How much rates vary
Facilitymedian $1,000 · 10th to 90th $398 to $12,303Professionalmedian $251 · 10th to 90th $178 to $389
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 $186.21 Median $2,454.71 Typical High $15,135.61 | Facility | None | $186.21 | $2,454.71 | $15,135.61 |
Aetna Setting Professional Modifier None (both parts) Typical Low $186.21 Median $186.21 Typical High $1,995.26 | Professional | None (both parts) | $186.21 | $186.21 | $1,995.26 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $114.82 Typical High $120.23 | Professional | 26 · Professional part | $114.82 | $114.82 | $120.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $74.13 Typical High $75.86 | Professional | TC · Technical part | $74.13 | $74.13 | $75.86 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $151.36 Median $257.04 Typical High $354.81 | Professional | None (both parts) | $151.36 | $257.04 | $354.81 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $234.42 Median $234.42 Typical High $234.42 | Professional | 26 · Professional part | $234.42 | $234.42 | $234.42 |
Cigna Setting Facility Modifier None Typical Low $19,054.61 Median $26,302.68 Typical High $35,481.34 | Facility | None | $19,054.61 | $26,302.68 | $35,481.34 |
Cigna Setting Professional Modifier None (both parts) Typical Low $204.17 Median $275.42 Typical High $549.54 | Professional | None (both parts) | $204.17 | $275.42 | $549.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $165.96 Typical High $323.59 | Professional | 26 · Professional part | $125.89 | $165.96 | $323.59 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $107.15 Typical High $208.93 | Professional | TC · Technical part | $79.43 | $107.15 | $208.93 |
Medcost Setting Facility Modifier None Typical Low $186.21 Median $229.09 Typical High $812.83 | Facility | None | $186.21 | $229.09 | $812.83 |
Medcost Setting Professional Modifier None (both parts) Typical Low $147.91 Median $239.88 Typical High $407.38 | Professional | None (both parts) | $147.91 | $239.88 | $407.38 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $144.54 Typical High $229.09 | Professional | 26 · Professional part | $120.23 | $144.54 | $229.09 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $117.49 Typical High $147.91 | Professional | TC · Technical part | $69.18 | $117.49 | $147.91 |
United Setting Facility Modifier None Typical Low $478.63 Median $831.76 Typical High $4,365.16 | Facility | None | $478.63 | $831.76 | $4,365.16 |
United Setting Professional Modifier None (both parts) Typical Low $190.55 Median $275.42 Typical High $524.81 | Professional | None (both parts) | $190.55 | $275.42 | $524.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $165.96 Typical High $309.03 | Professional | 26 · Professional part | $117.49 | $165.96 | $309.03 |
United Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $104.71 Typical High $213.80 | Professional | TC · Technical part | $72.44 | $104.71 | $213.80 |
7 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 52 · Reduced service Typical Low $93.33 Median $93.33 Typical High $97.72 | Professional | 52 · Reduced service | $93.33 | $93.33 | $97.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $38.02 Typical High $38.90 | Professional | 53 · Discontinued | $38.02 | $38.02 | $38.90 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $72.44 Median $120.23 Typical High $275.42 | Professional | 51 · Multiple procedures | $72.44 | $120.23 | $275.42 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $29.51 Median $47.86 Typical High $109.65 | Professional | 80 · Assistant surgeon | $29.51 | $47.86 | $109.65 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $20.42 Median $33.11 Typical High $75.86 | Professional | 81 · Minimal assistant surgeon | $20.42 | $33.11 | $75.86 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $20.42 Median $33.11 Typical High $75.86 | Professional | 82 · Assistant surgeon, no resident | $20.42 | $33.11 | $75.86 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $20.42 Median $33.11 Typical High $75.86 | Professional | AS · PA/NP assist | $20.42 | $33.11 | $75.86 |
Where North Carolina sits
The same service costs 30.2 times more in Oklahoma than in Hawaii. 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· 34th of 51
$275
OK $4,786HI $158
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.