How much rates vary
Facilitymedian $2,951 · 10th to 90th $1,202 to $10,965Professionalmedian $832 · 10th to 90th $240 to $1,549
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 None Typical Low $870.96 Median $1,288.25 Typical High $9,772.37 | Facility | None | $870.96 | $1,288.25 | $9,772.37 |
Aetna Setting Professional Modifier None (both parts) Typical Low $851.14 Median $870.96 Typical High $1,778.28 | Professional | None (both parts) | $851.14 | $870.96 | $1,778.28 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $131.83 Typical High $234.42 | Professional | 26 · Professional part | $125.89 | $131.83 | $234.42 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $724.44 Median $741.31 Typical High $1,318.26 | Professional | TC · Technical part | $724.44 | $741.31 | $1,318.26 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $165.96 Median $213.80 Typical High $251.19 | Professional | 26 · Professional part | $165.96 | $213.80 | $251.19 |
BCBS North Carolina Setting Facility Modifier None Typical Low $1,819.70 Median $2,511.89 Typical High $7,943.28 | Facility | None | $1,819.70 | $2,511.89 | $7,943.28 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $194.98 Median $331.13 Typical High $426.58 | Professional | None (both parts) | $194.98 | $331.13 | $426.58 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $316.23 Median $316.23 Typical High $316.23 | Professional | 26 · Professional part | $316.23 | $316.23 | $316.23 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $309.03 Typical High $309.03 | Professional | TC · Technical part | $309.03 | $309.03 | $309.03 |
Cigna Setting Facility Modifier None Typical Low $1,995.26 Median $2,884.03 Typical High $4,570.88 | Facility | None | $1,995.26 | $2,884.03 | $4,570.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $870.96 Median $1,174.90 Typical High $2,089.30 | Professional | None (both parts) | $870.96 | $1,174.90 | $2,089.30 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $162.18 Median $190.55 Typical High $363.08 | Professional | 26 · Professional part | $162.18 | $190.55 | $363.08 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $691.83 Median $954.99 Typical High $1,698.24 | Professional | TC · Technical part | $691.83 | $954.99 | $1,698.24 |
Medcost Setting Facility Modifier None Typical Low $954.99 Median $2,454.71 Typical High $5,248.07 | Facility | None | $954.99 | $2,454.71 | $5,248.07 |
Medcost Setting Professional Modifier None (both parts) Typical Low $660.69 Median $870.96 Typical High $1,348.96 | Professional | None (both parts) | $660.69 | $870.96 | $1,348.96 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $169.82 Typical High $251.19 | Professional | 26 · Professional part | $120.23 | $169.82 | $251.19 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $676.08 Median $707.95 Typical High $1,148.15 | Professional | TC · Technical part | $676.08 | $707.95 | $1,148.15 |
United Setting Facility Modifier None Typical Low $1,202.26 Median $3,311.31 Typical High $15,848.93 | Facility | None | $1,202.26 | $3,311.31 | $15,848.93 |
United Setting Professional Modifier None (both parts) Typical Low $794.33 Median $1,148.15 Typical High $2,290.87 | Professional | None (both parts) | $794.33 | $1,148.15 | $2,290.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $204.17 Typical High $354.81 | Professional | 26 · Professional part | $131.83 | $204.17 | $354.81 |
United Setting Professional Modifier TC · Technical part Typical Low $660.69 Median $933.25 Typical High $1,949.84 | Professional | TC · Technical part | $660.69 | $933.25 | $1,949.84 |
6 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 Professional Modifier 54 · Surgery only Typical Low $645.65 Median $660.69 Typical High $660.69 | Professional | 54 · Surgery only | $645.65 | $660.69 | $660.69 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $331.13 Median $436.52 Typical High $1,148.15 | Professional | 51 · Multiple procedures | $331.13 | $436.52 | $1,148.15 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $131.83 Median $173.78 Typical High $457.09 | Professional | 80 · Assistant surgeon | $131.83 | $173.78 | $457.09 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $93.33 Median $123.03 Typical High $323.59 | Professional | 81 · Minimal assistant surgeon | $93.33 | $123.03 | $323.59 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $93.33 Median $123.03 Typical High $323.59 | Professional | 82 · Assistant surgeon, no resident | $93.33 | $123.03 | $323.59 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $93.33 Median $123.03 Typical High $323.59 | Professional | AS · PA/NP assist | $93.33 | $123.03 | $323.59 |
Where North Carolina sits
The same service costs 4.3 times more in Wisconsin 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· 50th of 51
$871
WI $3,467NY $813
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.