How much rates vary
Facilitymedian $120 · 10th to 90th $89 to $355Professionalmedian $174 · 10th to 90th $112 to $316
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 $58.88 Median $58.88 Typical High $75.86 | Professional | 26 · Professional part | $58.88 | $58.88 | $75.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $54.95 Typical High $128.82 | Professional | TC · Technical part | $54.95 | $54.95 | $128.82 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $138.04 Typical High $173.78 | Professional | 26 · Professional part | $97.72 | $138.04 | $173.78 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $199.53 Typical High $275.42 | Professional | TC · Technical part | $134.90 | $199.53 | $275.42 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $75.86 Typical High $131.83 | Professional | 26 · Professional part | $61.66 | $75.86 | $131.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $104.71 Typical High $154.88 | Professional | TC · Technical part | $66.07 | $104.71 | $154.88 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $97.72 Typical High $120.23 | Professional | 26 · Professional part | $67.61 | $97.72 | $120.23 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $107.15 Typical High $165.96 | Professional | TC · Technical part | $74.13 | $107.15 | $165.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $67.61 Typical High $147.91 | Professional | 26 · Professional part | $57.54 | $67.61 | $147.91 |
United Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $95.50 Typical High $165.96 | Professional | TC · Technical part | $56.23 | $95.50 | $165.96 |
18 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 $112.20 Median $112.20 Typical High $112.20 | Facility | None | $112.20 | $112.20 | $112.20 |
Aetna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $112.20 Typical High $218.78 | Professional | None (both parts) | $112.20 | $112.20 | $218.78 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $56.23 Median $56.23 Typical High $61.66 | Professional | 52 · Reduced service | $56.23 | $56.23 | $61.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $22.39 Typical High $24.55 | Professional | 53 · Discontinued | $22.39 | $22.39 | $24.55 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $114.82 Median $114.82 Typical High $147.91 | Professional | None (both parts) | $114.82 | $114.82 | $147.91 |
BCBS North Carolina Setting Facility Modifier None Typical Low $354.81 Median $354.81 Typical High $426.58 | Facility | None | $354.81 | $354.81 | $426.58 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | None (both parts) | $158.49 | $158.49 | $158.49 |
Cigna Setting Facility Modifier None Typical Low $89.13 Median $223.87 Typical High $354.81 | Facility | None | $89.13 | $223.87 | $354.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $173.78 Typical High $275.42 | Professional | None (both parts) | $141.25 | $173.78 | $275.42 |
Medcost Setting Professional Modifier None Typical Low $229.09 Median $239.88 Typical High $338.84 | Professional | None | $229.09 | $239.88 | $338.84 |
Medcost Setting Facility Modifier None Typical Low $112.20 Median $112.20 Typical High $138.04 | Facility | None | $112.20 | $112.20 | $138.04 |
Medcost Setting Professional Modifier None (both parts) Typical Low $141.25 Median $190.55 Typical High $354.81 | Professional | None (both parts) | $141.25 | $190.55 | $354.81 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $87.10 Median $141.25 Typical High $173.78 | Professional | 51 · Multiple procedures | $87.10 | $141.25 | $173.78 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $34.67 Median $56.23 Typical High $70.79 | Professional | 80 · Assistant surgeon | $34.67 | $56.23 | $70.79 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $24.55 Median $39.81 Typical High $48.98 | Professional | 81 · Minimal assistant surgeon | $24.55 | $39.81 | $48.98 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $24.55 Median $39.81 Typical High $48.98 | Professional | 82 · Assistant surgeon, no resident | $24.55 | $39.81 | $48.98 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $24.55 Median $39.81 Typical High $48.98 | Professional | AS · PA/NP assist | $24.55 | $39.81 | $48.98 |
United Setting Professional Modifier None (both parts) Typical Low $117.49 Median $165.96 Typical High $302.00 | Professional | None (both parts) | $117.49 | $165.96 | $302.00 |
Where North Carolina sits
The same service costs 4.6 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· 21st of 51
$174
AK $316UT $69.18
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.