How much rates vary
Facilitymedian $166 · 10th to 90th $123 to $661Professionalmedian $182 · 10th to 90th $123 to $282
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 $21.88 Median $21.88 Typical High $31.62 | Facility | 26 · Professional part | $21.88 | $21.88 | $31.62 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $102.33 Median $102.33 Typical High $141.25 | Facility | TC · Technical part | $102.33 | $102.33 | $141.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $21.88 Typical High $33.88 | Professional | 26 · Professional part | $21.88 | $21.88 | $33.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $102.33 Typical High $199.53 | Professional | TC · Technical part | $102.33 | $102.33 | $199.53 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $21.88 Typical High $30.20 | Professional | 26 · Professional part | $17.38 | $21.88 | $30.20 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $41.69 Typical High $77.62 | Professional | 26 · Professional part | $20.42 | $41.69 | $77.62 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $151.36 Typical High $389.05 | Professional | TC · Technical part | $104.71 | $151.36 | $389.05 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $27.54 Typical High $46.77 | Professional | 26 · Professional part | $22.39 | $27.54 | $46.77 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $154.88 Typical High $234.42 | Professional | TC · Technical part | $120.23 | $154.88 | $234.42 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $34.67 Typical High $50.12 | Professional | 26 · Professional part | $23.44 | $34.67 | $50.12 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $173.78 Typical High $245.47 | Professional | TC · Technical part | $125.89 | $173.78 | $245.47 |
United Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $24.55 Typical High $53.70 | Professional | 26 · Professional part | $20.89 | $24.55 | $53.70 |
United Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $144.54 Typical High $263.03 | Professional | TC · Technical part | $104.71 | $144.54 | $263.03 |
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 $173.78 | Facility | None | $123.03 | $123.03 | $173.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $125.89 Typical High $239.88 | Professional | None (both parts) | $123.03 | $125.89 | $239.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $61.66 Median $61.66 Typical High $67.61 | Professional | 52 · Reduced service | $61.66 | $61.66 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $24.55 Typical High $26.92 | Professional | 53 · Discontinued | $24.55 | $24.55 | $26.92 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $100.00 Median $107.15 Typical High $208.93 | Professional | None (both parts) | $100.00 | $107.15 | $208.93 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | None (both parts) | $57.54 | $57.54 | $57.54 |
Cigna Setting Facility Modifier None Typical Low $165.96 Median $426.58 Typical High $660.69 | Facility | None | $165.96 | $426.58 | $660.69 |
Cigna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $181.97 Typical High $281.84 | Professional | None (both parts) | $151.36 | $181.97 | $281.84 |
Medcost Setting Professional Modifier None Typical Low $194.98 Median $194.98 Typical High $251.19 | Professional | None | $194.98 | $194.98 | $251.19 |
Medcost Setting Facility Modifier None Typical Low $123.03 Median $123.03 Typical High $147.91 | Facility | None | $123.03 | $123.03 | $147.91 |
Medcost Setting Professional Modifier None (both parts) Typical Low $151.36 Median $190.55 Typical High $269.15 | Professional | None (both parts) | $151.36 | $190.55 | $269.15 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $91.20 Median $104.71 Typical High $181.97 | Professional | 51 · Multiple procedures | $91.20 | $104.71 | $181.97 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $36.31 Median $41.69 Typical High $72.44 | Professional | 80 · Assistant surgeon | $36.31 | $41.69 | $72.44 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $25.70 Median $28.84 Typical High $50.12 | Professional | 81 · Minimal assistant surgeon | $25.70 | $28.84 | $50.12 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $25.70 Median $28.84 Typical High $50.12 | Professional | 82 · Assistant surgeon, no resident | $25.70 | $28.84 | $50.12 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $25.70 Median $28.84 Typical High $50.12 | Professional | AS · PA/NP assist | $25.70 | $28.84 | $50.12 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $25.12 Median $134.90 Typical High $269.15 | Professional | None (both parts) | $25.12 | $134.90 | $269.15 |
United Setting Professional Modifier None (both parts) Typical Low $125.89 Median $169.82 Typical High $316.23 | Professional | None (both parts) | $125.89 | $169.82 | $316.23 |
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· 20th of 51
$182
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.