How much rates vary
Facilitymedian $195 · 10th to 90th $129 to $759Professionalmedian $200 · 10th to 90th $120 to $331
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 $25.12 Median $25.12 Typical High $41.69 | Professional | 26 · Professional part | $25.12 | $25.12 | $41.69 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $102.33 Typical High $151.36 | Professional | TC · Technical part | $97.72 | $102.33 | $151.36 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $36.31 Typical High $36.31 | Professional | 26 · Professional part | $36.31 | $36.31 | $36.31 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $64.57 Typical High $93.33 | Professional | 26 · Professional part | $34.67 | $64.57 | $93.33 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $131.83 Typical High $223.87 | Professional | TC · Technical part | $61.66 | $131.83 | $223.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $36.31 Typical High $60.26 | Professional | 26 · Professional part | $28.84 | $36.31 | $60.26 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $177.83 Typical High $275.42 | Professional | TC · Technical part | $147.91 | $177.83 | $275.42 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $45.71 Typical High $57.54 | Professional | 26 · Professional part | $33.11 | $45.71 | $57.54 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $93.33 Typical High $223.87 | Professional | TC · Technical part | $63.10 | $93.33 | $223.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $33.88 Typical High $67.61 | Professional | 26 · Professional part | $25.12 | $33.88 | $67.61 |
United Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $173.78 Typical High $331.13 | Professional | TC · Technical part | $125.89 | $173.78 | $331.13 |
17 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 $128.82 Median $128.82 Typical High $128.82 | Facility | None | $128.82 | $128.82 | $128.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $128.82 Typical High $194.98 | Professional | None (both parts) | $120.23 | $128.82 | $194.98 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $64.57 Median $64.57 Typical High $67.61 | Professional | 52 · Reduced service | $64.57 | $64.57 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $25.70 Typical High $27.54 | Professional | 53 · Discontinued | $25.70 | $25.70 | $27.54 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | None (both parts) | $81.28 | $81.28 | $81.28 |
Cigna Setting Facility Modifier None Typical Low $131.83 Median $489.78 Typical High $758.58 | Facility | None | $131.83 | $489.78 | $758.58 |
Cigna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $213.80 Typical High $354.81 | Professional | None (both parts) | $181.97 | $213.80 | $354.81 |
Medcost Setting Professional Modifier None Typical Low $208.93 Median $208.93 Typical High $316.23 | Professional | None | $208.93 | $208.93 | $316.23 |
Medcost Setting Facility Modifier None Typical Low $128.82 Median $128.82 Typical High $158.49 | Facility | None | $128.82 | $128.82 | $158.49 |
Medcost Setting Professional Modifier None (both parts) Typical Low $95.50 Median $190.55 Typical High $295.12 | Professional | None (both parts) | $95.50 | $190.55 | $295.12 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $47.86 Median $114.82 Typical High $186.21 | Professional | 51 · Multiple procedures | $47.86 | $114.82 | $186.21 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $19.05 Median $45.71 Typical High $74.13 | Professional | 80 · Assistant surgeon | $19.05 | $45.71 | $74.13 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $13.49 Median $32.36 Typical High $52.48 | Professional | 81 · Minimal assistant surgeon | $13.49 | $32.36 | $52.48 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $13.49 Median $32.36 Typical High $52.48 | Professional | 82 · Assistant surgeon, no resident | $13.49 | $32.36 | $52.48 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $13.49 Median $32.36 Typical High $52.48 | Professional | AS · PA/NP assist | $13.49 | $32.36 | $52.48 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $40.74 Median $173.78 Typical High $338.84 | Professional | None (both parts) | $40.74 | $173.78 | $338.84 |
United Setting Professional Modifier None (both parts) Typical Low $151.36 Median $204.17 Typical High $389.05 | Professional | None (both parts) | $151.36 | $204.17 | $389.05 |
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· 22nd of 51
$200
AK $407UT $117
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.