How much rates vary
Facilitymedian $151 · 10th to 90th $151 to $174Professionalmedian $158 · 10th to 90th $120 to $347
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 $35.48 Median $35.48 Typical High $51.29 | Professional | 26 · Professional part | $35.48 | $35.48 | $51.29 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $117.49 Typical High $144.54 | Professional | TC · Technical part | $107.15 | $117.49 | $144.54 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $75.86 Typical High $112.20 | Professional | 26 · Professional part | $58.88 | $75.86 | $112.20 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $186.21 Typical High $295.12 | Professional | TC · Technical part | $138.04 | $186.21 | $295.12 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $46.77 Typical High $97.72 | Professional | 26 · Professional part | $38.02 | $46.77 | $97.72 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $114.82 Typical High $309.03 | Professional | TC · Technical part | $77.62 | $114.82 | $309.03 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $60.26 Typical High $70.79 | Professional | 26 · Professional part | $40.74 | $60.26 | $70.79 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $134.90 Typical High $194.98 | Professional | TC · Technical part | $91.20 | $134.90 | $194.98 |
United Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $46.77 Typical High $95.50 | Professional | 26 · Professional part | $35.48 | $46.77 | $95.50 |
United Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $125.89 Typical High $316.23 | Professional | TC · Technical part | $91.20 | $125.89 | $316.23 |
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 $151.36 Median $151.36 Typical High $151.36 | Facility | None | $151.36 | $151.36 | $151.36 |
Aetna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $151.36 Typical High $190.55 | Professional | None (both parts) | $147.91 | $151.36 | $190.55 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $75.86 Median $75.86 Typical High $83.18 | Professional | 52 · Reduced service | $75.86 | $75.86 | $83.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $30.90 Typical High $33.11 | Professional | 53 · Discontinued | $30.90 | $30.90 | $33.11 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $269.15 Median $269.15 Typical High $269.15 | Professional | None (both parts) | $269.15 | $269.15 | $269.15 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | None (both parts) | $95.50 | $95.50 | $95.50 |
Cigna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $162.18 Typical High $407.38 | Professional | None (both parts) | $120.23 | $162.18 | $407.38 |
Medcost Setting Professional Modifier None Typical Low $158.49 Median $162.18 Typical High $309.03 | Professional | None | $158.49 | $162.18 | $309.03 |
Medcost Setting Facility Modifier None Typical Low $151.36 Median $151.36 Typical High $173.78 | Facility | None | $151.36 | $151.36 | $173.78 |
Medcost Setting Professional Modifier None (both parts) Typical Low $131.83 Median $181.97 Typical High $251.19 | Professional | None (both parts) | $131.83 | $181.97 | $251.19 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $66.07 Median $89.13 Typical High $213.80 | Professional | 51 · Multiple procedures | $66.07 | $89.13 | $213.80 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $26.30 Median $36.31 Typical High $85.11 | Professional | 80 · Assistant surgeon | $26.30 | $36.31 | $85.11 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $18.62 Median $25.12 Typical High $60.26 | Professional | 81 · Minimal assistant surgeon | $18.62 | $25.12 | $60.26 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $18.62 Median $25.12 Typical High $60.26 | Professional | 82 · Assistant surgeon, no resident | $18.62 | $25.12 | $60.26 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $18.62 Median $25.12 Typical High $60.26 | Professional | AS · PA/NP assist | $18.62 | $25.12 | $60.26 |
United Setting Professional Modifier None (both parts) Typical Low $131.83 Median $169.82 Typical High $407.38 | Professional | None (both parts) | $131.83 | $169.82 | $407.38 |
Where North Carolina sits
The same service costs 3.0 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· 40th of 51
$158
AK $380UT $129
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.