How much rates vary
Facilitymedian $60 · 10th to 90th $60 to $91Professionalmedian $60 · 10th to 90th $55 to $145
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 $27.54 Median $27.54 Typical High $33.11 | Professional | 26 · Professional part | $27.54 | $27.54 | $33.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $32.36 Typical High $38.02 | Professional | TC · Technical part | $32.36 | $32.36 | $38.02 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $51.29 Typical High $51.29 | Professional | 26 · Professional part | $40.74 | $51.29 | $51.29 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $51.29 Typical High $89.13 | Professional | 26 · Professional part | $27.54 | $51.29 | $89.13 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $72.44 Typical High $102.33 | Professional | TC · Technical part | $38.02 | $72.44 | $102.33 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $33.11 Typical High $60.26 | Professional | 26 · Professional part | $28.18 | $33.11 | $60.26 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $28.84 Typical High $77.62 | Professional | TC · Technical part | $27.54 | $28.84 | $77.62 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $30.20 Typical High $38.90 | Professional | 26 · Professional part | $26.30 | $30.20 | $38.90 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $30.90 Typical High $35.48 | Professional | TC · Technical part | $28.84 | $30.90 | $35.48 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $28.84 Typical High $54.95 | Professional | 26 · Professional part | $25.12 | $28.84 | $54.95 |
United Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $30.20 Typical High $56.23 | Professional | TC · Technical part | $25.70 | $30.20 | $56.23 |
17 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 $60.26 Median $60.26 Typical High $91.20 | Facility | None | $60.26 | $60.26 | $91.20 |
Aetna Setting Professional Modifier None (both parts) Typical Low $60.26 Median $60.26 Typical High $74.13 | Professional | None (both parts) | $60.26 | $60.26 | $74.13 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $30.20 Median $30.20 Typical High $30.90 | Professional | 52 · Reduced service | $30.20 | $30.20 | $30.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.02 Median $12.02 Typical High $12.30 | Professional | 53 · Discontinued | $12.02 | $12.02 | $12.30 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | None (both parts) | $123.03 | $123.03 | $123.03 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $70.79 Median $74.13 Typical High $79.43 | Professional | None (both parts) | $70.79 | $74.13 | $79.43 |
Cigna Setting Professional Modifier None (both parts) Typical Low $56.23 Median $60.26 Typical High $141.25 | Professional | None (both parts) | $56.23 | $60.26 | $141.25 |
Medcost Setting Professional Modifier None Typical Low $83.18 Median $83.18 Typical High $117.49 | Professional | None | $83.18 | $83.18 | $117.49 |
Medcost Setting Facility Modifier None Typical Low $60.26 Median $60.26 Typical High $77.62 | Facility | None | $60.26 | $60.26 | $77.62 |
Medcost Setting Professional Modifier None (both parts) Typical Low $46.77 Median $58.88 Typical High $234.42 | Professional | None (both parts) | $46.77 | $58.88 | $234.42 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $23.44 Median $29.51 Typical High $117.49 | Professional | 51 · Multiple procedures | $23.44 | $29.51 | $117.49 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $9.33 Median $11.75 Typical High $46.77 | Professional | 80 · Assistant surgeon | $9.33 | $11.75 | $46.77 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $6.61 Median $8.32 Typical High $32.36 | Professional | 81 · Minimal assistant surgeon | $6.61 | $8.32 | $32.36 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $6.61 Median $8.32 Typical High $32.36 | Professional | 82 · Assistant surgeon, no resident | $6.61 | $8.32 | $32.36 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $6.61 Median $8.32 Typical High $32.36 | Professional | AS · PA/NP assist | $6.61 | $8.32 | $32.36 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $32.36 Median $69.18 Typical High $141.25 | Professional | None (both parts) | $32.36 | $69.18 | $141.25 |
United Setting Professional Modifier None (both parts) Typical Low $52.48 Median $58.88 Typical High $109.65 | Professional | None (both parts) | $52.48 | $58.88 | $109.65 |
Where North Carolina sits
The same service costs 3.6 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· 44th of 51
$60.26
MN $141TX $38.90
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.