How much rates vary
Facilitymedian $30 · 10th to 90th $30 to $47Professionalmedian $41 · 10th to 90th $30 to $79
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 Professional Modifier 26 · Professional part Typical Low $10.47 Median $10.47 Typical High $21.38 | Professional | 26 · Professional part | $10.47 | $10.47 | $21.38 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $19.05 Typical High $39.81 | Professional | TC · Technical part | $19.05 | $19.05 | $39.81 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $32.36 Typical High $43.65 | Professional | 26 · Professional part | $22.91 | $32.36 | $43.65 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $41.69 Typical High $63.10 | Professional | TC · Technical part | $32.36 | $41.69 | $63.10 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $16.60 Typical High $29.51 | Professional | 26 · Professional part | $13.49 | $16.60 | $29.51 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $25.70 Typical High $50.12 | Professional | TC · Technical part | $20.42 | $25.70 | $50.12 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $17.38 Typical High $25.12 | Professional | 26 · Professional part | $16.98 | $17.38 | $25.12 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $23.99 Typical High $45.71 | Professional | TC · Technical part | $23.99 | $23.99 | $45.71 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $17.38 Typical High $30.90 | Professional | 26 · Professional part | $12.59 | $17.38 | $30.90 |
United Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $25.70 Typical High $51.29 | Professional | TC · Technical part | $19.95 | $25.70 | $51.29 |
15 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 Facility Modifier None Typical Low $29.51 Median $29.51 Typical High $40.74 | Facility | None | $29.51 | $29.51 | $40.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $29.51 Median $29.51 Typical High $61.66 | Professional | None (both parts) | $29.51 | $29.51 | $61.66 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $14.79 Median $14.79 Typical High $18.20 | Professional | 52 · Reduced service | $14.79 | $14.79 | $18.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.89 Median $5.89 Typical High $7.24 | Professional | 53 · Discontinued | $5.89 | $5.89 | $7.24 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $43.65 Median $43.65 Typical High $60.26 | Professional | None (both parts) | $43.65 | $43.65 | $60.26 |
Cigna Setting Facility Modifier None Typical Low $371.54 Median $371.54 Typical High $371.54 | Facility | None | $371.54 | $371.54 | $371.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $34.67 Median $42.66 Typical High $81.28 | Professional | None (both parts) | $34.67 | $42.66 | $81.28 |
Medcost Setting Facility Modifier None Typical Low $29.51 Median $29.51 Typical High $38.02 | Facility | None | $29.51 | $29.51 | $38.02 |
Medcost Setting Professional Modifier None (both parts) Typical Low $39.81 Median $40.74 Typical High $64.57 | Professional | None (both parts) | $39.81 | $40.74 | $64.57 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $20.42 Median $20.42 Typical High $51.29 | Professional | 51 · Multiple procedures | $20.42 | $20.42 | $51.29 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $8.13 Median $8.13 Typical High $20.42 | Professional | 80 · Assistant surgeon | $8.13 | $8.13 | $20.42 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $5.75 Median $5.75 Typical High $14.45 | Professional | 81 · Minimal assistant surgeon | $5.75 | $5.75 | $14.45 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $5.75 Median $5.75 Typical High $14.45 | Professional | 82 · Assistant surgeon, no resident | $5.75 | $5.75 | $14.45 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $5.75 Median $5.75 Typical High $14.45 | Professional | AS · PA/NP assist | $5.75 | $5.75 | $14.45 |
United Setting Professional Modifier None (both parts) Typical Low $32.36 Median $42.66 Typical High $81.28 | Professional | None (both parts) | $32.36 | $42.66 | $81.28 |
Where North Carolina sits
The same service costs 2.7 times more in Alaska than in Florida. 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
$40.74
AK $83.18FL $30.90
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.