How much rates vary
Facilitymedian $110 · 10th to 90th $110 to $110Professionalmedian $105 · 10th to 90th $81 to $117
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 $109.65 Median $109.65 Typical High $109.65 | Facility | None | $109.65 | $109.65 | $109.65 |
Aetna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $109.65 Typical High $112.20 | Professional | None (both parts) | $104.71 | $109.65 | $112.20 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $77.62 Typical High $83.18 | Professional | 26 · Professional part | $75.86 | $77.62 | $83.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $31.62 Typical High $31.62 | Professional | TC · Technical part | $27.54 | $31.62 | $31.62 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $93.33 Median $93.33 Typical High $138.04 | Professional | None (both parts) | $93.33 | $93.33 | $138.04 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $87.10 Typical High $154.88 | Professional | 26 · Professional part | $72.44 | $87.10 | $154.88 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $15.14 Median $26.92 Typical High $32.36 | Professional | TC · Technical part | $15.14 | $26.92 | $32.36 |
Cigna Setting Professional Modifier None (both parts) Typical Low $81.28 Median $81.28 Typical High $162.18 | Professional | None (both parts) | $81.28 | $81.28 | $162.18 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $67.61 Typical High $120.23 | Professional | 26 · Professional part | $67.61 | $67.61 | $120.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $13.49 Median $13.49 Typical High $42.66 | Professional | TC · Technical part | $13.49 | $13.49 | $42.66 |
Medcost Setting Facility Modifier None Typical Low $109.65 Median $109.65 Typical High $117.49 | Facility | None | $109.65 | $109.65 | $117.49 |
Medcost Setting Professional Modifier None (both parts) Typical Low $85.11 Median $100.00 Typical High $107.15 | Professional | None (both parts) | $85.11 | $100.00 | $107.15 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $81.28 Typical High $89.13 | Professional | 26 · Professional part | $74.13 | $81.28 | $89.13 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $18.20 Typical High $28.84 | Professional | TC · Technical part | $16.60 | $18.20 | $28.84 |
United Setting Professional Modifier None (both parts) Typical Low $70.79 Median $91.20 Typical High $134.90 | Professional | None (both parts) | $70.79 | $91.20 | $134.90 |
United Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $70.79 Typical High $104.71 | Professional | 26 · Professional part | $52.48 | $70.79 | $104.71 |
United Setting Professional Modifier TC · Technical part Typical Low $15.49 Median $21.88 Typical High $30.90 | Professional | TC · Technical part | $15.49 | $21.88 | $30.90 |
5 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 |
|---|---|---|---|---|---|
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $42.66 Median $48.98 Typical High $53.70 | Professional | 51 · Multiple procedures | $42.66 | $48.98 | $53.70 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $16.98 Median $19.95 Typical High $21.38 | Professional | 80 · Assistant surgeon | $16.98 | $19.95 | $21.38 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $11.75 Median $13.80 Typical High $15.14 | Professional | 81 · Minimal assistant surgeon | $11.75 | $13.80 | $15.14 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $11.75 Median $13.80 Typical High $15.14 | Professional | 82 · Assistant surgeon, no resident | $11.75 | $13.80 | $15.14 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $11.75 Median $13.80 Typical High $15.14 | Professional | AS · PA/NP assist | $11.75 | $13.80 | $15.14 |
Where North Carolina sits
The same service costs 3.3 times more in Alaska than in Utah. 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
$105
AK $234UT $70.79
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.