How much rates vary
Facilitymedian $933 · 10th to 90th $380 to $12,303Professionalmedian $229 · 10th to 90th $155 to $363
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 $154.88 Median $1,000.00 Typical High $15,848.93 | Facility | None | $154.88 | $1,000.00 | $15,848.93 |
Aetna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $154.88 Typical High $234.42 | Professional | None (both parts) | $154.88 | $154.88 | $234.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $112.20 Typical High $120.23 | Professional | 26 · Professional part | $112.20 | $112.20 | $120.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $41.69 Typical High $45.71 | Professional | TC · Technical part | $41.69 | $41.69 | $45.71 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $151.36 Median $257.04 Typical High $346.74 | Professional | None (both parts) | $151.36 | $257.04 | $346.74 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $302.00 Median $302.00 Typical High $302.00 | Professional | 26 · Professional part | $302.00 | $302.00 | $302.00 |
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 $169.82 Median $229.09 Typical High $446.68 | Professional | None (both parts) | $169.82 | $229.09 | $446.68 |
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 $44.67 Median $61.66 Typical High $120.23 | Professional | TC · Technical part | $44.67 | $61.66 | $120.23 |
Medcost Setting Facility Modifier None Typical Low $154.88 Median $194.98 Typical High $660.69 | Facility | None | $154.88 | $194.98 | $660.69 |
Medcost Setting Professional Modifier None (both parts) Typical Low $120.23 Median $199.53 Typical High $295.12 | Professional | None (both parts) | $120.23 | $199.53 | $295.12 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $144.54 Typical High $223.87 | Professional | 26 · Professional part | $120.23 | $144.54 | $223.87 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $64.57 Typical High $85.11 | Professional | TC · Technical part | $39.81 | $64.57 | $85.11 |
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 $158.49 Median $223.87 Typical High $426.58 | Professional | None (both parts) | $158.49 | $223.87 | $426.58 |
United Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $165.96 Typical High $302.00 | Professional | 26 · Professional part | $114.82 | $165.96 | $302.00 |
United Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $57.54 Typical High $125.89 | Professional | TC · Technical part | $39.81 | $57.54 | $125.89 |
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 $77.62 Median $77.62 Typical High $81.28 | Professional | 52 · Reduced service | $77.62 | $77.62 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $30.90 Typical High $32.36 | Professional | 53 · Discontinued | $30.90 | $30.90 | $32.36 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $60.26 Median $100.00 Typical High $223.87 | Professional | 51 · Multiple procedures | $60.26 | $100.00 | $223.87 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $23.99 Median $39.81 Typical High $89.13 | Professional | 80 · Assistant surgeon | $23.99 | $39.81 | $89.13 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $16.98 Median $27.54 Typical High $63.10 | Professional | 81 · Minimal assistant surgeon | $16.98 | $27.54 | $63.10 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $16.98 Median $27.54 Typical High $63.10 | Professional | 82 · Assistant surgeon, no resident | $16.98 | $27.54 | $63.10 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $16.98 Median $27.54 Typical High $63.10 | Professional | AS · PA/NP assist | $16.98 | $27.54 | $63.10 |
Where North Carolina sits
The same service costs 8.3 times more in Louisiana 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· 31st of 51
$245
LA $1,288HI $155
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.