How much rates vary
Facilitymedian $468 · 10th to 90th $263 to $1,445Professionalmedian $302 · 10th to 90th $107 to $575
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 $309.03 Median $309.03 Typical High $602.56 | Facility | None | $309.03 | $309.03 | $602.56 |
Aetna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $309.03 Typical High $602.56 | Professional | None (both parts) | $218.78 | $309.03 | $602.56 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $50.12 Typical High $97.72 | Professional | 26 · Professional part | $47.86 | $50.12 | $97.72 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $257.04 Typical High $457.09 | Professional | TC · Technical part | $169.82 | $257.04 | $457.09 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $112.20 Typical High $112.20 | Professional | 26 · Professional part | $66.07 | $112.20 | $112.20 |
BCBS North Carolina Setting Facility Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,318.26 | Facility | None | $1,318.26 | $1,318.26 | $1,318.26 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $123.03 Typical High $169.82 | Professional | 26 · Professional part | $60.26 | $123.03 | $169.82 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $239.88 Typical High $478.63 | Professional | TC · Technical part | $120.23 | $239.88 | $478.63 |
Cigna Setting Facility Modifier None Typical Low $245.47 Median $691.83 Typical High $1,445.44 | Facility | None | $245.47 | $691.83 | $1,445.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $190.55 Typical High $537.03 | Professional | None (both parts) | $107.15 | $190.55 | $537.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $33.88 Typical High $123.03 | Professional | 26 · Professional part | $31.62 | $33.88 | $123.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $158.49 Typical High $398.11 | Professional | TC · Technical part | $72.44 | $158.49 | $398.11 |
Medcost Setting Facility Modifier None Typical Low $309.03 Median $309.03 Typical High $426.58 | Facility | None | $309.03 | $309.03 | $426.58 |
Medcost Setting Professional Modifier None (both parts) Typical Low $302.00 Median $302.00 Typical High $467.74 | Professional | None (both parts) | $302.00 | $302.00 | $467.74 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $95.50 Typical High $100.00 | Professional | 26 · Professional part | $95.50 | $95.50 | $100.00 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $208.93 Typical High $398.11 | Professional | TC · Technical part | $208.93 | $208.93 | $398.11 |
United Setting Professional Modifier None (both parts) Typical Low $181.97 Median $239.88 Typical High $660.69 | Professional | None (both parts) | $181.97 | $239.88 | $660.69 |
United Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $61.66 Typical High $117.49 | Professional | 26 · Professional part | $36.31 | $61.66 | $117.49 |
United Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $199.53 Typical High $549.54 | Professional | TC · Technical part | $97.72 | $199.53 | $549.54 |
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 $144.54 Median $154.88 Typical High $181.97 | Professional | 52 · Reduced service | $144.54 | $154.88 | $181.97 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $57.54 Median $61.66 Typical High $72.44 | Professional | 53 · Discontinued | $57.54 | $61.66 | $72.44 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $151.36 Median $151.36 Typical High $323.59 | Professional | 51 · Multiple procedures | $151.36 | $151.36 | $323.59 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $60.26 Median $60.26 Typical High $128.82 | Professional | 80 · Assistant surgeon | $60.26 | $60.26 | $128.82 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $42.66 Median $42.66 Typical High $91.20 | Professional | 81 · Minimal assistant surgeon | $42.66 | $42.66 | $91.20 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $42.66 Median $42.66 Typical High $91.20 | Professional | 82 · Assistant surgeon, no resident | $42.66 | $42.66 | $91.20 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $42.66 Median $42.66 Typical High $91.20 | Professional | AS · PA/NP assist | $42.66 | $42.66 | $91.20 |
Where North Carolina sits
The same service costs 9.1 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
$302
AK $891AL $97.72
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.