How much rates vary
Facilitymedian $148 · 10th to 90th $117 to $589Professionalmedian $158 · 10th to 90th $115 to $251
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 $21.38 Median $22.39 Typical High $35.48 | Facility | 26 · Professional part | $21.38 | $22.39 | $35.48 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $95.50 Median $102.33 Typical High $147.91 | Facility | TC · Technical part | $95.50 | $102.33 | $147.91 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $21.38 Typical High $36.31 | Professional | 26 · Professional part | $21.38 | $21.38 | $36.31 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $95.50 Typical High $186.21 | Professional | TC · Technical part | $95.50 | $95.50 | $186.21 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $32.36 Typical High $39.81 | Professional | 26 · Professional part | $21.38 | $32.36 | $39.81 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $128.82 Typical High $162.18 | Professional | TC · Technical part | $75.86 | $128.82 | $162.18 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $51.29 Typical High $66.07 | Professional | 26 · Professional part | $34.67 | $51.29 | $66.07 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $186.21 Typical High $269.15 | Professional | TC · Technical part | $144.54 | $186.21 | $269.15 |
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 $107.15 Median $141.25 Typical High $213.80 | Professional | TC · Technical part | $107.15 | $141.25 | $213.80 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $35.48 Typical High $66.07 | Professional | 26 · Professional part | $23.99 | $35.48 | $66.07 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $147.91 Typical High $199.53 | Professional | TC · Technical part | $100.00 | $147.91 | $199.53 |
United Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $24.55 Typical High $52.48 | Professional | 26 · Professional part | $20.42 | $24.55 | $52.48 |
United Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $128.82 Typical High $234.42 | Professional | TC · Technical part | $93.33 | $128.82 | $234.42 |
20 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 $117.49 Median $125.89 Typical High $190.55 | Facility | None | $117.49 | $125.89 | $190.55 |
Aetna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $117.49 Typical High $218.78 | Professional | None (both parts) | $117.49 | $117.49 | $218.78 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $57.54 Median $57.54 Typical High $61.66 | Professional | 52 · Reduced service | $57.54 | $57.54 | $61.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $23.44 Typical High $24.55 | Professional | 53 · Discontinued | $23.44 | $23.44 | $24.55 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $87.10 Median $117.49 Typical High $204.17 | Professional | None (both parts) | $87.10 | $117.49 | $204.17 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | 59 · Distinct service | $87.10 | $87.10 | $87.10 |
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 $131.83 Median $380.19 Typical High $588.84 | Facility | None | $131.83 | $380.19 | $588.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $169.82 Typical High $257.04 | Professional | None (both parts) | $134.90 | $169.82 | $257.04 |
Medcost Setting Professional Modifier None Typical Low $190.55 Median $190.55 Typical High $234.42 | Professional | None | $190.55 | $190.55 | $234.42 |
Medcost Setting Facility Modifier None Typical Low $117.49 Median $117.49 Typical High $128.82 | Facility | None | $117.49 | $117.49 | $128.82 |
Medcost Setting Professional Modifier None (both parts) Typical Low $123.03 Median $169.82 Typical High $263.03 | Professional | None (both parts) | $123.03 | $169.82 | $263.03 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $61.66 Median $107.15 Typical High $165.96 | Professional | 51 · Multiple procedures | $61.66 | $107.15 | $165.96 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $24.55 Median $43.65 Typical High $66.07 | Professional | 80 · Assistant surgeon | $24.55 | $43.65 | $66.07 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $17.38 Median $30.20 Typical High $46.77 | Professional | 81 · Minimal assistant surgeon | $17.38 | $30.20 | $46.77 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $17.38 Median $30.20 Typical High $46.77 | Professional | 82 · Assistant surgeon, no resident | $17.38 | $30.20 | $46.77 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $17.38 Median $30.20 Typical High $46.77 | Professional | AS · PA/NP assist | $17.38 | $30.20 | $46.77 |
Oscar Health Setting Facility Modifier None Typical Low $3,630.78 Median $3,630.78 Typical High $3,630.78 | Facility | None | $3,630.78 | $3,630.78 | $3,630.78 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $22.91 Median $117.49 Typical High $229.09 | Professional | None (both parts) | $22.91 | $117.49 | $229.09 |
United Setting Professional Modifier None (both parts) Typical Low $114.82 Median $154.88 Typical High $275.42 | Professional | None (both parts) | $114.82 | $154.88 | $275.42 |
Where North Carolina sits
The same service costs 4.0 times more in Minnesota 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
$158
MN $380UT $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.