How much rates vary
Facilitymedian $219 · 10th to 90th $219 to $302Professionalmedian $257 · 10th to 90th $209 to $501
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 $61.66 Median $61.66 Typical High $97.72 | Professional | 26 · Professional part | $61.66 | $61.66 | $97.72 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $154.88 Typical High $234.42 | Professional | TC · Technical part | $154.88 | $154.88 | $234.42 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $131.83 Typical High $194.98 | Professional | 26 · Professional part | $102.33 | $131.83 | $194.98 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $309.03 Typical High $436.52 | Professional | TC · Technical part | $223.87 | $309.03 | $436.52 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $81.28 Typical High $165.96 | Professional | 26 · Professional part | $66.07 | $81.28 | $165.96 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $181.97 Typical High $436.52 | Professional | TC · Technical part | $147.91 | $181.97 | $436.52 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $104.71 Typical High $138.04 | Professional | 26 · Professional part | $70.79 | $104.71 | $138.04 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $239.88 Typical High $316.23 | Professional | TC · Technical part | $138.04 | $239.88 | $316.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $83.18 Typical High $165.96 | Professional | 26 · Professional part | $61.66 | $83.18 | $165.96 |
United Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $194.98 Typical High $416.87 | Professional | TC · Technical part | $147.91 | $194.98 | $416.87 |
16 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 $218.78 Median $218.78 Typical High $302.00 | Facility | None | $218.78 | $218.78 | $302.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $218.78 Typical High $338.84 | Professional | None (both parts) | $218.78 | $218.78 | $338.84 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $109.65 Median $109.65 Typical High $120.23 | Professional | 52 · Reduced service | $109.65 | $109.65 | $120.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $43.65 Typical High $47.86 | Professional | 53 · Discontinued | $43.65 | $43.65 | $47.86 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $309.03 Median $309.03 Typical High $457.09 | Professional | None (both parts) | $309.03 | $309.03 | $457.09 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | None (both parts) | $165.96 | $165.96 | $165.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $213.80 Median $269.15 Typical High $602.56 | Professional | None (both parts) | $213.80 | $269.15 | $602.56 |
Medcost Setting Professional Modifier None Typical Low $302.00 Median $309.03 Typical High $446.68 | Professional | None | $302.00 | $309.03 | $446.68 |
Medcost Setting Facility Modifier None Typical Low $218.78 Median $218.78 Typical High $245.47 | Facility | None | $218.78 | $218.78 | $245.47 |
Medcost Setting Professional Modifier None (both parts) Typical Low $208.93 Median $309.03 Typical High $389.05 | Professional | None (both parts) | $208.93 | $309.03 | $389.05 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $104.71 Median $169.82 Typical High $309.03 | Professional | 51 · Multiple procedures | $104.71 | $169.82 | $309.03 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $41.69 Median $67.61 Typical High $123.03 | Professional | 80 · Assistant surgeon | $41.69 | $67.61 | $123.03 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $29.51 Median $47.86 Typical High $87.10 | Professional | 81 · Minimal assistant surgeon | $29.51 | $47.86 | $87.10 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $29.51 Median $47.86 Typical High $87.10 | Professional | 82 · Assistant surgeon, no resident | $29.51 | $47.86 | $87.10 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $29.51 Median $47.86 Typical High $87.10 | Professional | AS · PA/NP assist | $29.51 | $47.86 | $87.10 |
United Setting Professional Modifier None (both parts) Typical Low $204.17 Median $269.15 Typical High $575.44 | Professional | None (both parts) | $204.17 | $269.15 | $575.44 |
Where North Carolina sits
The same service costs 3.5 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· 36th of 51
$257
AK $562UT $158
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.