How much rates vary
Facilitymedian $191 · 10th to 90th $123 to $603Professionalmedian $162 · 10th to 90th $123 to $263
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 $22.39 Median $23.99 Typical High $36.31 | Professional | 26 · Professional part | $22.39 | $23.99 | $36.31 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $97.72 Typical High $181.97 | Professional | TC · Technical part | $97.72 | $97.72 | $181.97 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $46.77 Typical High $72.44 | Professional | 26 · Professional part | $32.36 | $46.77 | $72.44 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $288.40 Typical High $380.19 | Professional | TC · Technical part | $181.97 | $288.40 | $380.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $25.70 Typical High $52.48 | Professional | 26 · Professional part | $19.95 | $25.70 | $52.48 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $141.25 Typical High $218.78 | Professional | TC · Technical part | $109.65 | $141.25 | $218.78 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $33.88 Typical High $46.77 | Professional | 26 · Professional part | $21.38 | $33.88 | $46.77 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $162.18 Typical High $218.78 | Professional | TC · Technical part | $125.89 | $162.18 | $218.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $25.70 Typical High $52.48 | Professional | 26 · Professional part | $19.05 | $25.70 | $52.48 |
United Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $138.04 Typical High $245.47 | Professional | TC · Technical part | $97.72 | $138.04 | $245.47 |
18 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 $123.03 Median $123.03 Typical High $251.19 | Facility | None | $123.03 | $123.03 | $251.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $123.03 Typical High $218.78 | Professional | None (both parts) | $123.03 | $123.03 | $218.78 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $61.66 Median $61.66 Typical High $64.57 | Professional | 52 · Reduced service | $61.66 | $61.66 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $24.55 Typical High $25.70 | Professional | 53 · Discontinued | $24.55 | $24.55 | $25.70 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $251.19 Median $251.19 Typical High $251.19 | Professional | None (both parts) | $251.19 | $251.19 | $251.19 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | None (both parts) | $52.48 | $52.48 | $52.48 |
Cigna Setting Facility Modifier None Typical Low $131.83 Median $389.05 Typical High $602.56 | Facility | None | $131.83 | $389.05 | $602.56 |
Cigna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $169.82 Typical High $269.15 | Professional | None (both parts) | $141.25 | $169.82 | $269.15 |
Medcost Setting Professional Modifier None Typical Low $190.55 Median $190.55 Typical High $251.19 | Professional | None | $190.55 | $190.55 | $251.19 |
Medcost Setting Facility Modifier None Typical Low $123.03 Median $123.03 Typical High $138.04 | Facility | None | $123.03 | $123.03 | $138.04 |
Medcost Setting Professional Modifier None (both parts) Typical Low $147.91 Median $169.82 Typical High $234.42 | Professional | None (both parts) | $147.91 | $169.82 | $234.42 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $81.28 Median $102.33 Typical High $173.78 | Professional | 51 · Multiple procedures | $81.28 | $102.33 | $173.78 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $32.36 Median $40.74 Typical High $70.79 | Professional | 80 · Assistant surgeon | $32.36 | $40.74 | $70.79 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $22.91 Median $28.84 Typical High $48.98 | Professional | 81 · Minimal assistant surgeon | $22.91 | $28.84 | $48.98 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $22.91 Median $28.84 Typical High $48.98 | Professional | 82 · Assistant surgeon, no resident | $22.91 | $28.84 | $48.98 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $22.91 Median $28.84 Typical High $48.98 | Professional | AS · PA/NP assist | $22.91 | $28.84 | $48.98 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $27.54 Median $125.89 Typical High $245.47 | Professional | None (both parts) | $27.54 | $125.89 | $245.47 |
United Setting Professional Modifier None (both parts) Typical Low $123.03 Median $165.96 Typical High $295.12 | Professional | None (both parts) | $123.03 | $165.96 | $295.12 |
Where North Carolina sits
The same service costs 3.3 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· 26th of 51
$162
AK $316UT $95.50
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.