How much rates vary
Facilitymedian $219 · 10th to 90th $81 to $2,455Professionalmedian $355 · 10th to 90th $219 to $1,096
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 $218.78 Median $1,995.26 Typical High $15,135.61 | Facility | None | $218.78 | $1,995.26 | $15,135.61 |
Aetna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $218.78 Typical High $1,288.25 | Professional | None (both parts) | $218.78 | $218.78 | $1,288.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $165.96 Median $165.96 Typical High $275.42 | Professional | 26 · Professional part | $165.96 | $165.96 | $275.42 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $53.70 Typical High $85.11 | Professional | TC · Technical part | $53.70 | $53.70 | $85.11 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | 26 · Professional part | $295.12 | $295.12 | $295.12 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $223.87 Median $371.54 Typical High $512.86 | Professional | None (both parts) | $223.87 | $371.54 | $512.86 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $338.84 Median $338.84 Typical High $338.84 | Professional | 26 · Professional part | $338.84 | $338.84 | $338.84 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $323.59 Typical High $323.59 | Professional | TC · Technical part | $141.25 | $323.59 | $323.59 |
Cigna Setting Professional Modifier None (both parts) Typical Low $245.47 Median $331.13 Typical High $630.96 | Professional | None (both parts) | $245.47 | $331.13 | $630.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $177.83 Median $245.47 Typical High $478.63 | Professional | 26 · Professional part | $177.83 | $245.47 | $478.63 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $102.33 Typical High $169.82 | Professional | TC · Technical part | $60.26 | $102.33 | $169.82 |
Medcost Setting Facility Modifier None Typical Low $218.78 Median $263.03 Typical High $3,090.30 | Facility | None | $218.78 | $263.03 | $3,090.30 |
Medcost Setting Professional Modifier None (both parts) Typical Low $169.82 Median $354.81 Typical High $3,162.28 | Professional | None (both parts) | $169.82 | $354.81 | $3,162.28 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $173.78 Median $223.87 Typical High $371.54 | Professional | 26 · Professional part | $173.78 | $223.87 | $371.54 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $87.10 Typical High $107.15 | Professional | TC · Technical part | $50.12 | $87.10 | $107.15 |
United Setting Facility Modifier None Typical Low $77.62 Median $165.96 Typical High $1,096.48 | Facility | None | $77.62 | $165.96 | $1,096.48 |
United Setting Professional Modifier None (both parts) Typical Low $229.09 Median $616.60 Typical High $3,467.37 | Professional | None (both parts) | $229.09 | $616.60 | $3,467.37 |
United Setting Professional Modifier 26 · Professional part Typical Low $169.82 Median $281.84 Typical High $457.09 | Professional | 26 · Professional part | $169.82 | $281.84 | $457.09 |
United Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $186.21 Typical High $3,162.28 | Professional | TC · Technical part | $54.95 | $186.21 | $3,162.28 |
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 $109.65 Median $109.65 Typical High $114.82 | Professional | 52 · Reduced service | $109.65 | $109.65 | $114.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $43.65 Typical High $45.71 | Professional | 53 · Discontinued | $43.65 | $43.65 | $45.71 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $85.11 Median $323.59 Typical High $1,584.89 | Professional | 51 · Multiple procedures | $85.11 | $323.59 | $1,584.89 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $33.88 Median $128.82 Typical High $630.96 | Professional | 80 · Assistant surgeon | $33.88 | $128.82 | $630.96 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $23.99 Median $89.13 Typical High $446.68 | Professional | 81 · Minimal assistant surgeon | $23.99 | $89.13 | $446.68 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $23.99 Median $89.13 Typical High $446.68 | Professional | 82 · Assistant surgeon, no resident | $23.99 | $89.13 | $446.68 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $23.99 Median $89.13 Typical High $446.68 | Professional | AS · PA/NP assist | $23.99 | $89.13 | $446.68 |
Where North Carolina sits
The same service costs 4.6 times more in Wisconsin than in Maryland. 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· 26th of 51
$355
WI $1,047MD $229
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.