How much rates vary
Facilitymedian $107 · 10th to 90th $79 to $427Professionalmedian $117 · 10th to 90th $79 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 Facility Modifier 26 · Professional part Typical Low $12.02 Median $12.30 Typical High $19.05 | Facility | 26 · Professional part | $12.02 | $12.30 | $19.05 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $67.61 Median $69.18 Typical High $112.20 | Facility | TC · Technical part | $67.61 | $69.18 | $112.20 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $12.02 Typical High $19.95 | Professional | 26 · Professional part | $11.75 | $12.02 | $19.95 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $69.18 Typical High $138.04 | Professional | TC · Technical part | $67.61 | $69.18 | $138.04 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $18.20 Typical High $22.39 | Professional | 26 · Professional part | $12.02 | $18.20 | $22.39 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $23.44 Typical High $43.65 | Professional | 26 · Professional part | $11.22 | $23.44 | $43.65 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $114.82 Typical High $257.04 | Professional | TC · Technical part | $66.07 | $114.82 | $257.04 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $15.14 Typical High $26.30 | Professional | 26 · Professional part | $12.30 | $15.14 | $26.30 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $104.71 Typical High $154.88 | Professional | TC · Technical part | $79.43 | $104.71 | $154.88 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $19.05 Typical High $27.54 | Professional | 26 · Professional part | $12.88 | $19.05 | $27.54 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $112.20 Typical High $165.96 | Professional | TC · Technical part | $83.18 | $112.20 | $165.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $13.49 Typical High $29.51 | Professional | 26 · Professional part | $11.22 | $13.49 | $29.51 |
United Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $97.72 Typical High $173.78 | Professional | TC · Technical part | $69.18 | $97.72 | $173.78 |
19 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 $79.43 Median $81.28 Typical High $131.83 | Facility | None | $79.43 | $81.28 | $131.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $79.43 Median $81.28 Typical High $158.49 | Professional | None (both parts) | $79.43 | $81.28 | $158.49 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $39.81 Median $39.81 Typical High $42.66 | Professional | 52 · Reduced service | $39.81 | $39.81 | $42.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $15.85 Typical High $16.98 | Professional | 53 · Discontinued | $15.85 | $15.85 | $16.98 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $61.66 Median $104.71 Typical High $144.54 | Professional | None (both parts) | $61.66 | $104.71 | $144.54 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | 59 · Distinct service | $61.66 | $61.66 | $61.66 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | None (both parts) | $32.36 | $32.36 | $32.36 |
Cigna Setting Facility Modifier None Typical Low $107.15 Median $269.15 Typical High $426.58 | Facility | None | $107.15 | $269.15 | $426.58 |
Cigna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $117.49 Typical High $181.97 | Professional | None (both parts) | $93.33 | $117.49 | $181.97 |
Medcost Setting Professional Modifier None Typical Low $123.03 Median $123.03 Typical High $162.18 | Professional | None | $123.03 | $123.03 | $162.18 |
Medcost Setting Facility Modifier None Typical Low $79.43 Median $79.43 Typical High $93.33 | Facility | None | $79.43 | $79.43 | $93.33 |
Medcost Setting Professional Modifier None (both parts) Typical Low $97.72 Median $117.49 Typical High $173.78 | Professional | None (both parts) | $97.72 | $117.49 | $173.78 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $58.88 Median $64.57 Typical High $114.82 | Professional | 51 · Multiple procedures | $58.88 | $64.57 | $114.82 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $23.99 Median $25.70 Typical High $46.77 | Professional | 80 · Assistant surgeon | $23.99 | $25.70 | $46.77 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $16.60 Median $18.20 Typical High $32.36 | Professional | 81 · Minimal assistant surgeon | $16.60 | $18.20 | $32.36 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $16.60 Median $18.20 Typical High $32.36 | Professional | 82 · Assistant surgeon, no resident | $16.60 | $18.20 | $32.36 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $16.60 Median $18.20 Typical High $32.36 | Professional | AS · PA/NP assist | $16.60 | $18.20 | $32.36 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $13.49 Median $83.18 Typical High $169.82 | Professional | None (both parts) | $13.49 | $83.18 | $169.82 |
United Setting Professional Modifier None (both parts) Typical Low $81.28 Median $109.65 Typical High $199.53 | Professional | None (both parts) | $81.28 | $109.65 | $199.53 |
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· 19th of 51
$117
AK $209UT $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.