How much rates vary
Facilitymedian $51 · 10th to 90th $51 to $51Professionalmedian $40 · 10th to 90th $32 to $54
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 $51.29 Median $51.29 Typical High $51.29 | Facility | None | $51.29 | $51.29 | $51.29 |
Aetna Setting Professional Modifier None (both parts) Typical Low $45.71 Median $51.29 Typical High $57.54 | Professional | None (both parts) | $45.71 | $51.29 | $57.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $8.71 Typical High $9.55 | Professional | 26 · Professional part | $7.94 | $8.71 | $9.55 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $42.66 Typical High $46.77 | Professional | TC · Technical part | $38.02 | $42.66 | $46.77 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $19.50 Median $19.95 Typical High $19.95 | Professional | None (both parts) | $19.50 | $19.95 | $19.95 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $10.00 Typical High $10.00 | Professional | 26 · Professional part | $8.32 | $10.00 | $10.00 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $16.98 Typical High $51.29 | Professional | TC · Technical part | $16.98 | $16.98 | $51.29 |
Cigna Setting Professional Modifier None (both parts) Typical Low $31.62 Median $31.62 Typical High $57.54 | Professional | None (both parts) | $31.62 | $31.62 | $57.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $7.08 Typical High $10.47 | Professional | 26 · Professional part | $7.08 | $7.08 | $10.47 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $24.55 Typical High $46.77 | Professional | TC · Technical part | $24.55 | $24.55 | $46.77 |
Medcost Setting Facility Modifier None Typical Low $51.29 Median $51.29 Typical High $61.66 | Facility | None | $51.29 | $51.29 | $61.66 |
Medcost Setting Professional Modifier None (both parts) Typical Low $33.88 Median $36.31 Typical High $44.67 | Professional | None (both parts) | $33.88 | $36.31 | $44.67 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $8.91 Typical High $9.33 | Professional | 26 · Professional part | $8.91 | $8.91 | $9.33 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $28.84 Typical High $41.69 | Professional | TC · Technical part | $28.84 | $28.84 | $41.69 |
United Setting Professional Modifier None (both parts) Typical Low $22.91 Median $40.74 Typical High $53.70 | Professional | None (both parts) | $22.91 | $40.74 | $53.70 |
United Setting Professional Modifier 26 · Professional part Typical Low $4.57 Median $7.24 Typical High $9.33 | Professional | 26 · Professional part | $4.57 | $7.24 | $9.33 |
United Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $33.88 Typical High $44.67 | Professional | TC · Technical part | $17.78 | $33.88 | $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 $24.55 Median $25.70 Typical High $26.92 | Professional | 52 · Reduced service | $24.55 | $25.70 | $26.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.77 Median $10.23 Typical High $10.72 | Professional | 53 · Discontinued | $9.77 | $10.23 | $10.72 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $16.98 Median $18.20 Typical High $22.39 | Professional | 51 · Multiple procedures | $16.98 | $18.20 | $22.39 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $6.76 Median $7.24 Typical High $8.91 | Professional | 80 · Assistant surgeon | $6.76 | $7.24 | $8.91 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $4.79 Median $5.01 Typical High $6.31 | Professional | 81 · Minimal assistant surgeon | $4.79 | $5.01 | $6.31 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $4.79 Median $5.01 Typical High $6.31 | Professional | 82 · Assistant surgeon, no resident | $4.79 | $5.01 | $6.31 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $4.79 Median $5.01 Typical High $6.31 | Professional | AS · PA/NP assist | $4.79 | $5.01 | $6.31 |
Where North Carolina sits
The same service costs 3.5 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· 49th of 51
$39.81
AK $135NJ $38.90
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.