How much rates vary
Facilitymedian $45 · 10th to 90th $45 to $45Professionalmedian $47 · 10th to 90th $35 to $69
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 $44.67 Median $44.67 Typical High $44.67 | Facility | None | $44.67 | $44.67 | $44.67 |
Aetna Setting Professional Modifier None (both parts) Typical Low $44.67 Median $44.67 Typical High $58.88 | Professional | None (both parts) | $44.67 | $44.67 | $58.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $20.42 Typical High $22.91 | Professional | 26 · Professional part | $19.95 | $20.42 | $22.91 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $24.55 Typical High $34.67 | Professional | TC · Technical part | $24.55 | $24.55 | $34.67 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $41.69 Median $41.69 Typical High $44.67 | Professional | None (both parts) | $41.69 | $41.69 | $44.67 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | None (both parts) | $70.79 | $70.79 | $70.79 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $23.99 Typical High $29.51 | Professional | 26 · Professional part | $19.95 | $23.99 | $29.51 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $30.20 Typical High $30.20 | Professional | TC · Technical part | $25.12 | $30.20 | $30.20 |
Cigna Setting Professional Modifier None (both parts) Typical Low $51.29 Median $51.29 Typical High $81.28 | Professional | None (both parts) | $51.29 | $51.29 | $81.28 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $18.62 Typical High $33.88 | Professional | 26 · Professional part | $18.62 | $18.62 | $33.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $32.36 Typical High $45.71 | Professional | TC · Technical part | $32.36 | $32.36 | $45.71 |
Medcost Setting Facility Modifier None Typical Low $44.67 Median $44.67 Typical High $53.70 | Facility | None | $44.67 | $44.67 | $53.70 |
Medcost Setting Professional Modifier None (both parts) Typical Low $35.48 Median $54.95 Typical High $69.18 | Professional | None (both parts) | $35.48 | $54.95 | $69.18 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $22.91 Typical High $24.55 | Professional | 26 · Professional part | $19.50 | $22.91 | $24.55 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $38.02 Typical High $44.67 | Professional | TC · Technical part | $23.99 | $38.02 | $44.67 |
United Setting Professional Modifier None (both parts) Typical Low $30.90 Median $38.90 Typical High $58.88 | Professional | None (both parts) | $30.90 | $38.90 | $58.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $18.20 Typical High $23.99 | Professional | 26 · Professional part | $12.88 | $18.20 | $23.99 |
United Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $20.89 Typical High $36.31 | Professional | TC · Technical part | $16.98 | $20.89 | $36.31 |
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 $22.39 Median $22.39 Typical High $23.44 | Professional | 52 · Reduced service | $22.39 | $22.39 | $23.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.91 Median $8.91 Typical High $9.33 | Professional | 53 · Discontinued | $8.91 | $8.91 | $9.33 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $17.78 Median $30.20 Typical High $34.67 | Professional | 51 · Multiple procedures | $17.78 | $30.20 | $34.67 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $7.24 Median $12.02 Typical High $13.80 | Professional | 80 · Assistant surgeon | $7.24 | $12.02 | $13.80 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $5.01 Median $8.32 Typical High $9.55 | Professional | 81 · Minimal assistant surgeon | $5.01 | $8.32 | $9.55 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $5.01 Median $8.32 Typical High $9.55 | Professional | 82 · Assistant surgeon, no resident | $5.01 | $8.32 | $9.55 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $5.01 Median $8.32 Typical High $9.55 | Professional | AS · PA/NP assist | $5.01 | $8.32 | $9.55 |
Where North Carolina sits
The same service costs 3.4 times more in Alaska than in Utah. 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· 36th of 51
$46.77
AK $123UT $36.31
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.