How much rates vary
Facilitymedian $18 · 10th to 90th $18 to $18Professionalmedian $28 · 10th to 90th $14 to $48
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 $17.78 Median $17.78 Typical High $17.78 | Facility | None | $17.78 | $17.78 | $17.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $17.78 Median $17.78 Typical High $18.20 | Professional | None (both parts) | $17.78 | $17.78 | $18.20 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $14.13 Typical High $14.45 | Professional | 26 · Professional part | $13.80 | $14.13 | $14.45 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $3.47 Median $3.47 Typical High $3.55 | Professional | TC · Technical part | $3.47 | $3.47 | $3.55 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $38.90 Median $38.90 Typical High $38.90 | Professional | None (both parts) | $38.90 | $38.90 | $38.90 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $16.22 Typical High $27.54 | Professional | 26 · Professional part | $13.49 | $16.22 | $27.54 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $3.31 Median $3.98 Typical High $25.70 | Professional | TC · Technical part | $3.31 | $3.98 | $25.70 |
Cigna Setting Professional Modifier None (both parts) Typical Low $29.51 Median $35.48 Typical High $46.77 | Professional | None (both parts) | $29.51 | $35.48 | $46.77 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $10.96 Typical High $21.38 | Professional | 26 · Professional part | $10.96 | $10.96 | $21.38 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $5.89 Median $24.55 Typical High $30.90 | Professional | TC · Technical part | $5.89 | $24.55 | $30.90 |
Medcost Setting Facility Modifier None Typical Low $17.78 Median $17.78 Typical High $19.95 | Facility | None | $17.78 | $17.78 | $19.95 |
Medcost Setting Professional Modifier None (both parts) Typical Low $13.80 Median $42.66 Typical High $57.54 | Professional | None (both parts) | $13.80 | $42.66 | $57.54 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $13.80 Typical High $19.05 | Professional | 26 · Professional part | $13.49 | $13.80 | $19.05 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $3.31 Median $28.84 Typical High $38.02 | Professional | TC · Technical part | $3.31 | $28.84 | $38.02 |
United Setting Professional Modifier None (both parts) Typical Low $11.75 Median $16.22 Typical High $47.86 | Professional | None (both parts) | $11.75 | $16.22 | $47.86 |
United Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $12.30 Typical High $18.62 | Professional | 26 · Professional part | $9.55 | $12.30 | $18.62 |
United Setting Professional Modifier TC · Technical part Typical Low $2.09 Median $2.88 Typical High $28.18 | Professional | TC · Technical part | $2.09 | $2.88 | $28.18 |
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 $8.71 Median $8.71 Typical High $9.12 | Professional | 52 · Reduced service | $8.71 | $8.71 | $9.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.55 Median $3.55 Typical High $3.63 | Professional | 53 · Discontinued | $3.55 | $3.55 | $3.63 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $6.92 Median $21.38 Typical High $28.18 | Professional | 51 · Multiple procedures | $6.92 | $21.38 | $28.18 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $2.75 Median $8.51 Typical High $11.48 | Professional | 80 · Assistant surgeon | $2.75 | $8.51 | $11.48 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $1.95 Median $5.89 Typical High $7.94 | Professional | 81 · Minimal assistant surgeon | $1.95 | $5.89 | $7.94 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $1.95 Median $5.89 Typical High $7.94 | Professional | 82 · Assistant surgeon, no resident | $1.95 | $5.89 | $7.94 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $1.95 Median $5.89 Typical High $7.94 | Professional | AS · PA/NP assist | $1.95 | $5.89 | $7.94 |
Where North Carolina sits
The same service costs 2.5 times more in California than in Texas. 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· 10th of 51
$27.54
CA $40.74TX $16.22
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.