How much rates vary
Facilitymedian $46 · 10th to 90th $46 to $46Professionalmedian $56 · 10th to 90th $46 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 $14.45 Median $14.45 Typical High $15.14 | Professional | 26 · Professional part | $14.45 | $14.45 | $15.14 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $31.62 Typical High $33.11 | Professional | TC · Technical part | $31.62 | $31.62 | $33.11 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $19.50 Typical High $50.12 | Professional | 26 · Professional part | $13.18 | $19.50 | $50.12 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $37.15 Typical High $117.49 | Professional | TC · Technical part | $24.55 | $37.15 | $117.49 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $19.50 Typical High $41.69 | Professional | 26 · Professional part | $18.20 | $19.50 | $41.69 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $45.71 Typical High $95.50 | Professional | TC · Technical part | $38.02 | $45.71 | $95.50 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $17.38 Typical High $19.50 | Professional | 26 · Professional part | $13.49 | $17.38 | $19.50 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $38.90 Typical High $46.77 | Professional | TC · Technical part | $28.84 | $38.90 | $46.77 |
United Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $17.38 Typical High $31.62 | Professional | 26 · Professional part | $14.13 | $17.38 | $31.62 |
United Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $39.81 Typical High $72.44 | Professional | TC · Technical part | $32.36 | $39.81 | $72.44 |
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 $45.71 Median $45.71 Typical High $45.71 | Facility | None | $45.71 | $45.71 | $45.71 |
Aetna Setting Professional Modifier None (both parts) Typical Low $45.71 Median $45.71 Typical High $46.77 | Professional | None (both parts) | $45.71 | $45.71 | $46.77 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $36.31 Median $36.31 Typical High $36.31 | Professional | None (both parts) | $36.31 | $36.31 | $36.31 |
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 $56.23 Median $64.57 Typical High $138.04 | Professional | None (both parts) | $56.23 | $64.57 | $138.04 |
Medcost Setting Facility Modifier None Typical Low $44.67 Median $44.67 Typical High $45.71 | Facility | None | $44.67 | $44.67 | $45.71 |
Medcost Setting Professional Modifier None (both parts) Typical Low $34.67 Median $56.23 Typical High $66.07 | Professional | None (both parts) | $34.67 | $56.23 | $66.07 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $17.38 Median $28.18 Typical High $33.11 | Professional | 51 · Multiple procedures | $17.38 | $28.18 | $33.11 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $6.92 Median $11.22 Typical High $13.18 | Professional | 80 · Assistant surgeon | $6.92 | $11.22 | $13.18 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $4.90 Median $7.94 Typical High $9.12 | Professional | 81 · Minimal assistant surgeon | $4.90 | $7.94 | $9.12 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $4.90 Median $7.94 Typical High $9.12 | Professional | 82 · Assistant surgeon, no resident | $4.90 | $7.94 | $9.12 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $4.90 Median $7.94 Typical High $9.12 | Professional | AS · PA/NP assist | $4.90 | $7.94 | $9.12 |
United Setting Professional Modifier None (both parts) Typical Low $46.77 Median $57.54 Typical High $107.15 | Professional | None (both parts) | $46.77 | $57.54 | $107.15 |
Where North Carolina sits
The same service costs 3.3 times more in Minnesota 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· 33rd of 51
$56.23
MN $102UT $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.