How much rates vary
Facilitymedian $151 · 10th to 90th $78 to $427Professionalmedian $102 · 10th to 90th $37 to $174
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 $89.13 Median $89.13 Typical High $89.13 | Facility | None | $89.13 | $89.13 | $89.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $75.86 Median $89.13 Typical High $239.88 | Professional | None (both parts) | $75.86 | $89.13 | $239.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $25.12 Typical High $41.69 | Professional | 26 · Professional part | $22.91 | $25.12 | $41.69 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $63.10 Typical High $100.00 | Professional | TC · Technical part | $52.48 | $63.10 | $100.00 |
BCBS North Carolina Setting Facility Modifier None Typical Low $295.12 Median $295.12 Typical High $295.12 | Facility | None | $295.12 | $295.12 | $295.12 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $45.71 Typical High $64.57 | Professional | 26 · Professional part | $30.90 | $45.71 | $64.57 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $83.18 Typical High $144.54 | Professional | TC · Technical part | $72.44 | $83.18 | $144.54 |
Cigna Setting Facility Modifier None Typical Low $72.44 Median $208.93 Typical High $426.58 | Facility | None | $72.44 | $208.93 | $426.58 |
Cigna Setting Professional Modifier None (both parts) Typical Low $36.31 Median $57.54 Typical High $162.18 | Professional | None (both parts) | $36.31 | $57.54 | $162.18 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $15.85 Typical High $46.77 | Professional | 26 · Professional part | $12.88 | $15.85 | $46.77 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $41.69 Typical High $104.71 | Professional | TC · Technical part | $23.44 | $41.69 | $104.71 |
Medcost Setting Facility Modifier None Typical Low $89.13 Median $89.13 Typical High $144.54 | Facility | None | $89.13 | $89.13 | $144.54 |
Medcost Setting Professional Modifier None (both parts) Typical Low $104.71 Median $104.71 Typical High $131.83 | Professional | None (both parts) | $104.71 | $104.71 | $131.83 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $37.15 Typical High $41.69 | Professional | 26 · Professional part | $37.15 | $37.15 | $41.69 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $67.61 Typical High $107.15 | Professional | TC · Technical part | $67.61 | $67.61 | $107.15 |
United Setting Professional Modifier None (both parts) Typical Low $61.66 Median $74.13 Typical High $199.53 | Professional | None (both parts) | $61.66 | $74.13 | $199.53 |
United Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $24.55 Typical High $57.54 | Professional | 26 · Professional part | $18.62 | $24.55 | $57.54 |
United Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $53.70 Typical High $131.83 | Professional | TC · Technical part | $42.66 | $53.70 | $131.83 |
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 $43.65 Median $43.65 Typical High $51.29 | Professional | 52 · Reduced service | $43.65 | $43.65 | $51.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $17.78 Typical High $20.42 | Professional | 53 · Discontinued | $17.78 | $17.78 | $20.42 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $52.48 Median $52.48 Typical High $109.65 | Professional | 51 · Multiple procedures | $52.48 | $52.48 | $109.65 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $20.89 Median $20.89 Typical High $43.65 | Professional | 80 · Assistant surgeon | $20.89 | $20.89 | $43.65 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $14.79 Median $14.79 Typical High $30.90 | Professional | 81 · Minimal assistant surgeon | $14.79 | $14.79 | $30.90 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $14.79 Median $14.79 Typical High $30.90 | Professional | 82 · Assistant surgeon, no resident | $14.79 | $14.79 | $30.90 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $14.79 Median $14.79 Typical High $30.90 | Professional | AS · PA/NP assist | $14.79 | $14.79 | $30.90 |
Where North Carolina sits
The same service costs 4.6 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· 37th of 51
$102
AK $269AL $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.