How much rates vary
Facilitymedian $891 · 10th to 90th $398 to $7,079Professionalmedian $309 · 10th to 90th $209 to $513
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 $208.93 Median $208.93 Typical High $7,943.28 | Facility | None | $208.93 | $208.93 | $7,943.28 |
Aetna Setting Professional Modifier None (both parts) Typical Low $208.93 Median $208.93 Typical High $239.88 | Professional | None (both parts) | $208.93 | $208.93 | $239.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $158.49 Median $158.49 Typical High $173.78 | Professional | 26 · Professional part | $158.49 | $158.49 | $173.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $51.29 Typical High $60.26 | Professional | TC · Technical part | $51.29 | $51.29 | $60.26 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $213.80 Median $363.08 Typical High $489.78 | Professional | None (both parts) | $213.80 | $363.08 | $489.78 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $426.58 Median $426.58 Typical High $426.58 | Professional | 26 · Professional part | $426.58 | $426.58 | $426.58 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $281.84 Typical High $281.84 | Professional | TC · Technical part | $102.33 | $281.84 | $281.84 |
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 $234.42 Median $309.03 Typical High $602.56 | Professional | None (both parts) | $234.42 | $309.03 | $602.56 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $177.83 Median $234.42 Typical High $457.09 | Professional | 26 · Professional part | $177.83 | $234.42 | $457.09 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $74.13 Typical High $144.54 | Professional | TC · Technical part | $54.95 | $74.13 | $144.54 |
Medcost Setting Facility Modifier None Typical Low $208.93 Median $269.15 Typical High $912.01 | Facility | None | $208.93 | $269.15 | $912.01 |
Medcost Setting Professional Modifier None (both parts) Typical Low $165.96 Median $269.15 Typical High $398.11 | Professional | None (both parts) | $165.96 | $269.15 | $398.11 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $158.49 Median $204.17 Typical High $316.23 | Professional | 26 · Professional part | $158.49 | $204.17 | $316.23 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $79.43 Typical High $102.33 | Professional | TC · Technical part | $47.86 | $79.43 | $102.33 |
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 $213.80 Median $302.00 Typical High $575.44 | Professional | None (both parts) | $213.80 | $302.00 | $575.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $162.18 Median $234.42 Typical High $426.58 | Professional | 26 · Professional part | $162.18 | $234.42 | $426.58 |
United Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $70.79 Typical High $154.88 | Professional | TC · Technical part | $48.98 | $70.79 | $154.88 |
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 $104.71 Median $104.71 Typical High $109.65 | Professional | 52 · Reduced service | $104.71 | $104.71 | $109.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $41.69 Typical High $43.65 | Professional | 53 · Discontinued | $41.69 | $41.69 | $43.65 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $81.28 Median $134.90 Typical High $309.03 | Professional | 51 · Multiple procedures | $81.28 | $134.90 | $309.03 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $33.11 Median $53.70 Typical High $123.03 | Professional | 80 · Assistant surgeon | $33.11 | $53.70 | $123.03 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $22.91 Median $38.02 Typical High $85.11 | Professional | 81 · Minimal assistant surgeon | $22.91 | $38.02 | $85.11 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $22.91 Median $38.02 Typical High $85.11 | Professional | 82 · Assistant surgeon, no resident | $22.91 | $38.02 | $85.11 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $22.91 Median $38.02 Typical High $85.11 | Professional | AS · PA/NP assist | $22.91 | $38.02 | $85.11 |
Where North Carolina sits
The same service costs 5.9 times more in Louisiana than in Alabama. 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· 28th of 51
$347
LA $1,288AL $219
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.