How much rates vary
Facilitymedian $98 · 10th to 90th $98 to $129Professionalmedian $98 · 10th to 90th $83 to $170
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 $56.23 Median $56.23 Typical High $79.43 | Professional | 26 · Professional part | $56.23 | $56.23 | $79.43 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $42.66 Typical High $51.29 | Professional | TC · Technical part | $36.31 | $42.66 | $51.29 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $79.43 Typical High $190.55 | Professional | 26 · Professional part | $52.48 | $79.43 | $190.55 |
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 $63.10 Median $69.18 Typical High $162.18 | Professional | 26 · Professional part | $63.10 | $69.18 | $162.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $34.67 Typical High $75.86 | Professional | TC · Technical part | $27.54 | $34.67 | $75.86 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $64.57 Typical High $69.18 | Professional | 26 · Professional part | $53.70 | $64.57 | $69.18 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $30.20 Typical High $39.81 | Professional | TC · Technical part | $25.12 | $30.20 | $39.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $64.57 Typical High $120.23 | Professional | 26 · Professional part | $53.70 | $64.57 | $120.23 |
United Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $31.62 Typical High $58.88 | Professional | TC · Technical part | $22.91 | $31.62 | $58.88 |
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 $97.72 Median $97.72 Typical High $128.82 | Facility | None | $97.72 | $97.72 | $128.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $97.72 Typical High $128.82 | Professional | None (both parts) | $97.72 | $97.72 | $128.82 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $125.89 Median $125.89 Typical High $165.96 | Professional | None (both parts) | $125.89 | $125.89 | $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 $91.20 Median $107.15 Typical High $245.47 | Professional | None (both parts) | $91.20 | $107.15 | $245.47 |
Medcost Setting Facility Modifier None Typical Low $97.72 Median $97.72 Typical High $109.65 | Facility | None | $97.72 | $97.72 | $109.65 |
Medcost Setting Professional Modifier None (both parts) Typical Low $75.86 Median $89.13 Typical High $100.00 | Professional | None (both parts) | $75.86 | $89.13 | $100.00 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $38.02 Median $44.67 Typical High $48.98 | Professional | 51 · Multiple procedures | $38.02 | $44.67 | $48.98 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $15.49 Median $17.78 Typical High $19.95 | Professional | 80 · Assistant surgeon | $15.49 | $17.78 | $19.95 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $10.72 Median $12.59 Typical High $13.80 | Professional | 81 · Minimal assistant surgeon | $10.72 | $12.59 | $13.80 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $10.72 Median $12.59 Typical High $13.80 | Professional | 82 · Assistant surgeon, no resident | $10.72 | $12.59 | $13.80 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $10.72 Median $12.59 Typical High $13.80 | Professional | AS · PA/NP assist | $10.72 | $12.59 | $13.80 |
United Setting Professional Modifier None (both parts) Typical Low $77.62 Median $95.50 Typical High $204.17 | Professional | None (both parts) | $77.62 | $95.50 | $204.17 |
Where North Carolina sits
The same service costs 3.2 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· 36th of 51
$97.72
AK $229UT $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.