How much rates vary
Facilitymedian $72 · 10th to 90th $72 to $81Professionalmedian $72 · 10th to 90th $65 to $126
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 $36.31 Median $36.31 Typical High $51.29 | Professional | 26 · Professional part | $36.31 | $36.31 | $51.29 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $36.31 Typical High $38.02 | Professional | TC · Technical part | $30.90 | $36.31 | $38.02 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $51.29 Typical High $131.83 | Professional | 26 · Professional part | $34.67 | $51.29 | $131.83 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $46.77 Typical High $57.54 | Professional | TC · Technical part | $33.11 | $46.77 | $57.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $51.29 Typical High $117.49 | Professional | 26 · Professional part | $46.77 | $51.29 | $117.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $28.84 Typical High $63.10 | Professional | TC · Technical part | $22.91 | $28.84 | $63.10 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $50.12 Typical High $51.29 | Professional | 26 · Professional part | $34.67 | $50.12 | $51.29 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $25.12 Typical High $33.88 | Professional | TC · Technical part | $21.38 | $25.12 | $33.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $45.71 Typical High $89.13 | Professional | 26 · Professional part | $35.48 | $45.71 | $89.13 |
United Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $26.92 Typical High $50.12 | Professional | TC · Technical part | $19.05 | $26.92 | $50.12 |
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 $72.44 Median $72.44 Typical High $74.13 | Facility | None | $72.44 | $72.44 | $74.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $72.44 Median $72.44 Typical High $87.10 | Professional | None (both parts) | $72.44 | $72.44 | $87.10 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $66.07 Median $66.07 Typical High $67.61 | Professional | None (both parts) | $66.07 | $66.07 | $67.61 |
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 $69.18 Median $79.43 Typical High $186.21 | Professional | None (both parts) | $69.18 | $79.43 | $186.21 |
Medcost Setting Facility Modifier None Typical Low $72.44 Median $72.44 Typical High $81.28 | Facility | None | $72.44 | $72.44 | $81.28 |
Medcost Setting Professional Modifier None (both parts) Typical Low $56.23 Median $70.79 Typical High $75.86 | Professional | None (both parts) | $56.23 | $70.79 | $75.86 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $28.18 Median $35.48 Typical High $38.02 | Professional | 51 · Multiple procedures | $28.18 | $35.48 | $38.02 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $11.22 Median $14.45 Typical High $15.14 | Professional | 80 · Assistant surgeon | $11.22 | $14.45 | $15.14 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $7.94 Median $10.00 Typical High $10.47 | Professional | 81 · Minimal assistant surgeon | $7.94 | $10.00 | $10.47 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $7.94 Median $10.00 Typical High $10.47 | Professional | 82 · Assistant surgeon, no resident | $7.94 | $10.00 | $10.47 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $7.94 Median $10.00 Typical High $10.47 | Professional | AS · PA/NP assist | $7.94 | $10.00 | $10.47 |
United Setting Professional Modifier None (both parts) Typical Low $60.26 Median $70.79 Typical High $151.36 | Professional | None (both parts) | $60.26 | $70.79 | $151.36 |
Where North Carolina sits
The same service costs 3.4 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· 34th of 51
$72.44
AK $166UT $48.98
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.