How much rates vary
Facilitymedian $17 · 10th to 90th $17 to $17Professionalmedian $24 · 10th to 90th $13 to $44
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 $16.60 Median $16.60 Typical High $16.60 | Facility | None | $16.60 | $16.60 | $16.60 |
Aetna Setting Professional Modifier None (both parts) Typical Low $16.60 Median $16.60 Typical High $17.38 | Professional | None (both parts) | $16.60 | $16.60 | $17.38 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $13.18 Typical High $13.49 | Professional | 26 · Professional part | $12.59 | $13.18 | $13.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $3.39 Median $3.47 Typical High $3.55 | Professional | TC · Technical part | $3.39 | $3.47 | $3.55 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $15.14 Typical High $25.12 | Professional | 26 · Professional part | $12.59 | $15.14 | $25.12 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $3.31 Median $3.98 Typical High $25.12 | Professional | TC · Technical part | $3.31 | $3.98 | $25.12 |
Cigna Setting Professional Modifier None (both parts) Typical Low $26.92 Median $32.36 Typical High $41.69 | Professional | None (both parts) | $26.92 | $32.36 | $41.69 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $10.00 Typical High $19.50 | Professional | 26 · Professional part | $10.00 | $10.00 | $19.50 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $5.25 Median $22.91 Typical High $26.92 | Professional | TC · Technical part | $5.25 | $22.91 | $26.92 |
Medcost Setting Facility Modifier None Typical Low $16.60 Median $16.60 Typical High $19.05 | Facility | None | $16.60 | $16.60 | $19.05 |
Medcost Setting Professional Modifier None (both parts) Typical Low $13.18 Median $39.81 Typical High $52.48 | Professional | None (both parts) | $13.18 | $39.81 | $52.48 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $12.59 Typical High $15.85 | Professional | 26 · Professional part | $12.30 | $12.59 | $15.85 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $3.31 Median $27.54 Typical High $34.67 | Professional | TC · Technical part | $3.31 | $27.54 | $34.67 |
United Setting Professional Modifier None (both parts) Typical Low $10.96 Median $15.14 Typical High $43.65 | Professional | None (both parts) | $10.96 | $15.14 | $43.65 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $11.22 Typical High $16.98 | Professional | 26 · Professional part | $8.91 | $11.22 | $16.98 |
United Setting Professional Modifier TC · Technical part Typical Low $2.04 Median $2.88 Typical High $26.92 | Professional | TC · Technical part | $2.04 | $2.88 | $26.92 |
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 $8.32 Median $8.32 Typical High $8.51 | Professional | 52 · Reduced service | $8.32 | $8.32 | $8.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.31 Median $3.31 Typical High $3.47 | Professional | 53 · Discontinued | $3.31 | $3.31 | $3.47 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $6.46 Median $19.95 Typical High $25.70 | Professional | 51 · Multiple procedures | $6.46 | $19.95 | $25.70 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $2.63 Median $7.94 Typical High $10.47 | Professional | 80 · Assistant surgeon | $2.63 | $7.94 | $10.47 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $1.82 Median $5.62 Typical High $7.24 | Professional | 81 · Minimal assistant surgeon | $1.82 | $5.62 | $7.24 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $1.82 Median $5.62 Typical High $7.24 | Professional | 82 · Assistant surgeon, no resident | $1.82 | $5.62 | $7.24 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $1.82 Median $5.62 Typical High $7.24 | Professional | AS · PA/NP assist | $1.82 | $5.62 | $7.24 |
Where North Carolina sits
The same service costs 2.6 times more in California than in New York. 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· 13th of 51
$22.91
CA $38.02NY $14.45
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.