How much rates vary
Facilitymedian $3,020 · 10th to 90th $1,202 to $12,023Professionalmedian $1,000 · 10th to 90th $490 to $1,995
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 $1,000.00 Median $1,995.26 Typical High $12,302.69 | Facility | None | $1,000.00 | $1,995.26 | $12,302.69 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,000.00 Median $1,047.13 Typical High $2,238.72 | Professional | None (both parts) | $1,000.00 | $1,047.13 | $2,238.72 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $269.15 Median $275.42 Typical High $588.84 | Professional | 26 · Professional part | $269.15 | $275.42 | $588.84 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $741.31 Median $758.58 Typical High $1,513.56 | Professional | TC · Technical part | $741.31 | $758.58 | $1,513.56 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $512.86 Median $512.86 Typical High $512.86 | Professional | 26 · Professional part | $512.86 | $512.86 | $512.86 |
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 $407.38 Median $676.08 Typical High $870.96 | Professional | None (both parts) | $407.38 | $676.08 | $870.96 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $537.03 Median $537.03 Typical High $537.03 | Professional | 26 · Professional part | $537.03 | $537.03 | $537.03 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $562.34 Median $562.34 Typical High $562.34 | Professional | TC · Technical part | $562.34 | $562.34 | $562.34 |
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 $1,148.15 Median $1,513.56 Typical High $2,818.38 | Professional | None (both parts) | $1,148.15 | $1,513.56 | $2,818.38 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $331.13 Median $407.38 Typical High $776.25 | Professional | 26 · Professional part | $331.13 | $407.38 | $776.25 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $812.83 Median $1,047.13 Typical High $1,995.26 | Professional | TC · Technical part | $812.83 | $1,047.13 | $1,995.26 |
Medcost Setting Facility Modifier None Typical Low $1,096.48 Median $2,454.71 Typical High $5,248.07 | Facility | None | $1,096.48 | $2,454.71 | $5,248.07 |
Medcost Setting Professional Modifier None (both parts) Typical Low $776.25 Median $1,174.90 Typical High $1,584.89 | Professional | None (both parts) | $776.25 | $1,174.90 | $1,584.89 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $257.04 Median $346.74 Typical High $537.03 | Professional | 26 · Professional part | $257.04 | $346.74 | $537.03 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $676.08 Median $831.76 Typical High $1,348.96 | Professional | TC · Technical part | $676.08 | $831.76 | $1,348.96 |
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 $1,000.00 Median $1,412.54 Typical High $2,691.53 | Professional | None (both parts) | $1,000.00 | $1,412.54 | $2,691.53 |
United Setting Professional Modifier 26 · Professional part Typical Low $275.42 Median $407.38 Typical High $758.58 | Professional | 26 · Professional part | $275.42 | $407.38 | $758.58 |
United Setting Professional Modifier TC · Technical part Typical Low $724.44 Median $1,023.29 Typical High $1,949.84 | Professional | TC · Technical part | $724.44 | $1,023.29 | $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 $758.58 Median $758.58 Typical High $776.25 | Professional | 54 · Surgery only | $758.58 | $758.58 | $776.25 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $380.19 Median $588.84 Typical High $1,412.54 | Professional | 51 · Multiple procedures | $380.19 | $588.84 | $1,412.54 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $154.88 Median $234.42 Typical High $575.44 | Professional | 80 · Assistant surgeon | $154.88 | $234.42 | $575.44 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $107.15 Median $162.18 Typical High $398.11 | Professional | 81 · Minimal assistant surgeon | $107.15 | $162.18 | $398.11 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $107.15 Median $162.18 Typical High $398.11 | Professional | 82 · Assistant surgeon, no resident | $107.15 | $162.18 | $398.11 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $107.15 Median $162.18 Typical High $398.11 | Professional | AS · PA/NP assist | $107.15 | $162.18 | $398.11 |
Where North Carolina sits
The same service costs 4.0 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· 47th of 51
$1,148
WI $4,074NY $1,023
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.