How much rates vary
Facilitymedian $26 · 10th to 90th $26 to $38Professionalmedian $52 · 10th to 90th $25 to $66
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 Facility Modifier None Typical Low $25.70 Median $25.70 Typical High $27.54 | Facility | None | $25.70 | $25.70 | $27.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $25.70 Median $25.70 Typical High $48.98 | Professional | None (both parts) | $25.70 | $25.70 | $48.98 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $10.72 Typical High $23.44 | Professional | 26 · Professional part | $10.72 | $10.72 | $23.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $15.14 Median $15.14 Typical High $29.51 | Professional | TC · Technical part | $15.14 | $15.14 | $29.51 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $37.15 Median $50.12 Typical High $95.50 | Professional | None (both parts) | $37.15 | $50.12 | $95.50 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $25.12 Median $52.48 Typical High $63.10 | Professional | None (both parts) | $25.12 | $52.48 | $63.10 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $33.11 Typical High $79.43 | Professional | 26 · Professional part | $23.44 | $33.11 | $79.43 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $47.86 Typical High $109.65 | Professional | TC · Technical part | $33.88 | $47.86 | $109.65 |
Cigna Setting Professional Modifier None (both parts) Typical Low $27.54 Median $32.36 Typical High $79.43 | Professional | None (both parts) | $27.54 | $32.36 | $79.43 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $30.90 Typical High $70.79 | Professional | 26 · Professional part | $28.18 | $30.90 | $70.79 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $43.65 Typical High $100.00 | Professional | TC · Technical part | $39.81 | $43.65 | $100.00 |
Medcost Setting Facility Modifier None Typical Low $25.70 Median $25.70 Typical High $69.18 | Facility | None | $25.70 | $25.70 | $69.18 |
Medcost Setting Professional Modifier None (both parts) Typical Low $19.95 Median $27.54 Typical High $30.20 | Professional | None (both parts) | $19.95 | $27.54 | $30.20 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $26.92 Typical High $26.92 | Professional | 26 · Professional part | $22.91 | $26.92 | $26.92 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $38.02 Typical High $38.02 | Professional | TC · Technical part | $32.36 | $38.02 | $38.02 |
United Setting Professional Modifier None (both parts) Typical Low $24.55 Median $29.51 Typical High $66.07 | Professional | None (both parts) | $24.55 | $29.51 | $66.07 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $30.20 Typical High $61.66 | Professional | 26 · Professional part | $23.44 | $30.20 | $61.66 |
United Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $44.67 Typical High $87.10 | Professional | TC · Technical part | $33.11 | $44.67 | $87.10 |
5 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 |
|---|---|---|---|---|---|
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $10.00 Median $13.80 Typical High $14.79 | Professional | 51 · Multiple procedures | $10.00 | $13.80 | $14.79 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $3.98 Median $5.50 Typical High $6.03 | Professional | 80 · Assistant surgeon | $3.98 | $5.50 | $6.03 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $2.82 Median $3.80 Typical High $4.17 | Professional | 81 · Minimal assistant surgeon | $2.82 | $3.80 | $4.17 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $2.82 Median $3.80 Typical High $4.17 | Professional | 82 · Assistant surgeon, no resident | $2.82 | $3.80 | $4.17 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $2.82 Median $3.80 Typical High $4.17 | Professional | AS · PA/NP assist | $2.82 | $3.80 | $4.17 |
Where North Carolina sits
The same service costs 4.7 times more in Minnesota than in Kentucky. 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· 27th of 51
$52.48
MN $129KY $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.