How much rates vary
Facilitymedian $72 · 10th to 90th $33 to $182Professionalmedian $69 · 10th to 90th $30 to $107
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 $53.70 Median $53.70 Typical High $53.70 | Facility | None | $53.70 | $53.70 | $53.70 |
Aetna Setting Professional Modifier None (both parts) Typical Low $50.12 Median $53.70 Typical High $64.57 | Professional | None (both parts) | $50.12 | $53.70 | $64.57 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $19.95 Typical High $33.88 | Professional | 26 · Professional part | $19.05 | $19.95 | $33.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $33.11 Typical High $50.12 | Professional | TC · Technical part | $31.62 | $33.11 | $50.12 |
BCBS North Carolina Setting Facility Modifier None Typical Low $181.97 Median $181.97 Typical High $181.97 | Facility | None | $181.97 | $181.97 | $181.97 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $38.90 Typical High $53.70 | Professional | 26 · Professional part | $22.91 | $38.90 | $53.70 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $37.15 Typical High $95.50 | Professional | TC · Technical part | $30.90 | $37.15 | $95.50 |
Cigna Setting Facility Modifier None Typical Low $32.36 Median $87.10 Typical High $181.97 | Facility | None | $32.36 | $87.10 | $181.97 |
Cigna Setting Professional Modifier None (both parts) Typical Low $30.20 Median $34.67 Typical High $107.15 | Professional | None (both parts) | $30.20 | $34.67 | $107.15 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $12.88 Typical High $38.90 | Professional | 26 · Professional part | $10.96 | $12.88 | $38.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $21.88 Typical High $69.18 | Professional | TC · Technical part | $19.05 | $21.88 | $69.18 |
Medcost Setting Facility Modifier None Typical Low $53.70 Median $53.70 Typical High $72.44 | Facility | None | $53.70 | $53.70 | $72.44 |
Medcost Setting Professional Modifier None (both parts) Typical Low $83.18 Median $85.11 Typical High $85.11 | Professional | None (both parts) | $83.18 | $85.11 | $85.11 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $30.90 Typical High $32.36 | Professional | 26 · Professional part | $30.90 | $30.90 | $32.36 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $54.95 Typical High $57.54 | Professional | TC · Technical part | $53.70 | $54.95 | $57.54 |
United Setting Professional Modifier None (both parts) Typical Low $38.02 Median $57.54 Typical High $128.82 | Professional | None (both parts) | $38.02 | $57.54 | $128.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $20.89 Typical High $46.77 | Professional | 26 · Professional part | $13.80 | $20.89 | $46.77 |
United Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $36.31 Typical High $83.18 | Professional | TC · Technical part | $23.99 | $36.31 | $83.18 |
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 $25.12 Median $26.92 Typical High $32.36 | Professional | 52 · Reduced service | $25.12 | $26.92 | $32.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.00 Median $10.72 Typical High $12.88 | Professional | 53 · Discontinued | $10.00 | $10.72 | $12.88 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $42.66 Median $42.66 Typical High $63.10 | Professional | 51 · Multiple procedures | $42.66 | $42.66 | $63.10 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $16.98 Median $16.98 Typical High $25.12 | Professional | 80 · Assistant surgeon | $16.98 | $16.98 | $25.12 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $12.02 Median $12.02 Typical High $17.78 | Professional | 81 · Minimal assistant surgeon | $12.02 | $12.02 | $17.78 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $12.02 Median $12.02 Typical High $17.78 | Professional | 82 · Assistant surgeon, no resident | $12.02 | $12.02 | $17.78 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $12.02 Median $12.02 Typical High $17.78 | Professional | AS · PA/NP assist | $12.02 | $12.02 | $17.78 |
Where North Carolina sits
The same service costs 4.4 times more in Alaska than in Texas. 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· 26th of 51
$69.18
AK $182TX $41.69
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.