How much rates vary
Facilitymedian $85 · 10th to 90th $85 to $100Professionalmedian $85 · 10th to 90th $74 to $145
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 $41.69 Median $41.69 Typical High $57.54 | Professional | 26 · Professional part | $41.69 | $41.69 | $57.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $42.66 Typical High $50.12 | Professional | TC · Technical part | $38.02 | $42.66 | $50.12 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $58.88 Typical High $141.25 | Professional | 26 · Professional part | $39.81 | $58.88 | $141.25 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $54.95 Typical High $69.18 | Professional | TC · Technical part | $38.90 | $54.95 | $69.18 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $58.88 Typical High $120.23 | Professional | 26 · Professional part | $51.29 | $58.88 | $120.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $33.88 Typical High $74.13 | Professional | TC · Technical part | $26.92 | $33.88 | $74.13 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $51.29 Typical High $58.88 | Professional | 26 · Professional part | $39.81 | $51.29 | $58.88 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $28.84 Typical High $39.81 | Professional | TC · Technical part | $24.55 | $28.84 | $39.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $50.12 Typical High $91.20 | Professional | 26 · Professional part | $39.81 | $50.12 | $91.20 |
United Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $31.62 Typical High $60.26 | Professional | TC · Technical part | $22.39 | $31.62 | $60.26 |
13 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 $85.11 Median $85.11 Typical High $100.00 | Facility | None | $85.11 | $85.11 | $100.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $85.11 Typical High $109.65 | Professional | None (both parts) | $85.11 | $85.11 | $109.65 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $79.43 Median $114.82 Typical High $165.96 | Professional | None (both parts) | $79.43 | $114.82 | $165.96 |
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 $81.28 Median $91.20 Typical High $204.17 | Professional | None (both parts) | $81.28 | $91.20 | $204.17 |
Medcost Setting Facility Modifier None Typical Low $85.11 Median $85.11 Typical High $93.33 | Facility | None | $85.11 | $85.11 | $93.33 |
Medcost Setting Professional Modifier None (both parts) Typical Low $66.07 Median $75.86 Typical High $87.10 | Professional | None (both parts) | $66.07 | $75.86 | $87.10 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $33.11 Median $38.02 Typical High $43.65 | Professional | 51 · Multiple procedures | $33.11 | $38.02 | $43.65 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $13.18 Median $15.14 Typical High $17.38 | Professional | 80 · Assistant surgeon | $13.18 | $15.14 | $17.38 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $9.12 Median $10.72 Typical High $12.30 | Professional | 81 · Minimal assistant surgeon | $9.12 | $10.72 | $12.30 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $9.12 Median $10.72 Typical High $12.30 | Professional | 82 · Assistant surgeon, no resident | $9.12 | $10.72 | $12.30 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $9.12 Median $10.72 Typical High $12.30 | Professional | AS · PA/NP assist | $9.12 | $10.72 | $12.30 |
United Setting Professional Modifier None (both parts) Typical Low $66.07 Median $81.28 Typical High $169.82 | Professional | None (both parts) | $66.07 | $81.28 | $169.82 |
Where North Carolina sits
The same service costs 3.3 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· 34th of 51
$85.11
AK $195NY $58.88
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.