How much rates vary
Facilitymedian $166 · 10th to 90th $126 to $724Professionalmedian $178 · 10th to 90th $126 to $309
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 $22.91 Median $24.55 Typical High $32.36 | Facility | 26 · Professional part | $22.91 | $24.55 | $32.36 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $102.33 Median $112.20 Typical High $147.91 | Facility | TC · Technical part | $102.33 | $112.20 | $147.91 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $22.91 Typical High $36.31 | Professional | 26 · Professional part | $21.38 | $22.91 | $36.31 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $102.33 Typical High $204.17 | Professional | TC · Technical part | $102.33 | $102.33 | $204.17 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $35.48 Typical High $42.66 | Professional | 26 · Professional part | $23.44 | $35.48 | $42.66 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $45.71 Typical High $70.79 | Professional | 26 · Professional part | $31.62 | $45.71 | $70.79 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $190.55 Typical High $288.40 | Professional | TC · Technical part | $147.91 | $190.55 | $288.40 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $25.12 Typical High $51.29 | Professional | 26 · Professional part | $19.50 | $25.12 | $51.29 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $165.96 Typical High $257.04 | Professional | TC · Technical part | $131.83 | $165.96 | $257.04 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $33.11 Typical High $51.29 | Professional | 26 · Professional part | $20.89 | $33.11 | $51.29 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $147.91 Typical High $223.87 | Professional | TC · Technical part | $100.00 | $147.91 | $223.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $25.12 Typical High $57.54 | Professional | 26 · Professional part | $18.20 | $25.12 | $57.54 |
United Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $169.82 Typical High $281.84 | Professional | TC · Technical part | $120.23 | $169.82 | $281.84 |
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 $125.89 Median $134.90 Typical High $181.97 | Facility | None | $125.89 | $134.90 | $181.97 |
Aetna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $125.89 Typical High $245.47 | Professional | None (both parts) | $125.89 | $125.89 | $245.47 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $63.10 Median $63.10 Typical High $69.18 | Professional | 52 · Reduced service | $63.10 | $63.10 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $25.12 Typical High $27.54 | Professional | 53 · Discontinued | $25.12 | $25.12 | $27.54 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $89.13 Median $162.18 Typical High $229.09 | Professional | None (both parts) | $89.13 | $162.18 | $229.09 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | None (both parts) | $50.12 | $50.12 | $50.12 |
Cigna Setting Facility Modifier None Typical Low $131.83 Median $467.74 Typical High $724.44 | Facility | None | $131.83 | $467.74 | $724.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $194.98 Typical High $309.03 | Professional | None (both parts) | $158.49 | $194.98 | $309.03 |
Medcost Setting Professional Modifier None Typical Low $218.78 Median $218.78 Typical High $281.84 | Professional | None | $218.78 | $218.78 | $281.84 |
Medcost Setting Facility Modifier None Typical Low $125.89 Median $125.89 Typical High $144.54 | Facility | None | $125.89 | $125.89 | $144.54 |
Medcost Setting Professional Modifier None (both parts) Typical Low $120.23 Median $173.78 Typical High $281.84 | Professional | None (both parts) | $120.23 | $173.78 | $281.84 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $60.26 Median $114.82 Typical High $181.97 | Professional | 51 · Multiple procedures | $60.26 | $114.82 | $181.97 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $23.99 Median $45.71 Typical High $74.13 | Professional | 80 · Assistant surgeon | $23.99 | $45.71 | $74.13 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $16.60 Median $32.36 Typical High $51.29 | Professional | 81 · Minimal assistant surgeon | $16.60 | $32.36 | $51.29 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $16.60 Median $32.36 Typical High $51.29 | Professional | 82 · Assistant surgeon, no resident | $16.60 | $32.36 | $51.29 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $16.60 Median $32.36 Typical High $51.29 | Professional | AS · PA/NP assist | $16.60 | $32.36 | $51.29 |
United Setting Professional Modifier None (both parts) Typical Low $144.54 Median $190.55 Typical High $338.84 | Professional | None (both parts) | $144.54 | $190.55 | $338.84 |
Where North Carolina sits
The same service costs 3.7 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
$178
AK $355UT $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.