How much rates vary
Facilitymedian $490 · 10th to 90th $490 to $490Professionalmedian $490 · 10th to 90th $324 to $851
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 $125.89 Median $125.89 Typical High $186.21 | Professional | 26 · Professional part | $125.89 | $125.89 | $186.21 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $457.09 Median $457.09 Typical High $630.96 | Professional | TC · Technical part | $457.09 | $457.09 | $630.96 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $144.54 Median $144.54 Typical High $251.19 | Professional | 26 · Professional part | $144.54 | $144.54 | $251.19 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $218.78 Median $288.40 Typical High $389.05 | Professional | 26 · Professional part | $218.78 | $288.40 | $389.05 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $645.65 Median $870.96 Typical High $1,412.54 | Professional | TC · Technical part | $645.65 | $870.96 | $1,412.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $169.82 Typical High $338.84 | Professional | 26 · Professional part | $141.25 | $169.82 | $338.84 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $181.97 Typical High $323.59 | Professional | TC · Technical part | $144.54 | $181.97 | $323.59 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $204.17 Median $204.17 Typical High $234.42 | Professional | 26 · Professional part | $204.17 | $204.17 | $234.42 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $154.88 Median $204.17 Typical High $263.03 | Professional | 26 · Professional part | $154.88 | $204.17 | $263.03 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $588.84 Typical High $870.96 | Professional | TC · Technical part | $223.87 | $588.84 | $870.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $181.97 Typical High $338.84 | Professional | 26 · Professional part | $128.82 | $181.97 | $338.84 |
United Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $457.09 Typical High $1,288.25 | Professional | TC · Technical part | $194.98 | $457.09 | $1,288.25 |
14 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 $489.78 Median $489.78 Typical High $489.78 | Facility | None | $489.78 | $489.78 | $489.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $489.78 Median $489.78 Typical High $676.08 | Professional | None (both parts) | $489.78 | $489.78 | $676.08 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $245.47 Median $245.47 Typical High $288.40 | Professional | 52 · Reduced service | $245.47 | $245.47 | $288.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $97.72 Median $97.72 Typical High $114.82 | Professional | 53 · Discontinued | $97.72 | $97.72 | $114.82 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $354.81 Median $354.81 Typical High $354.81 | Professional | None (both parts) | $354.81 | $354.81 | $354.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $288.40 Median $354.81 Typical High $660.69 | Professional | None (both parts) | $288.40 | $354.81 | $660.69 |
Medcost Setting Facility Modifier None Typical Low $489.78 Median $489.78 Typical High $630.96 | Facility | None | $489.78 | $489.78 | $630.96 |
Medcost Setting Professional Modifier None (both parts) Typical Low $407.38 Median $588.84 Typical High $912.01 | Professional | None (both parts) | $407.38 | $588.84 | $912.01 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $229.09 Median $316.23 Typical High $691.83 | Professional | 51 · Multiple procedures | $229.09 | $316.23 | $691.83 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $91.20 Median $128.82 Typical High $275.42 | Professional | 80 · Assistant surgeon | $91.20 | $128.82 | $275.42 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $63.10 Median $89.13 Typical High $190.55 | Professional | 81 · Minimal assistant surgeon | $63.10 | $89.13 | $190.55 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $63.10 Median $89.13 Typical High $190.55 | Professional | 82 · Assistant surgeon, no resident | $63.10 | $89.13 | $190.55 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $63.10 Median $89.13 Typical High $190.55 | Professional | AS · PA/NP assist | $63.10 | $89.13 | $190.55 |
United Setting Professional Modifier None (both parts) Typical Low $363.08 Median $588.84 Typical High $1,621.81 | Professional | None (both parts) | $363.08 | $588.84 | $1,621.81 |
Where North Carolina sits
The same service costs 3.1 times more in Alaska than in Washington. 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· 30th of 51
$490
AK $1,000WA $324
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.