How much rates vary
Facilitymedian $60 · 10th to 90th $60 to $60Professionalmedian $58 · 10th to 90th $47 to $98
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 $25.12 Median $25.12 Typical High $38.02 | Professional | 26 · Professional part | $25.12 | $25.12 | $38.02 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $35.48 Typical High $38.02 | Professional | TC · Technical part | $26.92 | $35.48 | $38.02 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $36.31 Typical High $87.10 | Professional | 26 · Professional part | $24.55 | $36.31 | $87.10 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $38.90 Typical High $52.48 | Professional | TC · Technical part | $32.36 | $38.90 | $52.48 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $33.88 Typical High $74.13 | Professional | 26 · Professional part | $29.51 | $33.88 | $74.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $23.99 Typical High $52.48 | Professional | TC · Technical part | $18.62 | $23.99 | $52.48 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $30.20 Typical High $33.88 | Professional | 26 · Professional part | $23.99 | $30.20 | $33.88 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $20.42 Typical High $33.11 | Professional | TC · Technical part | $16.60 | $20.42 | $33.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $30.20 Typical High $54.95 | Professional | 26 · Professional part | $24.55 | $30.20 | $54.95 |
United Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $25.12 Typical High $48.98 | Professional | TC · Technical part | $15.85 | $25.12 | $48.98 |
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 $60.26 Median $60.26 Typical High $60.26 | Facility | None | $60.26 | $60.26 | $60.26 |
Aetna Setting Professional Modifier None (both parts) Typical Low $60.26 Median $60.26 Typical High $72.44 | Professional | None (both parts) | $60.26 | $60.26 | $72.44 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $70.79 Median $72.44 Typical High $72.44 | Professional | None (both parts) | $70.79 | $72.44 | $72.44 |
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 $50.12 Median $60.26 Typical High $131.83 | Professional | None (both parts) | $50.12 | $60.26 | $131.83 |
Medcost Setting Facility Modifier None Typical Low $60.26 Median $60.26 Typical High $67.61 | Facility | None | $60.26 | $60.26 | $67.61 |
Medcost Setting Professional Modifier None (both parts) Typical Low $46.77 Median $46.77 Typical High $54.95 | Professional | None (both parts) | $46.77 | $46.77 | $54.95 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $23.44 Median $23.44 Typical High $27.54 | Professional | 51 · Multiple procedures | $23.44 | $23.44 | $27.54 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $9.33 Median $9.33 Typical High $10.96 | Professional | 80 · Assistant surgeon | $9.33 | $9.33 | $10.96 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $6.46 Median $6.61 Typical High $7.59 | Professional | 81 · Minimal assistant surgeon | $6.46 | $6.61 | $7.59 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $6.46 Median $6.61 Typical High $7.59 | Professional | 82 · Assistant surgeon, no resident | $6.46 | $6.61 | $7.59 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $6.46 Median $6.61 Typical High $7.59 | Professional | AS · PA/NP assist | $6.46 | $6.61 | $7.59 |
United Setting Professional Modifier None (both parts) Typical Low $40.74 Median $54.95 Typical High $102.33 | Professional | None (both parts) | $40.74 | $54.95 | $102.33 |
Where North Carolina sits
The same service costs 3.5 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· 33rd of 51
$58.88
AK $138NY $39.81
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.