How much rates vary
Facilitymedian $60 · 10th to 90th $60 to $72Professionalmedian $60 · 10th to 90th $47 to $81
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 $60.26 Median $60.26 Typical High $60.26 | Facility | None | $60.26 | $60.26 | $60.26 |
Aetna Setting Professional Modifier None (both parts) Typical Low $60.26 Median $60.26 Typical High $79.43 | Professional | None (both parts) | $60.26 | $60.26 | $79.43 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $26.30 Typical High $30.90 | Professional | 26 · Professional part | $26.30 | $26.30 | $30.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $33.88 Typical High $47.86 | Professional | TC · Technical part | $33.88 | $33.88 | $47.86 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $56.23 Median $60.26 Typical High $85.11 | Professional | None (both parts) | $56.23 | $60.26 | $85.11 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | None (both parts) | $104.71 | $104.71 | $104.71 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $30.90 Typical High $42.66 | Professional | 26 · Professional part | $25.70 | $30.90 | $42.66 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $34.67 Typical High $41.69 | Professional | TC · Technical part | $29.51 | $34.67 | $41.69 |
Cigna Setting Professional Modifier None (both parts) Typical Low $58.88 Median $58.88 Typical High $102.33 | Professional | None (both parts) | $58.88 | $58.88 | $102.33 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $20.89 Typical High $40.74 | Professional | 26 · Professional part | $20.89 | $20.89 | $40.74 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $37.15 Typical High $58.88 | Professional | TC · Technical part | $37.15 | $37.15 | $58.88 |
Medcost Setting Facility Modifier None Typical Low $60.26 Median $60.26 Typical High $72.44 | Facility | None | $60.26 | $60.26 | $72.44 |
Medcost Setting Professional Modifier None (both parts) Typical Low $47.86 Median $77.62 Typical High $83.18 | Professional | None (both parts) | $47.86 | $77.62 | $83.18 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $25.70 Typical High $27.54 | Professional | 26 · Professional part | $25.70 | $25.70 | $27.54 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $43.65 Typical High $50.12 | Professional | TC · Technical part | $33.11 | $43.65 | $50.12 |
Oscar Health Setting Facility Modifier None Typical Low $891.25 Median $891.25 Typical High $891.25 | Facility | None | $891.25 | $891.25 | $891.25 |
United Setting Professional Modifier None (both parts) Typical Low $38.90 Median $51.29 Typical High $72.44 | Professional | None (both parts) | $38.90 | $51.29 | $72.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $22.39 Typical High $30.90 | Professional | 26 · Professional part | $15.14 | $22.39 | $30.90 |
United Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $28.18 Typical High $43.65 | Professional | TC · Technical part | $22.91 | $28.18 | $43.65 |
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 $29.51 Median $30.20 Typical High $30.90 | Professional | 52 · Reduced service | $29.51 | $30.20 | $30.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.02 Median $12.02 Typical High $12.30 | Professional | 53 · Discontinued | $12.02 | $12.02 | $12.30 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $23.99 Median $38.90 Typical High $41.69 | Professional | 51 · Multiple procedures | $23.99 | $38.90 | $41.69 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $9.55 Median $15.49 Typical High $16.60 | Professional | 80 · Assistant surgeon | $9.55 | $15.49 | $16.60 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $6.76 Median $10.96 Typical High $11.75 | Professional | 81 · Minimal assistant surgeon | $6.76 | $10.96 | $11.75 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $6.76 Median $10.96 Typical High $11.75 | Professional | 82 · Assistant surgeon, no resident | $6.76 | $10.96 | $11.75 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $6.76 Median $10.96 Typical High $11.75 | Professional | AS · PA/NP assist | $6.76 | $10.96 | $11.75 |
Where North Carolina sits
The same service costs 3.5 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· 37th of 51
$60.26
AK $162FL $45.71
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.