How much rates vary
Facilitymedian $62 · 10th to 90th $62 to $62Professionalmedian $62 · 10th to 90th $48 to $117
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 $17.78 Median $17.78 Typical High $20.42 | Professional | 26 · Professional part | $17.78 | $17.78 | $20.42 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $43.65 Typical High $54.95 | Professional | TC · Technical part | $43.65 | $43.65 | $54.95 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $23.44 Typical High $58.88 | Professional | 26 · Professional part | $19.50 | $23.44 | $58.88 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $85.11 Typical High $165.96 | Professional | TC · Technical part | $33.11 | $85.11 | $165.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $21.88 Typical High $40.74 | Professional | 26 · Professional part | $19.05 | $21.88 | $40.74 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $30.20 Typical High $104.71 | Professional | TC · Technical part | $28.84 | $30.20 | $104.71 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $19.50 Typical High $25.70 | Professional | 26 · Professional part | $18.62 | $19.50 | $25.70 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $37.15 Typical High $57.54 | Professional | TC · Technical part | $35.48 | $37.15 | $57.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $19.50 Typical High $38.02 | Professional | 26 · Professional part | $16.98 | $19.50 | $38.02 |
United Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $44.67 Typical High $89.13 | Professional | TC · Technical part | $26.92 | $44.67 | $89.13 |
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 $61.66 Median $61.66 Typical High $61.66 | Facility | None | $61.66 | $61.66 | $61.66 |
Aetna Setting Professional Modifier None (both parts) Typical Low $61.66 Median $61.66 Typical High $77.62 | Professional | None (both parts) | $61.66 | $61.66 | $77.62 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $30.90 Median $30.90 Typical High $38.90 | Professional | 52 · Reduced service | $30.90 | $30.90 | $38.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.30 Median $12.30 Typical High $15.49 | Professional | 53 · Discontinued | $12.30 | $12.30 | $15.49 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $48.98 Median $70.79 Typical High $467.74 | Professional | None (both parts) | $48.98 | $70.79 | $467.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $47.86 Median $52.48 Typical High $144.54 | Professional | None (both parts) | $47.86 | $52.48 | $144.54 |
Medcost Setting Professional Modifier None Typical Low $66.07 Median $66.07 Typical High $117.49 | Professional | None | $66.07 | $66.07 | $117.49 |
Medcost Setting Facility Modifier None Typical Low $61.66 Median $61.66 Typical High $125.89 | Facility | None | $61.66 | $61.66 | $125.89 |
Medcost Setting Professional Modifier None (both parts) Typical Low $52.48 Median $54.95 Typical High $63.10 | Professional | None (both parts) | $52.48 | $54.95 | $63.10 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $25.70 Median $27.54 Typical High $31.62 | Professional | 51 · Multiple procedures | $25.70 | $27.54 | $31.62 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $10.47 Median $10.96 Typical High $12.59 | Professional | 80 · Assistant surgeon | $10.47 | $10.96 | $12.59 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $7.24 Median $7.76 Typical High $8.71 | Professional | 81 · Minimal assistant surgeon | $7.24 | $7.76 | $8.71 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $7.24 Median $7.76 Typical High $8.71 | Professional | 82 · Assistant surgeon, no resident | $7.24 | $7.76 | $8.71 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $7.24 Median $7.76 Typical High $8.71 | Professional | AS · PA/NP assist | $7.24 | $7.76 | $8.71 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $25.70 Median $114.82 Typical High $223.87 | Professional | None (both parts) | $25.70 | $114.82 | $223.87 |
United Setting Professional Modifier None (both parts) Typical Low $44.67 Median $64.57 Typical High $125.89 | Professional | None (both parts) | $44.67 | $64.57 | $125.89 |
Where North Carolina sits
The same service costs 3.5 times more in North Dakota than in Kentucky. 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· 47th of 51
$61.66
ND $186KY $53.70
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.