How much rates vary
Facilitymedian $347 · 10th to 90th $257 to $1,259Professionalmedian $363 · 10th to 90th $251 to $589
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 $54.95 Median $66.07 Typical High $138.04 | Facility | 26 · Professional part | $54.95 | $66.07 | $138.04 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $204.17 Median $229.09 Typical High $316.23 | Facility | TC · Technical part | $204.17 | $229.09 | $316.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $54.95 Typical High $123.03 | Professional | 26 · Professional part | $54.95 | $54.95 | $123.03 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $204.17 Typical High $371.54 | Professional | TC · Technical part | $194.98 | $204.17 | $371.54 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $85.11 Typical High $112.20 | Professional | 26 · Professional part | $54.95 | $85.11 | $112.20 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $190.55 Typical High $223.87 | Professional | 26 · Professional part | $117.49 | $190.55 | $223.87 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $302.00 Typical High $575.44 | Professional | TC · Technical part | $239.88 | $302.00 | $575.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $102.33 Typical High $138.04 | Professional | 26 · Professional part | $66.07 | $102.33 | $138.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $288.40 Typical High $446.68 | Professional | TC · Technical part | $239.88 | $288.40 | $446.68 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $114.82 Typical High $158.49 | Professional | 26 · Professional part | $89.13 | $114.82 | $158.49 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $234.42 Typical High $407.38 | Professional | TC · Technical part | $158.49 | $234.42 | $407.38 |
United Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $85.11 Typical High $151.36 | Professional | 26 · Professional part | $56.23 | $85.11 | $151.36 |
United Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $281.84 Typical High $512.86 | Professional | TC · Technical part | $208.93 | $281.84 | $512.86 |
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 $257.04 Median $309.03 Typical High $398.11 | Facility | None | $257.04 | $309.03 | $398.11 |
Aetna Setting Professional Modifier None (both parts) Typical Low $257.04 Median $257.04 Typical High $489.78 | Professional | None (both parts) | $257.04 | $257.04 | $489.78 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $128.82 Median $128.82 Typical High $138.04 | Professional | 52 · Reduced service | $128.82 | $128.82 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $51.29 Typical High $54.95 | Professional | 53 · Discontinued | $51.29 | $51.29 | $54.95 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $194.98 Median $263.03 Typical High $489.78 | Professional | None (both parts) | $194.98 | $263.03 | $489.78 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $229.09 Median $229.09 Typical High $229.09 | Professional | None (both parts) | $229.09 | $229.09 | $229.09 |
Cigna Setting Facility Modifier None Typical Low $295.12 Median $794.33 Typical High $1,258.93 | Facility | None | $295.12 | $794.33 | $1,258.93 |
Cigna Setting Professional Modifier None (both parts) Typical Low $331.13 Median $389.05 Typical High $602.56 | Professional | None (both parts) | $331.13 | $389.05 | $602.56 |
Medcost Setting Professional Modifier None Typical Low $426.58 Median $426.58 Typical High $524.81 | Professional | None | $426.58 | $426.58 | $524.81 |
Medcost Setting Facility Modifier None Typical Low $257.04 Median $257.04 Typical High $288.40 | Facility | None | $257.04 | $257.04 | $288.40 |
Medcost Setting Professional Modifier None (both parts) Typical Low $251.19 Median $338.84 Typical High $549.54 | Professional | None (both parts) | $251.19 | $338.84 | $549.54 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $125.89 Median $181.97 Typical High $380.19 | Professional | 51 · Multiple procedures | $125.89 | $181.97 | $380.19 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $50.12 Median $72.44 Typical High $151.36 | Professional | 80 · Assistant surgeon | $50.12 | $72.44 | $151.36 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $35.48 Median $50.12 Typical High $107.15 | Professional | 81 · Minimal assistant surgeon | $35.48 | $50.12 | $107.15 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $35.48 Median $50.12 Typical High $107.15 | Professional | 82 · Assistant surgeon, no resident | $35.48 | $50.12 | $107.15 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $35.48 Median $50.12 Typical High $107.15 | Professional | AS · PA/NP assist | $35.48 | $50.12 | $107.15 |
Oscar Health Setting Facility Modifier None Typical Low $2,951.21 Median $2,951.21 Typical High $2,951.21 | Facility | None | $2,951.21 | $2,951.21 | $2,951.21 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $60.26 Median $263.03 Typical High $512.86 | Professional | None (both parts) | $60.26 | $263.03 | $512.86 |
United Setting Professional Modifier None (both parts) Typical Low $263.03 Median $371.54 Typical High $676.08 | Professional | None (both parts) | $263.03 | $371.54 | $676.08 |
Where North Carolina sits
The same service costs 3.3 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· 19th of 51
$363
MN $676UT $204
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.