How much rates vary
Facilitymedian $170 · 10th to 90th $170 to $170Professionalmedian $251 · 10th to 90th $170 to $468
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 $87.10 Median $87.10 Typical High $107.15 | Professional | 26 · Professional part | $87.10 | $87.10 | $107.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $83.18 Typical High $102.33 | Professional | TC · Technical part | $83.18 | $83.18 | $102.33 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | 26 · Professional part | $102.33 | $102.33 | $102.33 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $194.98 Typical High $251.19 | Professional | 26 · Professional part | $141.25 | $194.98 | $251.19 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $263.03 Typical High $436.52 | Professional | TC · Technical part | $204.17 | $263.03 | $436.52 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $114.82 Typical High $239.88 | Professional | 26 · Professional part | $93.33 | $114.82 | $239.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $147.91 Typical High $239.88 | Professional | TC · Technical part | $93.33 | $147.91 | $239.88 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $134.90 Median $134.90 Typical High $165.96 | Professional | 26 · Professional part | $134.90 | $134.90 | $165.96 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $123.03 Typical High $173.78 | Professional | 26 · Professional part | $97.72 | $123.03 | $173.78 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $134.90 Typical High $223.87 | Professional | TC · Technical part | $95.50 | $134.90 | $223.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $123.03 Typical High $234.42 | Professional | 26 · Professional part | $89.13 | $123.03 | $234.42 |
United Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $199.53 Typical High $407.38 | Professional | TC · Technical part | $141.25 | $199.53 | $407.38 |
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 $169.82 Median $169.82 Typical High $169.82 | Facility | None | $169.82 | $169.82 | $169.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $169.82 Typical High $208.93 | Professional | None (both parts) | $169.82 | $169.82 | $208.93 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $85.11 Median $85.11 Typical High $102.33 | Professional | 52 · Reduced service | $85.11 | $85.11 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $33.88 Typical High $40.74 | Professional | 53 · Discontinued | $33.88 | $33.88 | $40.74 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $234.42 Median $234.42 Typical High $234.42 | Professional | None (both parts) | $234.42 | $234.42 | $234.42 |
Cigna Setting Professional Modifier None (both parts) Typical Low $186.21 Median $251.19 Typical High $467.74 | Professional | None (both parts) | $186.21 | $251.19 | $467.74 |
Medcost Setting Facility Modifier None Typical Low $169.82 Median $169.82 Typical High $436.52 | Facility | None | $169.82 | $169.82 | $436.52 |
Medcost Setting Professional Modifier None (both parts) Typical Low $190.55 Median $275.42 Typical High $316.23 | Professional | None (both parts) | $190.55 | $275.42 | $316.23 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $95.50 Median $147.91 Typical High $251.19 | Professional | 51 · Multiple procedures | $95.50 | $147.91 | $251.19 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $38.90 Median $58.88 Typical High $100.00 | Professional | 80 · Assistant surgeon | $38.90 | $58.88 | $100.00 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $26.92 Median $41.69 Typical High $70.79 | Professional | 81 · Minimal assistant surgeon | $26.92 | $41.69 | $70.79 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $26.92 Median $41.69 Typical High $70.79 | Professional | 82 · Assistant surgeon, no resident | $26.92 | $41.69 | $70.79 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $26.92 Median $41.69 Typical High $70.79 | Professional | AS · PA/NP assist | $26.92 | $41.69 | $70.79 |
United Setting Professional Modifier None (both parts) Typical Low $234.42 Median $323.59 Typical High $630.96 | Professional | None (both parts) | $234.42 | $323.59 | $630.96 |
Where North Carolina sits
The same service costs 3.1 times more in Alaska than in New York. 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· 32nd of 51
$251
AK $537NY $174
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.