How much rates vary
Facilitymedian $282 · 10th to 90th $282 to $282Professionalmedian $347 · 10th to 90th $269 to $631
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $234.42 Median $234.42 Typical High $239.88 | Professional | 26 · Professional part | $234.42 | $234.42 | $239.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | TC · Technical part | $44.67 | $44.67 | $44.67 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $223.87 Median $338.84 Typical High $812.83 | Professional | 26 · Professional part | $223.87 | $338.84 | $812.83 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $66.07 Typical High $109.65 | Professional | TC · Technical part | $43.65 | $66.07 | $109.65 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $257.04 Median $302.00 Typical High $676.08 | Professional | 26 · Professional part | $257.04 | $302.00 | $676.08 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $112.20 Typical High $158.49 | Professional | TC · Technical part | $45.71 | $112.20 | $158.49 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $223.87 Median $275.42 Typical High $331.13 | Professional | 26 · Professional part | $223.87 | $275.42 | $331.13 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $51.29 Typical High $199.53 | Professional | TC · Technical part | $42.66 | $51.29 | $199.53 |
United Setting Professional Modifier 26 · Professional part Typical Low $223.87 Median $269.15 Typical High $512.86 | Professional | 26 · Professional part | $223.87 | $269.15 | $512.86 |
United Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $56.23 Typical High $134.90 | Professional | TC · Technical part | $30.90 | $56.23 | $134.90 |
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 $281.84 Median $281.84 Typical High $281.84 | Facility | None | $281.84 | $281.84 | $281.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $281.84 Median $281.84 Typical High $288.40 | Professional | None (both parts) | $281.84 | $281.84 | $288.40 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | 52 · Reduced service | $141.25 | $141.25 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $56.23 Typical High $56.23 | Professional | 53 · Discontinued | $56.23 | $56.23 | $56.23 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | None (both parts) | $79.43 | $79.43 | $79.43 |
Cigna Setting Professional Modifier None (both parts) Typical Low $331.13 Median $436.52 Typical High $776.25 | Professional | None (both parts) | $331.13 | $436.52 | $776.25 |
Medcost Setting Facility Modifier None Typical Low $281.84 Median $281.84 Typical High $316.23 | Facility | None | $281.84 | $281.84 | $316.23 |
Medcost Setting Professional Modifier None (both parts) Typical Low $218.78 Median $323.59 Typical High $630.96 | Professional | None (both parts) | $218.78 | $323.59 | $630.96 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $109.65 Median $162.18 Typical High $338.84 | Professional | 51 · Multiple procedures | $109.65 | $162.18 | $338.84 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $43.65 Median $64.57 Typical High $134.90 | Professional | 80 · Assistant surgeon | $43.65 | $64.57 | $134.90 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $30.90 Median $45.71 Typical High $95.50 | Professional | 81 · Minimal assistant surgeon | $30.90 | $45.71 | $95.50 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $30.90 Median $45.71 Typical High $95.50 | Professional | 82 · Assistant surgeon, no resident | $30.90 | $45.71 | $95.50 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $30.90 Median $45.71 Typical High $95.50 | Professional | AS · PA/NP assist | $30.90 | $45.71 | $95.50 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $51.29 Median $288.40 Typical High $562.34 | Professional | None (both parts) | $51.29 | $288.40 | $562.34 |
United Setting Professional Modifier None (both parts) Typical Low $263.03 Median $346.74 Typical High $676.08 | Professional | None (both parts) | $263.03 | $346.74 | $676.08 |
Where North Carolina sits
The same service costs 3.3 times more in Minnesota 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· 30th of 51
$347
MN $661UT $200
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.