How much rates vary
Facilitymedian $120 · 10th to 90th $120 to $120Professionalmedian $95 · 10th to 90th $66 to $126
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 $120.23 Median $120.23 Typical High $120.23 | Facility | None | $120.23 | $120.23 | $120.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $120.23 Typical High $125.89 | Professional | None (both parts) | $112.20 | $120.23 | $125.89 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $14.79 Typical High $15.49 | Professional | 26 · Professional part | $14.45 | $14.79 | $15.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $104.71 Typical High $109.65 | Professional | TC · Technical part | $95.50 | $104.71 | $109.65 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | None (both parts) | $117.49 | $117.49 | $117.49 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $16.22 Median $16.22 Typical High $16.22 | Professional | None (both parts) | $16.22 | $16.22 | $16.22 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $16.98 Typical High $30.90 | Professional | 26 · Professional part | $14.13 | $16.98 | $30.90 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $8.91 Median $112.20 Typical High $134.90 | Professional | TC · Technical part | $8.91 | $112.20 | $134.90 |
Cigna Setting Professional Modifier None (both parts) Typical Low $66.07 Median $66.07 Typical High $165.96 | Professional | None (both parts) | $66.07 | $66.07 | $165.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $12.02 Typical High $22.91 | Professional | 26 · Professional part | $12.02 | $12.02 | $22.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $54.95 Typical High $144.54 | Professional | TC · Technical part | $54.95 | $54.95 | $144.54 |
Medcost Setting Facility Modifier None Typical Low $120.23 Median $120.23 Typical High $151.36 | Facility | None | $120.23 | $120.23 | $151.36 |
Medcost Setting Professional Modifier None (both parts) Typical Low $83.18 Median $85.11 Typical High $114.82 | Professional | None (both parts) | $83.18 | $85.11 | $114.82 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $15.49 Typical High $19.95 | Professional | 26 · Professional part | $14.13 | $15.49 | $19.95 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $83.18 Typical High $102.33 | Professional | TC · Technical part | $70.79 | $83.18 | $102.33 |
United Setting Professional Modifier None (both parts) Typical Low $72.44 Median $91.20 Typical High $134.90 | Professional | None (both parts) | $72.44 | $91.20 | $134.90 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $13.18 Typical High $19.95 | Professional | 26 · Professional part | $10.00 | $13.18 | $19.95 |
United Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $77.62 Typical High $117.49 | Professional | TC · Technical part | $60.26 | $77.62 | $117.49 |
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 $57.54 Median $60.26 Typical High $60.26 | Professional | 52 · Reduced service | $57.54 | $60.26 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $23.99 Typical High $23.99 | Professional | 53 · Discontinued | $22.91 | $23.99 | $23.99 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $41.69 Median $42.66 Typical High $57.54 | Professional | 51 · Multiple procedures | $41.69 | $42.66 | $57.54 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $16.60 Median $16.98 Typical High $22.91 | Professional | 80 · Assistant surgeon | $16.60 | $16.98 | $22.91 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $11.75 Median $12.02 Typical High $16.22 | Professional | 81 · Minimal assistant surgeon | $11.75 | $12.02 | $16.22 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $11.75 Median $12.02 Typical High $16.22 | Professional | 82 · Assistant surgeon, no resident | $11.75 | $12.02 | $16.22 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $11.75 Median $12.02 Typical High $16.22 | Professional | AS · PA/NP assist | $11.75 | $12.02 | $16.22 |
Where North Carolina sits
The same service costs 3.0 times more in Alaska than in Florida. 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· 47th of 51
$95.50
AK $245FL $81.28
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.