How much rates vary
Facilitymedian $398 · 10th to 90th $245 to $1,259Professionalmedian $302 · 10th to 90th $245 to $525
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 $37.15 Median $37.15 Typical High $54.95 | Professional | 26 · Professional part | $37.15 | $37.15 | $54.95 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $204.17 Typical High $323.59 | Professional | TC · Technical part | $204.17 | $204.17 | $323.59 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $79.43 Typical High $109.65 | Professional | 26 · Professional part | $48.98 | $79.43 | $109.65 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $467.74 Typical High $630.96 | Professional | TC · Technical part | $316.23 | $467.74 | $630.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $45.71 Typical High $81.28 | Professional | 26 · Professional part | $39.81 | $45.71 | $81.28 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $257.04 Typical High $457.09 | Professional | TC · Technical part | $223.87 | $257.04 | $457.09 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $45.71 Typical High $64.57 | Professional | 26 · Professional part | $43.65 | $45.71 | $64.57 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $257.04 Typical High $346.74 | Professional | TC · Technical part | $239.88 | $257.04 | $346.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $45.71 Typical High $91.20 | Professional | 26 · Professional part | $36.31 | $45.71 | $91.20 |
United Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $257.04 Typical High $512.86 | Professional | TC · Technical part | $204.17 | $257.04 | $512.86 |
16 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 $245.47 Median $245.47 Typical High $588.84 | Facility | None | $245.47 | $245.47 | $588.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $245.47 Median $245.47 Typical High $371.54 | Professional | None (both parts) | $245.47 | $245.47 | $371.54 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $123.03 Median $123.03 Typical High $134.90 | Professional | 52 · Reduced service | $123.03 | $123.03 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $48.98 Typical High $53.70 | Professional | 53 · Discontinued | $48.98 | $48.98 | $53.70 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $213.80 Median $213.80 Typical High $426.58 | Professional | None (both parts) | $213.80 | $213.80 | $426.58 |
Cigna Setting Facility Modifier None Typical Low $295.12 Median $812.83 Typical High $1,258.93 | Facility | None | $295.12 | $812.83 | $1,258.93 |
Cigna Setting Professional Modifier None (both parts) Typical Low $269.15 Median $309.03 Typical High $537.03 | Professional | None (both parts) | $269.15 | $309.03 | $537.03 |
Medcost Setting Professional Modifier None Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | None | $501.19 | $501.19 | $501.19 |
Medcost Setting Facility Modifier None Typical Low $245.47 Median $245.47 Typical High $275.42 | Facility | None | $245.47 | $245.47 | $275.42 |
Medcost Setting Professional Modifier None (both parts) Typical Low $302.00 Median $302.00 Typical High $398.11 | Professional | None (both parts) | $302.00 | $302.00 | $398.11 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $151.36 Median $151.36 Typical High $363.08 | Professional | 51 · Multiple procedures | $151.36 | $151.36 | $363.08 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $61.66 Median $61.66 Typical High $144.54 | Professional | 80 · Assistant surgeon | $61.66 | $61.66 | $144.54 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $42.66 Median $42.66 Typical High $100.00 | Professional | 81 · Minimal assistant surgeon | $42.66 | $42.66 | $100.00 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $42.66 Median $42.66 Typical High $100.00 | Professional | 82 · Assistant surgeon, no resident | $42.66 | $42.66 | $100.00 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $42.66 Median $42.66 Typical High $100.00 | Professional | AS · PA/NP assist | $42.66 | $42.66 | $100.00 |
United Setting Professional Modifier None (both parts) Typical Low $239.88 Median $302.00 Typical High $602.56 | Professional | None (both parts) | $239.88 | $302.00 | $602.56 |
Where North Carolina sits
The same service costs 3.1 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
$302
AK $631UT $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.