How much rates vary
Facilitymedian $120 · 10th to 90th $120 to $120Professionalmedian $138 · 10th to 90th $95 to $275
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 $39.81 Median $40.74 Typical High $69.18 | Professional | 26 · Professional part | $39.81 | $40.74 | $69.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $79.43 Typical High $134.90 | Professional | TC · Technical part | $70.79 | $79.43 | $134.90 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $74.13 Typical High $117.49 | Professional | 26 · Professional part | $40.74 | $74.13 | $117.49 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $112.20 Typical High $190.55 | Professional | TC · Technical part | $104.71 | $112.20 | $190.55 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $53.70 Typical High $112.20 | Professional | 26 · Professional part | $34.67 | $53.70 | $112.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $93.33 Typical High $190.55 | Professional | TC · Technical part | $60.26 | $93.33 | $190.55 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $45.71 Typical High $93.33 | Professional | 26 · Professional part | $42.66 | $45.71 | $93.33 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $77.62 Typical High $190.55 | Professional | TC · Technical part | $77.62 | $77.62 | $190.55 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $46.77 Typical High $100.00 | Professional | 26 · Professional part | $23.99 | $46.77 | $100.00 |
United Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $69.18 Typical High $158.49 | Professional | TC · Technical part | $44.67 | $69.18 | $158.49 |
17 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 $120.23 Median $120.23 Typical High $120.23 | Facility | None | $120.23 | $120.23 | $120.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $120.23 Typical High $199.53 | Professional | None (both parts) | $117.49 | $120.23 | $199.53 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $54.95 Median $60.26 Typical High $66.07 | Professional | 52 · Reduced service | $54.95 | $60.26 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $23.99 Typical High $26.92 | Professional | 53 · Discontinued | $21.88 | $23.99 | $26.92 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $141.25 Median $169.82 Typical High $190.55 | Professional | None (both parts) | $141.25 | $169.82 | $190.55 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | None (both parts) | $109.65 | $109.65 | $109.65 |
Cigna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $147.91 Typical High $295.12 | Professional | None (both parts) | $97.72 | $147.91 | $295.12 |
Medcost Setting Professional Modifier None Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | None | $173.78 | $173.78 | $173.78 |
Medcost Setting Facility Modifier None Typical Low $120.23 Median $120.23 Typical High $181.97 | Facility | None | $120.23 | $120.23 | $181.97 |
Medcost Setting Professional Modifier None (both parts) Typical Low $120.23 Median $123.03 Typical High $263.03 | Professional | None (both parts) | $120.23 | $123.03 | $263.03 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $60.26 Median $61.66 Typical High $165.96 | Professional | 51 · Multiple procedures | $60.26 | $61.66 | $165.96 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $23.99 Median $24.55 Typical High $66.07 | Professional | 80 · Assistant surgeon | $23.99 | $24.55 | $66.07 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $16.98 Median $16.98 Typical High $45.71 | Professional | 81 · Minimal assistant surgeon | $16.98 | $16.98 | $45.71 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $16.98 Median $16.98 Typical High $45.71 | Professional | 82 · Assistant surgeon, no resident | $16.98 | $16.98 | $45.71 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $16.98 Median $16.98 Typical High $45.71 | Professional | AS · PA/NP assist | $16.98 | $16.98 | $45.71 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | None (both parts) | $138.04 | $138.04 | $138.04 |
United Setting Professional Modifier None (both parts) Typical Low $69.18 Median $120.23 Typical High $281.84 | Professional | None (both parts) | $69.18 | $120.23 | $281.84 |
Where North Carolina sits
The same service costs 3.2 times more in Alaska than in New York. 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· 38th of 51
$138
AK $347NY $107
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.