How much rates vary
Facilitymedian $54 · 10th to 90th $54 to $54Professionalmedian $46 · 10th to 90th $32 to $81
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 $20.89 Median $20.89 Typical High $25.12 | Professional | 26 · Professional part | $20.89 | $20.89 | $25.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $33.11 Typical High $33.11 | Professional | TC · Technical part | $19.05 | $33.11 | $33.11 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $29.51 Typical High $67.61 | Professional | 26 · Professional part | $19.95 | $29.51 | $67.61 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $15.49 Median $29.51 Typical High $47.86 | Professional | TC · Technical part | $15.49 | $29.51 | $47.86 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $25.12 Typical High $60.26 | Professional | 26 · Professional part | $22.91 | $25.12 | $60.26 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $10.47 Median $13.49 Typical High $48.98 | Professional | TC · Technical part | $10.47 | $13.49 | $48.98 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $22.39 Typical High $24.55 | Professional | 26 · Professional part | $19.95 | $22.39 | $24.55 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $9.77 Median $11.48 Typical High $30.20 | Professional | TC · Technical part | $9.77 | $11.48 | $30.20 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $23.44 Typical High $45.71 | Professional | 26 · Professional part | $19.50 | $23.44 | $45.71 |
United Setting Professional Modifier TC · Technical part Typical Low $9.12 Median $20.89 Typical High $45.71 | Professional | TC · Technical part | $9.12 | $20.89 | $45.71 |
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 $53.70 Median $53.70 Typical High $53.70 | Facility | None | $53.70 | $53.70 | $53.70 |
Aetna Setting Professional Modifier None (both parts) Typical Low $46.77 Median $53.70 Typical High $54.95 | Professional | None (both parts) | $46.77 | $53.70 | $54.95 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $52.48 Median $72.44 Typical High $102.33 | Professional | None (both parts) | $52.48 | $72.44 | $102.33 |
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 $33.11 Median $44.67 Typical High $104.71 | Professional | None (both parts) | $33.11 | $44.67 | $104.71 |
Medcost Setting Facility Modifier None Typical Low $53.70 Median $53.70 Typical High $58.88 | Facility | None | $53.70 | $53.70 | $58.88 |
Medcost Setting Professional Modifier None (both parts) Typical Low $32.36 Median $36.31 Typical High $41.69 | Professional | None (both parts) | $32.36 | $36.31 | $41.69 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $16.22 Median $18.20 Typical High $20.89 | Professional | 51 · Multiple procedures | $16.22 | $18.20 | $20.89 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $6.46 Median $7.24 Typical High $8.32 | Professional | 80 · Assistant surgeon | $6.46 | $7.24 | $8.32 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $4.47 Median $5.13 Typical High $5.75 | Professional | 81 · Minimal assistant surgeon | $4.47 | $5.13 | $5.75 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $4.47 Median $5.13 Typical High $5.75 | Professional | 82 · Assistant surgeon, no resident | $4.47 | $5.13 | $5.75 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $4.47 Median $5.13 Typical High $5.75 | Professional | AS · PA/NP assist | $4.47 | $5.13 | $5.75 |
United Setting Professional Modifier None (both parts) Typical Low $30.20 Median $45.71 Typical High $79.43 | Professional | None (both parts) | $30.20 | $45.71 | $79.43 |
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· 38th of 51
$45.71
AK $120UT $30.90
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.