How much rates vary
Facilitymedian $1,000 · 10th to 90th $427 to $12,303Professionalmedian $331 · 10th to 90th $162 to $631
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 $426.58 Median $2,454.71 Typical High $15,135.61 | Facility | None | $426.58 | $2,454.71 | $15,135.61 |
Aetna Setting Professional Modifier None (both parts) Typical Low $426.58 Median $426.58 Typical High $501.19 | Professional | None (both parts) | $426.58 | $426.58 | $501.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $173.78 Median $173.78 Typical High $204.17 | Professional | 26 · Professional part | $173.78 | $173.78 | $204.17 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $251.19 Typical High $269.15 | Professional | TC · Technical part | $251.19 | $251.19 | $269.15 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $162.18 Median $245.47 Typical High $602.56 | Professional | None (both parts) | $162.18 | $245.47 | $602.56 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $354.81 Median $354.81 Typical High $354.81 | Professional | 26 · Professional part | $354.81 | $354.81 | $354.81 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $288.40 Typical High $354.81 | Professional | TC · Technical part | $245.47 | $288.40 | $354.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $467.74 Median $549.54 Typical High $1,202.26 | Professional | None (both parts) | $467.74 | $549.54 | $1,202.26 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $186.21 Median $218.78 Typical High $489.78 | Professional | 26 · Professional part | $186.21 | $218.78 | $489.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $323.59 Typical High $724.44 | Professional | TC · Technical part | $281.84 | $323.59 | $724.44 |
Medcost Setting Facility Modifier None Typical Low $363.08 Median $363.08 Typical High $426.58 | Facility | None | $363.08 | $363.08 | $426.58 |
Medcost Setting Professional Modifier None (both parts) Typical Low $331.13 Median $489.78 Typical High $758.58 | Professional | None (both parts) | $331.13 | $489.78 | $758.58 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $162.18 Median $199.53 Typical High $257.04 | Professional | 26 · Professional part | $162.18 | $199.53 | $257.04 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $288.40 Typical High $436.52 | Professional | TC · Technical part | $234.42 | $288.40 | $436.52 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $190.55 Median $407.38 Typical High $812.83 | Professional | None (both parts) | $190.55 | $407.38 | $812.83 |
United Setting Facility Modifier None Typical Low $512.86 Median $891.25 Typical High $2,089.30 | Facility | None | $512.86 | $891.25 | $2,089.30 |
United Setting Professional Modifier None (both parts) Typical Low $416.87 Median $575.44 Typical High $1,047.13 | Professional | None (both parts) | $416.87 | $575.44 | $1,047.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $162.18 Median $229.09 Typical High $389.05 | Professional | 26 · Professional part | $162.18 | $229.09 | $389.05 |
United Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $338.84 Typical High $645.65 | Professional | TC · Technical part | $251.19 | $338.84 | $645.65 |
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 $213.80 Median $213.80 Typical High $213.80 | Professional | 52 · Reduced service | $213.80 | $213.80 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $85.11 Median $85.11 Typical High $87.10 | Professional | 53 · Discontinued | $85.11 | $85.11 | $87.10 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $162.18 Median $245.47 Typical High $426.58 | Professional | 51 · Multiple procedures | $162.18 | $245.47 | $426.58 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $66.07 Median $97.72 Typical High $169.82 | Professional | 80 · Assistant surgeon | $66.07 | $97.72 | $169.82 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $45.71 Median $69.18 Typical High $117.49 | Professional | 81 · Minimal assistant surgeon | $45.71 | $69.18 | $117.49 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $45.71 Median $69.18 Typical High $117.49 | Professional | 82 · Assistant surgeon, no resident | $45.71 | $69.18 | $117.49 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $45.71 Median $69.18 Typical High $117.49 | Professional | AS · PA/NP assist | $45.71 | $69.18 | $117.49 |
Where North Carolina sits
The same service costs 3.0 times more in Wisconsin than in North Carolina. 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· 51st of 51
$331
WI $1,000NC $331
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.