How much rates vary
Facilitymedian $162 · 10th to 90th $81 to $1,096Professionalmedian $209 · 10th to 90th $155 to $437
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $154.88 Median $154.88 Typical High $7,943.28 | Facility | None | $154.88 | $154.88 | $7,943.28 |
Aetna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $154.88 Typical High $229.09 | Professional | None (both parts) | $154.88 | $154.88 | $229.09 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $74.13 Typical High $117.49 | Professional | 26 · Professional part | $74.13 | $74.13 | $117.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $83.18 Typical High $117.49 | Professional | TC · Technical part | $83.18 | $83.18 | $117.49 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $104.71 Typical High $151.36 | Professional | 26 · Professional part | $95.50 | $104.71 | $151.36 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $147.91 Typical High $208.93 | Professional | 26 · Professional part | $109.65 | $147.91 | $208.93 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $141.25 Typical High $257.04 | Professional | TC · Technical part | $117.49 | $141.25 | $257.04 |
Cigna Setting Professional Modifier None (both parts) Typical Low $173.78 Median $234.42 Typical High $446.68 | Professional | None (both parts) | $173.78 | $234.42 | $446.68 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $109.65 Typical High $213.80 | Professional | 26 · Professional part | $81.28 | $109.65 | $213.80 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $123.03 Typical High $234.42 | Professional | TC · Technical part | $91.20 | $123.03 | $234.42 |
Medcost Setting Facility Modifier None Typical Low $154.88 Median $251.19 Typical High $660.69 | Facility | None | $154.88 | $251.19 | $660.69 |
Medcost Setting Professional Modifier None (both parts) Typical Low $128.82 Median $208.93 Typical High $275.42 | Professional | None (both parts) | $128.82 | $208.93 | $275.42 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $97.72 Typical High $147.91 | Professional | 26 · Professional part | $83.18 | $97.72 | $147.91 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $134.90 Typical High $169.82 | Professional | TC · Technical part | $77.62 | $134.90 | $169.82 |
United Setting Facility Modifier None Typical Low $77.62 Median $165.96 Typical High $1,096.48 | Facility | None | $77.62 | $165.96 | $1,096.48 |
United Setting Professional Modifier None (both parts) Typical Low $162.18 Median $229.09 Typical High $489.78 | Professional | None (both parts) | $162.18 | $229.09 | $489.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $107.15 Typical High $199.53 | Professional | 26 · Professional part | $75.86 | $107.15 | $199.53 |
United Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $123.03 Typical High $269.15 | Professional | TC · Technical part | $87.10 | $123.03 | $269.15 |
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 $77.62 Median $77.62 Typical High $81.28 | Professional | 52 · Reduced service | $77.62 | $77.62 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $30.90 Typical High $33.11 | Professional | 53 · Discontinued | $30.90 | $30.90 | $33.11 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $63.10 Median $102.33 Typical High $229.09 | Professional | 51 · Multiple procedures | $63.10 | $102.33 | $229.09 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $25.70 Median $41.69 Typical High $91.20 | Professional | 80 · Assistant surgeon | $25.70 | $41.69 | $91.20 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $17.78 Median $28.84 Typical High $64.57 | Professional | 81 · Minimal assistant surgeon | $17.78 | $28.84 | $64.57 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $17.78 Median $28.84 Typical High $64.57 | Professional | 82 · Assistant surgeon, no resident | $17.78 | $28.84 | $64.57 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $17.78 Median $28.84 Typical High $64.57 | Professional | AS · PA/NP assist | $17.78 | $28.84 | $64.57 |
Where North Carolina sits
The same service costs 4.3 times more in Wisconsin than in Hawaii. 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· 32nd of 51
$204
WI $562HI $132
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.