How much rates vary
Facilitymedian $26 · 10th to 90th $25 to $54Professionalmedian $44 · 10th to 90th $25 to $79
Distribution of negotiated rates across all payers (price axis is log-scale). 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 26 · Professional part Typical Low $7.08 Median $7.24 Typical High $12.02 | Facility | 26 · Professional part | $7.08 | $7.24 | $12.02 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $17.78 Median $18.20 Typical High $39.81 | Facility | TC · Technical part | $17.78 | $18.20 | $39.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $7.08 Typical High $11.75 | Professional | 26 · Professional part | $7.08 | $7.08 | $11.75 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $17.78 Typical High $33.88 | Professional | TC · Technical part | $17.78 | $17.78 | $33.88 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $5.62 Median $8.32 Typical High $12.30 | Professional | 26 · Professional part | $5.62 | $8.32 | $12.30 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $17.38 Typical High $22.91 | Professional | 26 · Professional part | $12.30 | $17.38 | $22.91 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $60.26 Typical High $79.43 | Professional | TC · Technical part | $31.62 | $60.26 | $79.43 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $9.55 Typical High $19.05 | Professional | 26 · Professional part | $7.94 | $9.55 | $19.05 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $44.67 Typical High $57.54 | Professional | TC · Technical part | $22.91 | $44.67 | $57.54 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $12.02 Typical High $14.45 | Professional | 26 · Professional part | $8.71 | $12.02 | $14.45 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $28.84 Typical High $60.26 | Professional | TC · Technical part | $22.39 | $28.84 | $60.26 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $10.00 Typical High $19.05 | Professional | 26 · Professional part | $7.24 | $10.00 | $19.05 |
United Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $30.20 Typical High $52.48 | Professional | TC · Technical part | $17.78 | $30.20 | $52.48 |
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 $24.55 Median $25.70 Typical High $53.70 | Facility | None | $24.55 | $25.70 | $53.70 |
Aetna Setting Professional Modifier None (both parts) Typical Low $24.55 Median $24.55 Typical High $46.77 | Professional | None (both parts) | $24.55 | $24.55 | $46.77 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $12.30 Median $12.30 Typical High $14.79 | Professional | 52 · Reduced service | $12.30 | $12.30 | $14.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.90 Median $4.90 Typical High $5.89 | Professional | 53 · Discontinued | $4.90 | $4.90 | $5.89 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $28.84 Median $33.11 Typical High $36.31 | Professional | None (both parts) | $28.84 | $33.11 | $36.31 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $19.95 Median $19.95 Typical High $19.95 | Professional | None (both parts) | $19.95 | $19.95 | $19.95 |
Cigna Setting Professional Modifier None (both parts) Typical Low $31.62 Median $53.70 Typical High $77.62 | Professional | None (both parts) | $31.62 | $53.70 | $77.62 |
Medcost Setting Professional Modifier None Typical Low $50.12 Median $70.79 Typical High $74.13 | Professional | None | $50.12 | $70.79 | $74.13 |
Medcost Setting Facility Modifier None Typical Low $24.55 Median $24.55 Typical High $28.18 | Facility | None | $24.55 | $24.55 | $28.18 |
Medcost Setting Professional Modifier None (both parts) Typical Low $30.90 Median $39.81 Typical High $79.43 | Professional | None (both parts) | $30.90 | $39.81 | $79.43 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $15.49 Median $30.90 Typical High $39.81 | Professional | 51 · Multiple procedures | $15.49 | $30.90 | $39.81 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $6.17 Median $12.30 Typical High $15.85 | Professional | 80 · Assistant surgeon | $6.17 | $12.30 | $15.85 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $4.37 Median $8.71 Typical High $11.22 | Professional | 81 · Minimal assistant surgeon | $4.37 | $8.71 | $11.22 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $4.37 Median $8.71 Typical High $11.22 | Professional | 82 · Assistant surgeon, no resident | $4.37 | $8.71 | $11.22 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $4.37 Median $8.71 Typical High $11.22 | Professional | AS · PA/NP assist | $4.37 | $8.71 | $11.22 |
United Setting Professional Modifier None (both parts) Typical Low $25.12 Median $40.74 Typical High $67.61 | Professional | None (both parts) | $25.12 | $40.74 | $67.61 |
Where North Carolina sits
The same service costs 2.7 times more in Minnesota than in Maryland. 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· 17th of 51
$43.65
MN $69.18MD $25.70
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.