How much rates vary
Facilitymedian $47 · 10th to 90th $47 to $49Professionalmedian $39 · 10th to 90th $28 to $69
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 $14.79 Median $14.79 Typical High $16.98 | Professional | 26 · Professional part | $14.79 | $14.79 | $16.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $31.62 Typical High $31.62 | Professional | TC · Technical part | $23.99 | $31.62 | $31.62 |
BCBS Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $20.89 Typical High $46.77 | Professional | 26 · Professional part | $13.80 | $20.89 | $46.77 |
BCBS Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $28.18 Typical High $47.86 | Professional | TC · Technical part | $21.38 | $28.18 | $47.86 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $17.78 Typical High $42.66 | Professional | 26 · Professional part | $16.22 | $17.78 | $42.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $12.30 Median $16.22 Typical High $46.77 | Professional | TC · Technical part | $12.30 | $16.22 | $46.77 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $15.49 Typical High $17.38 | Professional | 26 · Professional part | $13.80 | $15.49 | $17.38 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $12.02 Median $13.49 Typical High $28.84 | Professional | TC · Technical part | $12.02 | $13.49 | $28.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $16.60 Typical High $32.36 | Professional | 26 · Professional part | $13.80 | $16.60 | $32.36 |
United Setting Professional Modifier TC · Technical part Typical Low $11.22 Median $21.38 Typical High $43.65 | Professional | TC · Technical part | $11.22 | $21.38 | $43.65 |
12 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 $46.77 Median $46.77 Typical High $46.77 | Facility | None | $46.77 | $46.77 | $46.77 |
Aetna Setting Professional Modifier None (both parts) Typical Low $43.65 Median $46.77 Typical High $46.77 | Professional | None (both parts) | $43.65 | $46.77 | $46.77 |
BCBS 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 $28.18 Median $38.02 Typical High $89.13 | Professional | None (both parts) | $28.18 | $38.02 | $89.13 |
Medcost Setting Facility Modifier None Typical Low $46.77 Median $46.77 Typical High $50.12 | Facility | None | $46.77 | $46.77 | $50.12 |
Medcost Setting Professional Modifier None (both parts) Typical Low $27.54 Median $30.90 Typical High $35.48 | Professional | None (both parts) | $27.54 | $30.90 | $35.48 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $13.80 Median $15.49 Typical High $17.78 | Professional | 51 · Multiple procedures | $13.80 | $15.49 | $17.78 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $5.50 Median $6.17 Typical High $7.08 | Professional | 80 · Assistant surgeon | $5.50 | $6.17 | $7.08 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $3.89 Median $4.37 Typical High $5.01 | Professional | 81 · Minimal assistant surgeon | $3.89 | $4.37 | $5.01 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $3.89 Median $4.37 Typical High $5.01 | Professional | 82 · Assistant surgeon, no resident | $3.89 | $4.37 | $5.01 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $3.89 Median $4.37 Typical High $5.01 | Professional | AS · PA/NP assist | $3.89 | $4.37 | $5.01 |
United Setting Professional Modifier None (both parts) Typical Low $26.30 Median $38.90 Typical High $67.61 | Professional | None (both parts) | $26.30 | $38.90 | $67.61 |
Where North Carolina sits
The same service costs 3.7 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· 38th of 51
$38.90
AK $102NY $27.54
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.