How much rates vary
Facilitymedian $234 · 10th to 90th $126 to $741Professionalmedian $120 · 10th to 90th $41 to $245
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 Facility Modifier None Typical Low $125.89 Median $125.89 Typical High $302.00 | Facility | None | $125.89 | $125.89 | $302.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $125.89 Typical High $158.49 | Professional | None (both parts) | $125.89 | $125.89 | $158.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $23.99 Typical High $27.54 | Professional | 26 · Professional part | $23.44 | $23.99 | $27.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $102.33 Typical High $125.89 | Professional | TC · Technical part | $102.33 | $102.33 | $125.89 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $117.49 Median $117.49 Typical High $275.42 | Professional | None (both parts) | $117.49 | $117.49 | $275.42 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $40.74 Median $40.74 Typical High $40.74 | Professional | None (both parts) | $40.74 | $40.74 | $40.74 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $52.48 Typical High $72.44 | Professional | 26 · Professional part | $35.48 | $52.48 | $72.44 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $223.87 Typical High $309.03 | Professional | TC · Technical part | $158.49 | $223.87 | $309.03 |
Cigna Setting Facility Modifier None Typical Low $131.83 Median $467.74 Typical High $741.31 | Facility | None | $131.83 | $467.74 | $741.31 |
Cigna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $177.83 Typical High $316.23 | Professional | None (both parts) | $154.88 | $177.83 | $316.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $29.51 Typical High $52.48 | Professional | 26 · Professional part | $25.70 | $29.51 | $52.48 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $147.91 Typical High $263.03 | Professional | TC · Technical part | $128.82 | $147.91 | $263.03 |
Medcost Setting Professional Modifier None Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | None | $295.12 | $295.12 | $295.12 |
Medcost Setting Facility Modifier None Typical Low $125.89 Median $125.89 Typical High $144.54 | Facility | None | $125.89 | $125.89 | $144.54 |
Medcost Setting Professional Modifier None (both parts) Typical Low $154.88 Median $154.88 Typical High $208.93 | Professional | None (both parts) | $154.88 | $154.88 | $208.93 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $29.51 Typical High $38.90 | Professional | 26 · Professional part | $29.51 | $29.51 | $38.90 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $125.89 Typical High $181.97 | Professional | TC · Technical part | $125.89 | $125.89 | $181.97 |
United Setting Professional Modifier None (both parts) Typical Low $138.04 Median $173.78 Typical High $354.81 | Professional | None (both parts) | $138.04 | $173.78 | $354.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $28.84 Typical High $57.54 | Professional | 26 · Professional part | $22.91 | $28.84 | $57.54 |
United Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $144.54 Typical High $295.12 | Professional | TC · Technical part | $114.82 | $144.54 | $295.12 |
7 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 Professional Modifier 52 · Reduced service Typical Low $63.10 Median $63.10 Typical High $69.18 | Professional | 52 · Reduced service | $63.10 | $63.10 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $25.70 Typical High $27.54 | Professional | 53 · Discontinued | $25.70 | $25.70 | $27.54 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $77.62 Median $77.62 Typical High $186.21 | Professional | 51 · Multiple procedures | $77.62 | $77.62 | $186.21 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $30.90 Median $30.90 Typical High $74.13 | Professional | 80 · Assistant surgeon | $30.90 | $30.90 | $74.13 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $21.88 Median $21.88 Typical High $51.29 | Professional | 81 · Minimal assistant surgeon | $21.88 | $21.88 | $51.29 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $21.88 Median $21.88 Typical High $51.29 | Professional | 82 · Assistant surgeon, no resident | $21.88 | $21.88 | $51.29 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $21.88 Median $21.88 Typical High $51.29 | Professional | AS · PA/NP assist | $21.88 | $21.88 | $51.29 |
Where North Carolina sits
The same service costs 3.8 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· 48th of 51
$126
AK $363UT $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.