How much rates vary
Facilitymedian $151 · 10th to 90th $120 to $603Professionalmedian $155 · 10th to 90th $115 to $263
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 $23.44 Median $23.44 Typical High $33.11 | Facility | 26 · Professional part | $23.44 | $23.44 | $33.11 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $97.72 Median $100.00 Typical High $147.91 | Facility | TC · Technical part | $97.72 | $100.00 | $147.91 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $23.44 Typical High $35.48 | Professional | 26 · Professional part | $20.89 | $23.44 | $35.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $97.72 Typical High $173.78 | Professional | TC · Technical part | $97.72 | $97.72 | $173.78 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $33.88 Typical High $70.79 | Professional | 26 · Professional part | $25.12 | $33.88 | $70.79 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $190.55 Typical High $275.42 | Professional | TC · Technical part | $144.54 | $190.55 | $275.42 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $21.38 Typical High $51.29 | Professional | 26 · Professional part | $15.49 | $21.38 | $51.29 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $144.54 Typical High $223.87 | Professional | TC · Technical part | $123.03 | $144.54 | $223.87 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $25.70 Typical High $46.77 | Professional | 26 · Professional part | $16.22 | $25.70 | $46.77 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $147.91 Typical High $213.80 | Professional | TC · Technical part | $100.00 | $147.91 | $213.80 |
United Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $24.55 Typical High $51.29 | Professional | 26 · Professional part | $14.79 | $24.55 | $51.29 |
United Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $141.25 Typical High $263.03 | Professional | TC · Technical part | $97.72 | $141.25 | $263.03 |
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 $120.23 Median $125.89 Typical High $173.78 | Facility | None | $120.23 | $125.89 | $173.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $120.23 Typical High $208.93 | Professional | None (both parts) | $120.23 | $120.23 | $208.93 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $60.26 Median $60.26 Typical High $64.57 | Professional | 52 · Reduced service | $60.26 | $60.26 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $23.99 Typical High $25.70 | Professional | 53 · Discontinued | $23.99 | $23.99 | $25.70 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $131.83 Median $169.82 Typical High $251.19 | Professional | None (both parts) | $131.83 | $169.82 | $251.19 |
BCBS North Carolina Setting Facility Modifier None Typical Low $223.87 Median $223.87 Typical High $269.15 | Facility | None | $223.87 | $223.87 | $269.15 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | None (both parts) | $39.81 | $39.81 | $39.81 |
Cigna Setting Facility Modifier None Typical Low $131.83 Median $389.05 Typical High $602.56 | Facility | None | $131.83 | $389.05 | $602.56 |
Cigna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $169.82 Typical High $269.15 | Professional | None (both parts) | $144.54 | $169.82 | $269.15 |
Medcost Setting Professional Modifier None Typical Low $177.83 Median $177.83 Typical High $245.47 | Professional | None | $177.83 | $177.83 | $245.47 |
Medcost Setting Facility Modifier None Typical Low $120.23 Median $120.23 Typical High $134.90 | Facility | None | $120.23 | $120.23 | $134.90 |
Medcost Setting Professional Modifier None (both parts) Typical Low $114.82 Median $165.96 Typical High $234.42 | Professional | None (both parts) | $114.82 | $165.96 | $234.42 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $57.54 Median $95.50 Typical High $177.83 | Professional | 51 · Multiple procedures | $57.54 | $95.50 | $177.83 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $22.91 Median $38.02 Typical High $70.79 | Professional | 80 · Assistant surgeon | $22.91 | $38.02 | $70.79 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $16.22 Median $26.92 Typical High $48.98 | Professional | 81 · Minimal assistant surgeon | $16.22 | $26.92 | $48.98 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $16.22 Median $26.92 Typical High $48.98 | Professional | 82 · Assistant surgeon, no resident | $16.22 | $26.92 | $48.98 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $16.22 Median $26.92 Typical High $48.98 | Professional | AS · PA/NP assist | $16.22 | $26.92 | $48.98 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $26.30 Median $123.03 Typical High $239.88 | Professional | None (both parts) | $26.30 | $123.03 | $239.88 |
United Setting Professional Modifier None (both parts) Typical Low $123.03 Median $162.18 Typical High $302.00 | Professional | None (both parts) | $123.03 | $162.18 | $302.00 |
Where North Carolina sits
The same service costs 3.2 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· 27th of 51
$155
AK $302UT $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.