How much rates vary
Facilitymedian $55 · 10th to 90th $55 to $55Professionalmedian $58 · 10th to 90th $37 to $87
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 $54.95 Median $54.95 Typical High $54.95 | Facility | None | $54.95 | $54.95 | $54.95 |
Aetna Setting Professional Modifier None (both parts) Typical Low $45.71 Median $54.95 Typical High $61.66 | Professional | None (both parts) | $45.71 | $54.95 | $61.66 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $11.75 Typical High $12.30 | Professional | 26 · Professional part | $10.96 | $11.75 | $12.30 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $43.65 Typical High $50.12 | Professional | TC · Technical part | $42.66 | $43.65 | $50.12 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $26.92 Median $26.92 Typical High $29.51 | Professional | None (both parts) | $26.92 | $26.92 | $29.51 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $15.85 Typical High $24.55 | Professional | 26 · Professional part | $13.18 | $15.85 | $24.55 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $41.69 Typical High $52.48 | Professional | TC · Technical part | $17.78 | $41.69 | $52.48 |
Cigna Setting Professional Modifier None (both parts) Typical Low $58.88 Median $58.88 Typical High $83.18 | Professional | None (both parts) | $58.88 | $58.88 | $83.18 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $9.77 Typical High $14.13 | Professional | 26 · Professional part | $9.77 | $9.77 | $14.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $48.98 Typical High $69.18 | Professional | TC · Technical part | $48.98 | $48.98 | $69.18 |
Medcost Setting Facility Modifier None Typical Low $37.15 Median $37.15 Typical High $54.95 | Facility | None | $37.15 | $37.15 | $54.95 |
Medcost Setting Professional Modifier None (both parts) Typical Low $41.69 Median $57.54 Typical High $87.10 | Professional | None (both parts) | $41.69 | $57.54 | $87.10 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $12.02 Typical High $16.98 | Professional | 26 · Professional part | $12.02 | $12.02 | $16.98 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $57.54 Typical High $57.54 | Professional | TC · Technical part | $44.67 | $57.54 | $57.54 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $15.85 Median $21.38 Typical High $34.67 | Professional | None (both parts) | $15.85 | $21.38 | $34.67 |
United Setting Professional Modifier None (both parts) Typical Low $36.31 Median $45.71 Typical High $60.26 | Professional | None (both parts) | $36.31 | $45.71 | $60.26 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.17 Median $10.72 Typical High $12.88 | Professional | 26 · Professional part | $6.17 | $10.72 | $12.88 |
United Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $37.15 Typical High $50.12 | Professional | TC · Technical part | $30.90 | $37.15 | $50.12 |
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 $22.91 Median $27.54 Typical High $27.54 | Professional | 52 · Reduced service | $22.91 | $27.54 | $27.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.12 Median $10.96 Typical High $10.96 | Professional | 53 · Discontinued | $9.12 | $10.96 | $10.96 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $20.89 Median $28.84 Typical High $43.65 | Professional | 51 · Multiple procedures | $20.89 | $28.84 | $43.65 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $8.32 Median $11.48 Typical High $17.78 | Professional | 80 · Assistant surgeon | $8.32 | $11.48 | $17.78 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $5.89 Median $7.94 Typical High $12.30 | Professional | 81 · Minimal assistant surgeon | $5.89 | $7.94 | $12.30 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $5.89 Median $7.94 Typical High $12.30 | Professional | 82 · Assistant surgeon, no resident | $5.89 | $7.94 | $12.30 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $5.89 Median $7.94 Typical High $12.30 | Professional | AS · PA/NP assist | $5.89 | $7.94 | $12.30 |
Where North Carolina sits
The same service costs 3.3 times more in Alaska than in Ohio. 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· 17th of 51
$57.54
AK $110OH $33.11
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.