How much rates vary
Facilitymedian $107 · 10th to 90th $107 to $141Professionalmedian $107 · 10th to 90th $98 to $186
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 $60.26 Median $60.26 Typical High $85.11 | Professional | 26 · Professional part | $60.26 | $60.26 | $85.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $45.71 Typical High $53.70 | Professional | TC · Technical part | $41.69 | $45.71 | $53.70 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $87.10 Typical High $208.93 | Professional | 26 · Professional part | $57.54 | $87.10 | $208.93 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $58.88 Typical High $74.13 | Professional | TC · Technical part | $41.69 | $58.88 | $74.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $81.28 Typical High $177.83 | Professional | 26 · Professional part | $72.44 | $81.28 | $177.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $38.90 Typical High $87.10 | Professional | TC · Technical part | $30.90 | $38.90 | $87.10 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $72.44 Typical High $81.28 | Professional | 26 · Professional part | $57.54 | $72.44 | $81.28 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $33.88 Typical High $42.66 | Professional | TC · Technical part | $28.84 | $33.88 | $42.66 |
United Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $72.44 Typical High $131.83 | Professional | 26 · Professional part | $58.88 | $72.44 | $131.83 |
United Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $33.88 Typical High $64.57 | Professional | TC · Technical part | $25.70 | $33.88 | $64.57 |
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 $107.15 Median $107.15 Typical High $141.25 | Facility | None | $107.15 | $107.15 | $141.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $107.15 Typical High $141.25 | Professional | None (both parts) | $107.15 | $107.15 | $141.25 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $134.90 Median $134.90 Typical High $181.97 | Professional | None (both parts) | $134.90 | $134.90 | $181.97 |
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 $107.15 Median $117.49 Typical High $269.15 | Professional | None (both parts) | $107.15 | $117.49 | $269.15 |
Medcost Setting Facility Modifier None Typical Low $107.15 Median $107.15 Typical High $117.49 | Facility | None | $107.15 | $107.15 | $117.49 |
Medcost Setting Professional Modifier None (both parts) Typical Low $83.18 Median $100.00 Typical High $114.82 | Professional | None (both parts) | $83.18 | $100.00 | $114.82 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $41.69 Median $50.12 Typical High $57.54 | Professional | 51 · Multiple procedures | $41.69 | $50.12 | $57.54 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $16.60 Median $19.95 Typical High $23.44 | Professional | 80 · Assistant surgeon | $16.60 | $19.95 | $23.44 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $11.48 Median $14.13 Typical High $16.22 | Professional | 81 · Minimal assistant surgeon | $11.48 | $14.13 | $16.22 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $11.48 Median $14.13 Typical High $16.22 | Professional | 82 · Assistant surgeon, no resident | $11.48 | $14.13 | $16.22 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $11.48 Median $14.13 Typical High $16.22 | Professional | AS · PA/NP assist | $11.48 | $14.13 | $16.22 |
United Setting Professional Modifier None (both parts) Typical Low $87.10 Median $107.15 Typical High $223.87 | Professional | None (both parts) | $87.10 | $107.15 | $223.87 |
Where North Carolina sits
The same service costs 3.9 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
$107
AK $251UT $64.57
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.