How much rates vary
Facilitymedian $741 · 10th to 90th $191 to $1,995Professionalmedian $331 · 10th to 90th $191 to $447
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 Professional Modifier 26 · Professional part Typical Low $141.25 Median $141.25 Typical High $147.91 | Professional | 26 · Professional part | $141.25 | $141.25 | $147.91 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $48.98 Typical High $51.29 | Professional | TC · Technical part | $48.98 | $48.98 | $51.29 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $134.90 Median $213.80 Typical High $537.03 | Professional | 26 · Professional part | $134.90 | $213.80 | $537.03 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $74.13 Typical High $257.04 | Professional | TC · Technical part | $46.77 | $74.13 | $257.04 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $199.53 Median $213.80 Typical High $436.52 | Professional | 26 · Professional part | $199.53 | $213.80 | $436.52 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $114.82 Typical High $165.96 | Professional | TC · Technical part | $69.18 | $114.82 | $165.96 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $134.90 Median $223.87 Typical High $223.87 | Professional | 26 · Professional part | $134.90 | $223.87 | $223.87 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $120.23 Typical High $120.23 | Professional | TC · Technical part | $46.77 | $120.23 | $120.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $138.04 Median $213.80 Typical High $371.54 | Professional | 26 · Professional part | $138.04 | $213.80 | $371.54 |
United Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $97.72 Typical High $165.96 | Professional | TC · Technical part | $47.86 | $97.72 | $165.96 |
15 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 Facility Modifier None Typical Low $190.55 Median $190.55 Typical High $190.55 | Facility | None | $190.55 | $190.55 | $190.55 |
Aetna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $190.55 Typical High $194.98 | Professional | None (both parts) | $190.55 | $190.55 | $194.98 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $95.50 Median $95.50 Typical High $97.72 | Professional | 52 · Reduced service | $95.50 | $95.50 | $97.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $38.02 Typical High $38.90 | Professional | 53 · Discontinued | $38.02 | $38.02 | $38.90 |
Cigna Setting Professional Modifier None (both parts) Typical Low $275.42 Median $331.13 Typical High $616.60 | Professional | None (both parts) | $275.42 | $331.13 | $616.60 |
Medcost Setting Facility Modifier None Typical Low $190.55 Median $190.55 Typical High $218.78 | Facility | None | $190.55 | $190.55 | $218.78 |
Medcost Setting Professional Modifier None (both parts) Typical Low $147.91 Median $346.74 Typical High $346.74 | Professional | None (both parts) | $147.91 | $346.74 | $346.74 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $74.13 Median $169.82 Typical High $169.82 | Professional | 51 · Multiple procedures | $74.13 | $169.82 | $169.82 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $29.51 Median $69.18 Typical High $69.18 | Professional | 80 · Assistant surgeon | $29.51 | $69.18 | $69.18 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $20.89 Median $47.86 Typical High $47.86 | Professional | 81 · Minimal assistant surgeon | $20.89 | $47.86 | $47.86 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $20.89 Median $47.86 Typical High $47.86 | Professional | 82 · Assistant surgeon, no resident | $20.89 | $47.86 | $47.86 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $20.89 Median $47.86 Typical High $47.86 | Professional | AS · PA/NP assist | $20.89 | $47.86 | $47.86 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $54.95 Median $194.98 Typical High $380.19 | Professional | None (both parts) | $54.95 | $194.98 | $380.19 |
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 $190.55 Median $309.03 Typical High $524.81 | Professional | None (both parts) | $190.55 | $309.03 | $524.81 |
Where North Carolina sits
The same service costs 3.5 times more in Alaska than in Utah. 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· 14th of 51
$331
AK $468UT $132
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.