How much rates vary
Facilitymedian $741 · 10th to 90th $95 to $1,995Professionalmedian $102 · 10th to 90th $81 to $182
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 $61.66 Median $61.66 Typical High $64.57 | Professional | 26 · Professional part | $61.66 | $61.66 | $64.57 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $33.88 Typical High $35.48 | Professional | TC · Technical part | $33.88 | $33.88 | $35.48 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $54.95 Typical High $208.93 | Professional | 26 · Professional part | $38.90 | $54.95 | $208.93 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $50.12 Typical High $117.49 | Professional | TC · Technical part | $36.31 | $50.12 | $117.49 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $107.15 Typical High $169.82 | Professional | 26 · Professional part | $67.61 | $107.15 | $169.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $57.54 Typical High $91.20 | Professional | TC · Technical part | $36.31 | $57.54 | $91.20 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $74.13 Typical High $74.13 | Professional | 26 · Professional part | $63.10 | $74.13 | $74.13 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $39.81 Typical High $39.81 | Professional | TC · Technical part | $33.88 | $39.81 | $39.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $57.54 Typical High $112.20 | Professional | 26 · Professional part | $30.90 | $57.54 | $112.20 |
United Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $38.90 Typical High $85.11 | Professional | TC · Technical part | $33.11 | $38.90 | $85.11 |
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 $95.50 Median $95.50 Typical High $177.83 | Facility | None | $95.50 | $95.50 | $177.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $95.50 Typical High $100.00 | Professional | None (both parts) | $95.50 | $95.50 | $100.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $14.45 Median $14.45 Typical High $15.14 | Professional | 55 · Aftercare only | $14.45 | $14.45 | $15.14 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.55 Median $9.55 Typical High $10.00 | Professional | 56 · Pre-op care only | $9.55 | $9.55 | $10.00 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $79.43 Median $141.25 Typical High $239.88 | Professional | None (both parts) | $79.43 | $141.25 | $239.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $162.18 Typical High $263.03 | Professional | None (both parts) | $104.71 | $162.18 | $263.03 |
Medcost Setting Facility Modifier None Typical Low $89.13 Median $89.13 Typical High $95.50 | Facility | None | $89.13 | $89.13 | $95.50 |
Medcost Setting Professional Modifier None (both parts) Typical Low $79.43 Median $112.20 Typical High $112.20 | Professional | None (both parts) | $79.43 | $112.20 | $112.20 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $39.81 Median $56.23 Typical High $56.23 | Professional | 51 · Multiple procedures | $39.81 | $56.23 | $56.23 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $15.85 Median $22.39 Typical High $22.39 | Professional | 80 · Assistant surgeon | $15.85 | $22.39 | $22.39 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $11.22 Median $15.85 Typical High $15.85 | Professional | 81 · Minimal assistant surgeon | $11.22 | $15.85 | $15.85 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $11.22 Median $15.85 Typical High $15.85 | Professional | 82 · Assistant surgeon, no resident | $11.22 | $15.85 | $15.85 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $11.22 Median $15.85 Typical High $15.85 | Professional | AS · PA/NP assist | $11.22 | $15.85 | $15.85 |
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 $70.79 Median $95.50 Typical High $208.93 | Professional | None (both parts) | $70.79 | $95.50 | $208.93 |
Where North Carolina sits
The same service costs 4.4 times more in Minnesota than in Alabama. 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
$102
MN $275AL $63.10
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.