How much rates vary
Facilitymedian $4,786 · 10th to 90th $1,380 to $12,882Professionalmedian $1,318 · 10th to 90th $794 to $2,042
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 $794.33 Median $1,288.25 Typical High $12,882.50 | Facility | None | $794.33 | $1,288.25 | $12,882.50 |
Aetna Setting Professional Modifier None (both parts) Typical Low $794.33 Median $794.33 Typical High $1,862.09 | Professional | None (both parts) | $794.33 | $794.33 | $1,862.09 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $602.56 Median $602.56 Typical High $933.25 | Professional | 26 · Professional part | $602.56 | $602.56 | $933.25 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $194.98 Typical High $316.23 | Professional | TC · Technical part | $194.98 | $194.98 | $316.23 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $831.76 Median $831.76 Typical High $1,047.13 | Professional | 26 · Professional part | $831.76 | $831.76 | $1,047.13 |
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 $831.76 Median $1,412.54 Typical High $1,862.09 | Professional | None (both parts) | $831.76 | $1,412.54 | $1,862.09 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $1,258.93 Median $1,258.93 Typical High $1,258.93 | Professional | 26 · Professional part | $1,258.93 | $1,258.93 | $1,258.93 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $758.58 Median $1,318.26 Typical High $1,318.26 | Professional | TC · Technical part | $758.58 | $1,318.26 | $1,318.26 |
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 $912.01 Median $1,202.26 Typical High $2,290.87 | Professional | None (both parts) | $912.01 | $1,202.26 | $2,290.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $676.08 Median $912.01 Typical High $1,737.80 | Professional | 26 · Professional part | $676.08 | $912.01 | $1,737.80 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $371.54 Typical High $616.60 | Professional | TC · Technical part | $218.78 | $371.54 | $616.60 |
Medcost Setting Facility Modifier None Typical Low $912.01 Median $2,630.27 Typical High $15,488.17 | Facility | None | $912.01 | $2,630.27 | $15,488.17 |
Medcost Setting Professional Modifier None (both parts) Typical Low $630.96 Median $1,288.25 Typical High $1,862.09 | Professional | None (both parts) | $630.96 | $1,288.25 | $1,862.09 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $660.69 Median $1,000.00 Typical High $1,288.25 | Professional | 26 · Professional part | $660.69 | $1,000.00 | $1,288.25 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $338.84 Typical High $524.81 | Professional | TC · Technical part | $213.80 | $338.84 | $524.81 |
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 $954.99 Median $1,348.96 Typical High $2,818.38 | Professional | None (both parts) | $954.99 | $1,348.96 | $2,818.38 |
United Setting Professional Modifier 26 · Professional part Typical Low $630.96 Median $891.25 Typical High $1,659.59 | Professional | 26 · Professional part | $630.96 | $891.25 | $1,659.59 |
United Setting Professional Modifier TC · Technical part Typical Low $331.13 Median $478.63 Typical High $1,071.52 | Professional | TC · Technical part | $331.13 | $478.63 | $1,071.52 |
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 $398.11 Median $398.11 Typical High $416.87 | Professional | 52 · Reduced service | $398.11 | $398.11 | $416.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $162.18 Median $162.18 Typical High $165.96 | Professional | 53 · Discontinued | $162.18 | $162.18 | $165.96 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $316.23 Median $758.58 Typical High $1,174.90 | Professional | 51 · Multiple procedures | $316.23 | $758.58 | $1,174.90 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $125.89 Median $302.00 Typical High $467.74 | Professional | 80 · Assistant surgeon | $125.89 | $302.00 | $467.74 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $89.13 Median $213.80 Typical High $331.13 | Professional | 81 · Minimal assistant surgeon | $89.13 | $213.80 | $331.13 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $89.13 Median $213.80 Typical High $331.13 | Professional | 82 · Assistant surgeon, no resident | $89.13 | $213.80 | $331.13 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $89.13 Median $213.80 Typical High $331.13 | Professional | AS · PA/NP assist | $89.13 | $213.80 | $331.13 |
Where North Carolina sits
The same service costs 5.2 times more in Louisiana than in New York. 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· 27th of 51
$1,514
LA $4,677NY $891
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.