How much rates vary
Facilitymedian $79 · 10th to 90th $79 to $105Professionalmedian $79 · 10th to 90th $63 to $135
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 $37.15 Median $37.15 Typical High $60.26 | Professional | 26 · Professional part | $37.15 | $37.15 | $60.26 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $42.66 Typical High $51.29 | Professional | TC · Technical part | $33.11 | $42.66 | $51.29 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $53.70 Typical High $58.88 | Professional | 26 · Professional part | $44.67 | $53.70 | $58.88 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $53.70 Typical High $125.89 | Professional | 26 · Professional part | $35.48 | $53.70 | $125.89 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $47.86 Typical High $63.10 | Professional | TC · Technical part | $38.90 | $47.86 | $63.10 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $50.12 Typical High $107.15 | Professional | 26 · Professional part | $44.67 | $50.12 | $107.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $29.51 Typical High $63.10 | Professional | TC · Technical part | $22.91 | $29.51 | $63.10 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $44.67 Typical High $50.12 | Professional | 26 · Professional part | $35.48 | $44.67 | $50.12 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $25.12 Typical High $39.81 | Professional | TC · Technical part | $21.38 | $25.12 | $39.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $44.67 Typical High $81.28 | Professional | 26 · Professional part | $35.48 | $44.67 | $81.28 |
United Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $30.20 Typical High $58.88 | Professional | TC · Technical part | $19.50 | $30.20 | $58.88 |
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 $79.43 Median $79.43 Typical High $104.71 | Facility | None | $79.43 | $79.43 | $104.71 |
Aetna Setting Professional Modifier None (both parts) Typical Low $79.43 Median $79.43 Typical High $104.71 | Professional | None (both parts) | $79.43 | $79.43 | $104.71 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | 52 · Reduced service | $39.81 | $39.81 | $39.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $15.85 Typical High $15.85 | Professional | 53 · Discontinued | $15.85 | $15.85 | $15.85 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $97.72 Median $100.00 Typical High $134.90 | Professional | None (both parts) | $97.72 | $100.00 | $134.90 |
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 $69.18 Median $81.28 Typical High $173.78 | Professional | None (both parts) | $69.18 | $81.28 | $173.78 |
Medcost Setting Facility Modifier None Typical Low $79.43 Median $79.43 Typical High $89.13 | Facility | None | $79.43 | $79.43 | $89.13 |
Medcost Setting Professional Modifier None (both parts) Typical Low $61.66 Median $66.07 Typical High $75.86 | Professional | None (both parts) | $61.66 | $66.07 | $75.86 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $30.90 Median $32.36 Typical High $39.81 | Professional | 51 · Multiple procedures | $30.90 | $32.36 | $39.81 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $12.30 Median $13.18 Typical High $15.85 | Professional | 80 · Assistant surgeon | $12.30 | $13.18 | $15.85 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $8.71 Median $9.12 Typical High $10.96 | Professional | 81 · Minimal assistant surgeon | $8.71 | $9.12 | $10.96 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $8.71 Median $9.12 Typical High $10.96 | Professional | 82 · Assistant surgeon, no resident | $8.71 | $9.12 | $10.96 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $8.71 Median $9.12 Typical High $10.96 | Professional | AS · PA/NP assist | $8.71 | $9.12 | $10.96 |
United Setting Professional Modifier None (both parts) Typical Low $56.23 Median $74.13 Typical High $144.54 | Professional | None (both parts) | $56.23 | $74.13 | $144.54 |
Where North Carolina sits
The same service costs 3.4 times more in Alaska 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· 28th of 51
$79.43
AK $182NY $53.70
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.