How much rates vary
Facilitymedian $71 · 10th to 90th $71 to $71Professionalmedian $71 · 10th to 90th $63 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 Professional Modifier 26 · Professional part Typical Low $36.31 Median $36.31 Typical High $41.69 | Professional | 26 · Professional part | $36.31 | $36.31 | $41.69 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $33.88 Typical High $34.67 | Professional | TC · Technical part | $31.62 | $33.88 | $34.67 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $52.48 Typical High $125.89 | Professional | 26 · Professional part | $34.67 | $52.48 | $125.89 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $47.86 Typical High $66.07 | Professional | TC · Technical part | $32.36 | $47.86 | $66.07 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $46.77 Typical High $104.71 | Professional | 26 · Professional part | $42.66 | $46.77 | $104.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $29.51 Typical High $67.61 | Professional | TC · Technical part | $22.91 | $29.51 | $67.61 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $45.71 Typical High $45.71 | Professional | 26 · Professional part | $33.88 | $45.71 | $45.71 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $25.12 Typical High $31.62 | Professional | TC · Technical part | $25.12 | $25.12 | $31.62 |
United Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $50.12 Typical High $81.28 | Professional | 26 · Professional part | $34.67 | $50.12 | $81.28 |
United Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $28.84 Typical High $69.18 | Professional | TC · Technical part | $20.42 | $28.84 | $69.18 |
15 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 $70.79 Median $70.79 Typical High $70.79 | Facility | None | $70.79 | $70.79 | $70.79 |
Aetna Setting Professional Modifier None (both parts) Typical Low $70.79 Median $70.79 Typical High $77.62 | Professional | None (both parts) | $70.79 | $70.79 | $77.62 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | 52 · Reduced service | $34.67 | $34.67 | $34.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $14.13 Typical High $14.13 | Professional | 53 · Discontinued | $14.13 | $14.13 | $14.13 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | None (both parts) | $89.13 | $89.13 | $89.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $64.57 Median $75.86 Typical High $177.83 | Professional | None (both parts) | $64.57 | $75.86 | $177.83 |
Medcost Setting Facility Modifier None Typical Low $70.79 Median $70.79 Typical High $79.43 | Facility | None | $70.79 | $70.79 | $79.43 |
Medcost Setting Professional Modifier None (both parts) Typical Low $54.95 Median $70.79 Typical High $70.79 | Professional | None (both parts) | $54.95 | $70.79 | $70.79 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $26.92 Median $35.48 Typical High $35.48 | Professional | 51 · Multiple procedures | $26.92 | $35.48 | $35.48 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $10.96 Median $14.13 Typical High $14.13 | Professional | 80 · Assistant surgeon | $10.96 | $14.13 | $14.13 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $7.59 Median $10.00 Typical High $10.00 | Professional | 81 · Minimal assistant surgeon | $7.59 | $10.00 | $10.00 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $7.59 Median $10.00 Typical High $10.00 | Professional | 82 · Assistant surgeon, no resident | $7.59 | $10.00 | $10.00 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $7.59 Median $10.00 Typical High $10.00 | Professional | AS · PA/NP assist | $7.59 | $10.00 | $10.00 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $34.67 Median $70.79 Typical High $141.25 | Professional | None (both parts) | $34.67 | $70.79 | $141.25 |
United Setting Professional Modifier None (both parts) Typical Low $56.23 Median $81.28 Typical High $158.49 | Professional | None (both parts) | $56.23 | $81.28 | $158.49 |
Where North Carolina sits
The same service costs 3.3 times more in Alaska 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
$70.79
AK $162UT $48.98
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.