234.42 | $234.42 | $331.13 |
Medcost Setting Facility Modifier None Typical Low $104.71 Median $104.71 Typical High $162.18 | Facility | None | $104.71 | $104.71 | $162.18 |
Medcost Setting Professional Modifier None (both parts) Typical Low $154.88 Median $223.87 Typical High $288.40 | Professional | None (both parts) | $154.88 | $223.87 | $288.40 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $87.10 Typical High $91.20 | Professional | 26 · Professional part | $67.61 | $87.10 | $91.20 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $141.25 Typical High $199.53 | Professional | TC · Technical part | $138.04 | $141.25 | $199.53 |
United Setting Professional Modifier None (both parts) Typical Low $75.86 Median $125.89 Typical High $269.15 | Professional | None (both parts) | $75.86 | $125.89 | $269.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $40.74 Typical High $102.33 | Professional | 26 · Professional part | $23.99 | $40.74 | $102.33 |
United Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $83.18 Typical High $181.97 | Professional | TC · Technical part | $47.86 | $83.18 | $181.97 |
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 $112.20 Median $114.82 Typical High $144.54 | Professional | 51 · Multiple procedures | $112.20 | $114.82 | $144.54 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $44.67 Median $45.71 Typical High $57.54 | Professional | 80 · Assistant surgeon | $44.67 | $45.71 | $57.54 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $31.62 Median $32.36 Typical High $40.74 | Professional | 81 · Minimal assistant surgeon | $31.62 | $32.36 | $40.74 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $31.62 Median $32.36 Typical High $40.74 | Professional | 82 · Assistant surgeon, no resident | $31.62 | $32.36 | $40.74 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $31.62 Median $32.36 Typical High $40.74 | Professional | AS · PA/NP assist | $31.62 | $32.36 | $40.74 |
Where North Carolina sits
The same service costs 5.4 times more in Wisconsin 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· 32nd of 51
$151
WI $316AL $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.