How much rates vary
Facilitymedian $107 · 10th to 90th $107 to $107Professionalmedian $120 · 10th to 90th $107 to $224
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 Professional Modifier 26 · Professional part Typical Low $54.95 Median $54.95 Typical High $56.23 | Professional | 26 · Professional part | $54.95 | $54.95 | $56.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $51.29 Typical High $54.95 | Professional | TC · Technical part | $51.29 | $51.29 | $54.95 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $81.28 Typical High $194.98 | Professional | 26 · Professional part | $52.48 | $81.28 | $194.98 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $60.26 Typical High $165.96 | Professional | TC · Technical part | $56.23 | $60.26 | $165.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $72.44 Typical High $158.49 | Professional | 26 · Professional part | $60.26 | $72.44 | $158.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $60.26 Typical High $141.25 | Professional | TC · Technical part | $45.71 | $60.26 | $141.25 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $64.57 Typical High $79.43 | Professional | 26 · Professional part | $52.48 | $64.57 | $79.43 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $56.23 Typical High $81.28 | Professional | TC · Technical part | $51.29 | $56.23 | $81.28 |
United Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $74.13 Typical High $125.89 | Professional | 26 · Professional part | $52.48 | $74.13 | $125.89 |
United Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $61.66 Typical High $128.82 | Professional | TC · Technical part | $47.86 | $61.66 | $128.82 |
14 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 Facility Modifier None Typical Low $107.15 Median $107.15 Typical High $107.15 | Facility | None | $107.15 | $107.15 | $107.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $107.15 Typical High $112.20 | Professional | None (both parts) | $107.15 | $107.15 | $112.20 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $52.48 Median $52.48 Typical High $54.95 | Professional | 52 · Reduced service | $52.48 | $52.48 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $21.38 Typical High $22.39 | Professional | 53 · Discontinued | $21.38 | $21.38 | $22.39 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | None (both parts) | $79.43 | $79.43 | $79.43 |
Cigna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $131.83 Typical High $295.12 | Professional | None (both parts) | $109.65 | $131.83 | $295.12 |
Medcost Setting Facility Modifier None Typical Low $107.15 Median $107.15 Typical High $128.82 | Facility | None | $107.15 | $107.15 | $128.82 |
Medcost Setting Professional Modifier None (both parts) Typical Low $85.11 Median $120.23 Typical High $181.97 | Professional | None (both parts) | $85.11 | $120.23 | $181.97 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $42.66 Median $60.26 Typical High $112.20 | Professional | 51 · Multiple procedures | $42.66 | $60.26 | $112.20 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $16.98 Median $23.99 Typical High $45.71 | Professional | 80 · Assistant surgeon | $16.98 | $23.99 | $45.71 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $11.75 Median $16.98 Typical High $31.62 | Professional | 81 · Minimal assistant surgeon | $11.75 | $16.98 | $31.62 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $11.75 Median $16.98 Typical High $31.62 | Professional | 82 · Assistant surgeon, no resident | $11.75 | $16.98 | $31.62 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $11.75 Median $16.98 Typical High $31.62 | Professional | AS · PA/NP assist | $11.75 | $16.98 | $31.62 |
United Setting Professional Modifier None (both parts) Typical Low $104.71 Median $138.04 Typical High $257.04 | Professional | None (both parts) | $104.71 | $138.04 | $257.04 |
Where North Carolina sits
The same service costs 3.8 times more in Minnesota 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· 37th of 51
$120
MN $269UT $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.