How much rates vary
Facilitymedian $83 · 10th to 90th $83 to $83Professionalmedian $76 · 10th to 90th $60 to $95
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 $83.18 Median $83.18 Typical High $83.18 | Facility | None | $83.18 | $83.18 | $83.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $81.28 Median $83.18 Typical High $83.18 | Professional | None (both parts) | $81.28 | $83.18 | $83.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $44.67 Typical High $44.67 | Professional | 26 · Professional part | $42.66 | $44.67 | $44.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $38.90 Typical High $39.81 | Professional | TC · Technical part | $38.02 | $38.90 | $39.81 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $229.09 Median $229.09 Typical High $229.09 | Professional | None (both parts) | $229.09 | $229.09 | $229.09 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $52.48 Typical High $81.28 | Professional | 26 · Professional part | $39.81 | $52.48 | $81.28 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $39.81 Typical High $47.86 | Professional | TC · Technical part | $27.54 | $39.81 | $47.86 |
Cigna Setting Professional Modifier None (both parts) Typical Low $66.07 Median $66.07 Typical High $125.89 | Professional | None (both parts) | $66.07 | $66.07 | $125.89 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $32.36 Typical High $66.07 | Professional | 26 · Professional part | $32.36 | $32.36 | $66.07 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $33.11 Typical High $60.26 | Professional | TC · Technical part | $33.11 | $33.11 | $60.26 |
Medcost Setting Facility Modifier None Typical Low $83.18 Median $83.18 Typical High $100.00 | Facility | None | $83.18 | $83.18 | $100.00 |
Medcost Setting Professional Modifier None (both parts) Typical Low $66.07 Median $75.86 Typical High $95.50 | Professional | None (both parts) | $66.07 | $75.86 | $95.50 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $42.66 Typical High $42.66 | Professional | 26 · Professional part | $39.81 | $42.66 | $42.66 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $38.02 Typical High $38.90 | Professional | TC · Technical part | $32.36 | $38.02 | $38.90 |
United Setting Professional Modifier None (both parts) Typical Low $44.67 Median $69.18 Typical High $97.72 | Professional | None (both parts) | $44.67 | $69.18 | $97.72 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $38.02 Typical High $52.48 | Professional | 26 · Professional part | $23.44 | $38.02 | $52.48 |
United Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $32.36 Typical High $44.67 | Professional | TC · Technical part | $21.88 | $32.36 | $44.67 |
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 $40.74 Median $41.69 Typical High $41.69 | Professional | 52 · Reduced service | $40.74 | $41.69 | $41.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.22 Median $16.60 Typical High $16.60 | Professional | 53 · Discontinued | $16.22 | $16.60 | $16.60 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $33.11 Median $37.15 Typical High $47.86 | Professional | 51 · Multiple procedures | $33.11 | $37.15 | $47.86 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $13.49 Median $15.14 Typical High $19.05 | Professional | 80 · Assistant surgeon | $13.49 | $15.14 | $19.05 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $9.33 Median $10.47 Typical High $13.18 | Professional | 81 · Minimal assistant surgeon | $9.33 | $10.47 | $13.18 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $9.33 Median $10.47 Typical High $13.18 | Professional | 82 · Assistant surgeon, no resident | $9.33 | $10.47 | $13.18 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $9.33 Median $10.47 Typical High $13.18 | Professional | AS · PA/NP assist | $9.33 | $10.47 | $13.18 |
Where North Carolina sits
The same service costs 3.7 times more in Alaska than in New Jersey. 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· 41st of 51
$75.86
AK $229NJ $61.66
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.