How much rates vary
Facilitymedian $31 · 10th to 90th $26 to $51Professionalmedian $34 · 10th to 90th $26 to $55
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 $8.13 Median $9.55 Typical High $13.80 | Facility | 26 · Professional part | $8.13 | $9.55 | $13.80 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $17.78 Median $18.62 Typical High $38.02 | Facility | TC · Technical part | $17.78 | $18.62 | $38.02 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $8.13 Typical High $12.59 | Professional | 26 · Professional part | $8.13 | $8.13 | $12.59 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $17.78 Typical High $32.36 | Professional | TC · Technical part | $17.78 | $17.78 | $32.36 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $13.18 Typical High $14.79 | Professional | 26 · Professional part | $11.48 | $13.18 | $14.79 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $35.48 Typical High $44.67 | Professional | TC · Technical part | $35.48 | $35.48 | $44.67 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $16.98 Typical High $25.70 | Professional | 26 · Professional part | $8.13 | $16.98 | $25.70 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $38.02 Typical High $74.13 | Professional | TC · Technical part | $19.95 | $38.02 | $74.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $9.33 Typical High $17.38 | Professional | 26 · Professional part | $8.13 | $9.33 | $17.38 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $24.55 Typical High $50.12 | Professional | TC · Technical part | $23.99 | $24.55 | $50.12 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $10.00 Typical High $14.79 | Professional | 26 · Professional part | $8.71 | $10.00 | $14.79 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $25.12 Typical High $30.90 | Professional | TC · Technical part | $21.88 | $25.12 | $30.90 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $8.51 Typical High $15.85 | Professional | 26 · Professional part | $7.41 | $8.51 | $15.85 |
United Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $25.70 Typical High $41.69 | Professional | TC · Technical part | $21.38 | $25.70 | $41.69 |
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 $25.70 Median $30.90 Typical High $51.29 | Facility | None | $25.70 | $30.90 | $51.29 |
Aetna Setting Professional Modifier None (both parts) Typical Low $25.70 Median $25.70 Typical High $44.67 | Professional | None (both parts) | $25.70 | $25.70 | $44.67 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $12.88 Median $12.88 Typical High $13.80 | Professional | 52 · Reduced service | $12.88 | $12.88 | $13.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.13 Median $5.13 Typical High $5.62 | Professional | 53 · Discontinued | $5.13 | $5.13 | $5.62 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $21.38 Median $25.70 Typical High $45.71 | Professional | None (both parts) | $21.38 | $25.70 | $45.71 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | 59 · Distinct service | $25.70 | $25.70 | $25.70 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $20.89 Median $70.79 Typical High $467.74 | Professional | None (both parts) | $20.89 | $70.79 | $467.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $32.36 Median $33.88 Typical High $66.07 | Professional | None (both parts) | $32.36 | $33.88 | $66.07 |
Medcost Setting Professional Modifier None Typical Low $43.65 Median $43.65 Typical High $53.70 | Professional | None | $43.65 | $43.65 | $53.70 |
Medcost Setting Facility Modifier None Typical Low $25.70 Median $25.70 Typical High $33.11 | Facility | None | $25.70 | $25.70 | $33.11 |
Medcost Setting Professional Modifier None (both parts) Typical Low $33.88 Median $37.15 Typical High $50.12 | Professional | None (both parts) | $33.88 | $37.15 | $50.12 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $16.60 Median $18.20 Typical High $26.30 | Professional | 51 · Multiple procedures | $16.60 | $18.20 | $26.30 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $6.76 Median $7.41 Typical High $10.72 | Professional | 80 · Assistant surgeon | $6.76 | $7.41 | $10.72 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $4.68 Median $5.13 Typical High $7.41 | Professional | 81 · Minimal assistant surgeon | $4.68 | $5.13 | $7.41 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $4.68 Median $5.13 Typical High $7.41 | Professional | 82 · Assistant surgeon, no resident | $4.68 | $5.13 | $7.41 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $4.68 Median $5.13 Typical High $7.41 | Professional | AS · PA/NP assist | $4.68 | $5.13 | $7.41 |
Oscar Health Setting Facility Modifier None Typical Low $218.78 Median $218.78 Typical High $218.78 | Facility | None | $218.78 | $218.78 | $218.78 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $9.55 Median $30.90 Typical High $60.26 | Professional | None (both parts) | $9.55 | $30.90 | $60.26 |
United Setting Professional Modifier None (both parts) Typical Low $28.84 Median $33.88 Typical High $57.54 | Professional | None (both parts) | $28.84 | $33.88 | $57.54 |
Where North Carolina sits
The same service costs 2.5 times more in Minnesota than in Texas. 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· 31st of 51
$33.88
MN $67.61TX $26.92
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.