How much rates vary
Facilitymedian $209 · 10th to 90th $79 to $1,096Professionalmedian $275 · 10th to 90th $85 to $479
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 $218.78 Median $218.78 Typical High $218.78 | Facility | None | $218.78 | $218.78 | $218.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $218.78 Typical High $275.42 | Professional | None (both parts) | $218.78 | $218.78 | $275.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $87.10 Typical High $97.72 | Professional | 26 · Professional part | $87.10 | $87.10 | $97.72 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $131.83 Typical High $181.97 | Professional | TC · Technical part | $131.83 | $131.83 | $181.97 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $85.11 Median $128.82 Typical High $295.12 | Professional | None (both parts) | $85.11 | $128.82 | $295.12 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | 26 · Professional part | $169.82 | $169.82 | $169.82 |
Cigna Setting Professional Modifier None (both parts) Typical Low $275.42 Median $338.84 Typical High $660.69 | Professional | None (both parts) | $275.42 | $338.84 | $660.69 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $128.82 Typical High $245.47 | Professional | 26 · Professional part | $104.71 | $128.82 | $245.47 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $208.93 Typical High $407.38 | Professional | TC · Technical part | $169.82 | $208.93 | $407.38 |
Medcost Setting Facility Modifier None Typical Low $218.78 Median $251.19 Typical High $346.74 | Facility | None | $218.78 | $251.19 | $346.74 |
Medcost Setting Professional Modifier None (both parts) Typical Low $169.82 Median $288.40 Typical High $389.05 | Professional | None (both parts) | $169.82 | $288.40 | $389.05 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $107.15 Typical High $165.96 | Professional | 26 · Professional part | $83.18 | $107.15 | $165.96 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $181.97 Typical High $295.12 | Professional | TC · Technical part | $120.23 | $181.97 | $295.12 |
United Setting Facility Modifier None Typical Low $77.62 Median $165.96 Typical High $1,096.48 | Facility | None | $77.62 | $165.96 | $1,096.48 |
United Setting Professional Modifier None (both parts) Typical Low $234.42 Median $338.84 Typical High $630.96 | Professional | None (both parts) | $234.42 | $338.84 | $630.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $128.82 Typical High $239.88 | Professional | 26 · Professional part | $89.13 | $128.82 | $239.88 |
United Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $208.93 Typical High $371.54 | Professional | TC · Technical part | $144.54 | $208.93 | $371.54 |
5 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 |
|---|---|---|---|---|---|
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $85.11 Median $144.54 Typical High $323.59 | Professional | 51 · Multiple procedures | $85.11 | $144.54 | $323.59 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $33.88 Median $57.54 Typical High $128.82 | Professional | 80 · Assistant surgeon | $33.88 | $57.54 | $128.82 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $23.44 Median $40.74 Typical High $89.13 | Professional | 81 · Minimal assistant surgeon | $23.44 | $40.74 | $89.13 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $23.44 Median $40.74 Typical High $89.13 | Professional | 82 · Assistant surgeon, no resident | $23.44 | $40.74 | $89.13 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $23.44 Median $40.74 Typical High $89.13 | Professional | AS · PA/NP assist | $23.44 | $40.74 | $89.13 |
Where North Carolina sits
The same service costs 4.4 times more in Wisconsin than in Texas. 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· 43rd of 51
$257
WI $832TX $191
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.