How much rates vary
Facilitymedian $257 · 10th to 90th $151 to $832Professionalmedian $219 · 10th to 90th $151 to $347
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 $23.99 Median $23.99 Typical High $37.15 | Professional | 26 · Professional part | $23.99 | $23.99 | $37.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $128.82 Typical High $251.19 | Professional | TC · Technical part | $128.82 | $128.82 | $251.19 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $46.77 Typical High $85.11 | Professional | 26 · Professional part | $22.39 | $46.77 | $85.11 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $380.19 Typical High $501.19 | Professional | TC · Technical part | $131.83 | $380.19 | $501.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $30.90 Typical High $52.48 | Professional | 26 · Professional part | $25.12 | $30.90 | $52.48 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $190.55 Typical High $295.12 | Professional | TC · Technical part | $154.88 | $190.55 | $295.12 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $38.90 Typical High $52.48 | Professional | 26 · Professional part | $26.92 | $38.90 | $52.48 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $218.78 Typical High $302.00 | Professional | TC · Technical part | $158.49 | $218.78 | $302.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $27.54 Typical High $58.88 | Professional | 26 · Professional part | $23.44 | $27.54 | $58.88 |
United Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $181.97 Typical High $331.13 | Professional | TC · Technical part | $131.83 | $181.97 | $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 $151.36 Median $151.36 Typical High $346.74 | Facility | None | $151.36 | $151.36 | $346.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $151.36 Typical High $281.84 | Professional | None (both parts) | $151.36 | $151.36 | $281.84 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $75.86 Median $75.86 Typical High $81.28 | Professional | 52 · Reduced service | $75.86 | $75.86 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $30.90 Typical High $33.11 | Professional | 53 · Discontinued | $30.90 | $30.90 | $33.11 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $218.78 Median $275.42 Typical High $288.40 | Professional | None (both parts) | $218.78 | $275.42 | $288.40 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | None (both parts) | $64.57 | $64.57 | $64.57 |
Cigna Setting Facility Modifier None Typical Low $194.98 Median $524.81 Typical High $831.76 | Facility | None | $194.98 | $524.81 | $831.76 |
Cigna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $223.87 Typical High $346.74 | Professional | None (both parts) | $181.97 | $223.87 | $346.74 |
Medcost Setting Professional Modifier None Typical Low $239.88 Median $239.88 Typical High $309.03 | Professional | None | $239.88 | $239.88 | $309.03 |
Medcost Setting Facility Modifier None Typical Low $151.36 Median $151.36 Typical High $181.97 | Facility | None | $151.36 | $151.36 | $181.97 |
Medcost Setting Professional Modifier None (both parts) Typical Low $186.21 Median $223.87 Typical High $331.13 | Professional | None (both parts) | $186.21 | $223.87 | $331.13 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $112.20 Median $125.89 Typical High $223.87 | Professional | 51 · Multiple procedures | $112.20 | $125.89 | $223.87 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $44.67 Median $51.29 Typical High $89.13 | Professional | 80 · Assistant surgeon | $44.67 | $51.29 | $89.13 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $31.62 Median $35.48 Typical High $63.10 | Professional | 81 · Minimal assistant surgeon | $31.62 | $35.48 | $63.10 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $31.62 Median $35.48 Typical High $63.10 | Professional | 82 · Assistant surgeon, no resident | $31.62 | $35.48 | $63.10 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $31.62 Median $35.48 Typical High $63.10 | Professional | AS · PA/NP assist | $31.62 | $35.48 | $63.10 |
United Setting Professional Modifier None (both parts) Typical Low $154.88 Median $208.93 Typical High $389.05 | Professional | None (both parts) | $154.88 | $208.93 | $389.05 |
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
$219
AK $417UT $126
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.