How much rates vary
Facilitymedian $4,898 · 10th to 90th $1,622 to $13,183Professionalmedian $891 · 10th to 90th $631 to $1,380
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 $645.65 Median $2,454.71 Typical High $15,135.61 | Facility | None | $645.65 | $2,454.71 | $15,135.61 |
Aetna Setting Professional Modifier None (both parts) Typical Low $645.65 Median $645.65 Typical High $1,995.26 | Professional | None (both parts) | $645.65 | $645.65 | $1,995.26 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $380.19 Median $380.19 Typical High $446.68 | Professional | 26 · Professional part | $380.19 | $380.19 | $446.68 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $275.42 Typical High $371.54 | Professional | TC · Technical part | $275.42 | $275.42 | $371.54 |
BCBS North Carolina Setting Facility Modifier None Typical Low $4,168.69 Median $4,265.80 Typical High $7,079.46 | Facility | None | $4,168.69 | $4,265.80 | $7,079.46 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $524.81 Median $912.01 Typical High $1,174.90 | Professional | None (both parts) | $524.81 | $912.01 | $1,174.90 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $933.25 Median $933.25 Typical High $933.25 | Professional | 26 · Professional part | $933.25 | $933.25 | $933.25 |
Cigna Setting Facility Modifier None Typical Low $4,786.30 Median $7,079.46 Typical High $10,000.00 | Facility | None | $4,786.30 | $7,079.46 | $10,000.00 |
Cigna Setting Professional Modifier None (both parts) Typical Low $741.31 Median $977.24 Typical High $1,862.09 | Professional | None (both parts) | $741.31 | $977.24 | $1,862.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $416.87 Median $562.34 Typical High $1,096.48 | Professional | 26 · Professional part | $416.87 | $562.34 | $1,096.48 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $407.38 Typical High $794.33 | Professional | TC · Technical part | $302.00 | $407.38 | $794.33 |
Medcost Setting Facility Modifier None Typical Low $724.44 Median $1,862.09 Typical High $15,488.17 | Facility | None | $724.44 | $1,862.09 | $15,488.17 |
Medcost Setting Professional Modifier None (both parts) Typical Low $524.81 Median $870.96 Typical High $1,513.56 | Professional | None (both parts) | $524.81 | $870.96 | $1,513.56 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $416.87 Median $501.19 Typical High $776.25 | Professional | 26 · Professional part | $416.87 | $501.19 | $776.25 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $467.74 Typical High $562.34 | Professional | TC · Technical part | $302.00 | $467.74 | $562.34 |
United Setting Facility Modifier None Typical Low $1,380.38 Median $4,265.80 Typical High $17,378.01 | Facility | None | $1,380.38 | $4,265.80 | $17,378.01 |
United Setting Professional Modifier None (both parts) Typical Low $676.08 Median $977.24 Typical High $1,862.09 | Professional | None (both parts) | $676.08 | $977.24 | $1,862.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $389.05 Median $549.54 Typical High $1,023.29 | Professional | 26 · Professional part | $389.05 | $549.54 | $1,023.29 |
United Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $416.87 Typical High $851.14 | Professional | TC · Technical part | $295.12 | $416.87 | $851.14 |
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 $323.59 Median $323.59 Typical High $338.84 | Professional | 52 · Reduced service | $323.59 | $323.59 | $338.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $131.83 Median $131.83 Typical High $134.90 | Professional | 53 · Discontinued | $131.83 | $131.83 | $134.90 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $263.03 Median $436.52 Typical High $954.99 | Professional | 51 · Multiple procedures | $263.03 | $436.52 | $954.99 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $104.71 Median $173.78 Typical High $380.19 | Professional | 80 · Assistant surgeon | $104.71 | $173.78 | $380.19 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $74.13 Median $120.23 Typical High $269.15 | Professional | 81 · Minimal assistant surgeon | $74.13 | $120.23 | $269.15 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $74.13 Median $120.23 Typical High $269.15 | Professional | 82 · Assistant surgeon, no resident | $74.13 | $120.23 | $269.15 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $74.13 Median $120.23 Typical High $269.15 | Professional | AS · PA/NP assist | $74.13 | $120.23 | $269.15 |
Where North Carolina sits
The same service costs 7.1 times more in Texas 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· 32nd of 51
$1,023
TX $3,981HI $562
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.