How much rates vary
Facilitymedian $263 · 10th to 90th $151 to $759Professionalmedian $182 · 10th to 90th $98 to $339
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 $158.49 Median $158.49 Typical High $269.15 | Facility | None | $158.49 | $158.49 | $269.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $158.49 Typical High $354.81 | Professional | None (both parts) | $144.54 | $158.49 | $354.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $18.62 Typical High $47.86 | Professional | 26 · Professional part | $18.62 | $18.62 | $47.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $141.25 Typical High $245.47 | Professional | TC · Technical part | $128.82 | $141.25 | $245.47 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | 26 · Professional part | $44.67 | $44.67 | $44.67 |
BCBS North Carolina Setting Facility Modifier None Typical Low $501.19 Median $501.19 Typical High $501.19 | Facility | None | $501.19 | $501.19 | $501.19 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $104.71 Typical High $107.15 | Professional | 26 · Professional part | $21.88 | $104.71 | $107.15 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $194.98 Typical High $295.12 | Professional | TC · Technical part | $138.04 | $194.98 | $295.12 |
Cigna Setting Facility Modifier None Typical Low $125.89 Median $363.08 Typical High $758.58 | Facility | None | $125.89 | $363.08 | $758.58 |
Cigna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $100.00 Typical High $338.84 | Professional | None (both parts) | $93.33 | $100.00 | $338.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $26.30 Typical High $77.62 | Professional | 26 · Professional part | $12.02 | $26.30 | $77.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $85.11 Typical High $263.03 | Professional | TC · Technical part | $72.44 | $85.11 | $263.03 |
Medcost Setting Professional Modifier None Typical Low $316.23 Median $316.23 Typical High $371.54 | Professional | None | $316.23 | $316.23 | $371.54 |
Medcost Setting Facility Modifier None Typical Low $158.49 Median $158.49 Typical High $208.93 | Facility | None | $158.49 | $158.49 | $208.93 |
Medcost Setting Professional Modifier None (both parts) Typical Low $204.17 Median $316.23 Typical High $323.59 | Professional | None (both parts) | $204.17 | $316.23 | $323.59 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $67.61 Typical High $79.43 | Professional | 26 · Professional part | $38.02 | $67.61 | $79.43 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $190.55 Typical High $213.80 | Professional | TC · Technical part | $190.55 | $190.55 | $213.80 |
United Setting Professional Modifier None (both parts) Typical Low $91.20 Median $144.54 Typical High $323.59 | Professional | None (both parts) | $91.20 | $144.54 | $323.59 |
United Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $25.70 Typical High $61.66 | Professional | 26 · Professional part | $13.18 | $25.70 | $61.66 |
United Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $100.00 Typical High $251.19 | Professional | TC · Technical part | $72.44 | $100.00 | $251.19 |
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 $134.90 Median $158.49 Typical High $165.96 | Professional | 51 · Multiple procedures | $134.90 | $158.49 | $165.96 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $53.70 Median $63.10 Typical High $66.07 | Professional | 80 · Assistant surgeon | $53.70 | $63.10 | $66.07 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $38.02 Median $44.67 Typical High $45.71 | Professional | 81 · Minimal assistant surgeon | $38.02 | $44.67 | $45.71 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $38.02 Median $44.67 Typical High $45.71 | Professional | 82 · Assistant surgeon, no resident | $38.02 | $44.67 | $45.71 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $38.02 Median $44.67 Typical High $45.71 | Professional | AS · PA/NP assist | $38.02 | $44.67 | $45.71 |
Where North Carolina sits
The same service costs 6.5 times more in North Dakota 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· 31st of 51
$186
ND $363AL $56.23
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.