How much rates vary
Facilitymedian $66 · 10th to 90th $66 to $66Professionalmedian $83 · 10th to 90th $66 to $120
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 $22.39 Median $22.39 Typical High $23.44 | Professional | 26 · Professional part | $22.39 | $22.39 | $23.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $43.65 Typical High $52.48 | Professional | TC · Technical part | $43.65 | $43.65 | $52.48 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $30.90 Typical High $70.79 | Professional | 26 · Professional part | $20.89 | $30.90 | $70.79 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $63.10 Typical High $151.36 | Professional | TC · Technical part | $42.66 | $63.10 | $151.36 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $27.54 Typical High $48.98 | Professional | 26 · Professional part | $26.30 | $27.54 | $48.98 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $56.23 Typical High $97.72 | Professional | TC · Technical part | $52.48 | $56.23 | $97.72 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $26.30 Typical High $26.30 | Professional | 26 · Professional part | $21.38 | $26.30 | $26.30 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $60.26 Typical High $60.26 | Professional | TC · Technical part | $50.12 | $60.26 | $60.26 |
United Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $23.99 Typical High $44.67 | Professional | 26 · Professional part | $20.89 | $23.99 | $44.67 |
United Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $50.12 Typical High $91.20 | Professional | TC · Technical part | $45.71 | $50.12 | $91.20 |
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 $66.07 Median $66.07 Typical High $66.07 | Facility | None | $66.07 | $66.07 | $66.07 |
Aetna Setting Professional Modifier None (both parts) Typical Low $66.07 Median $66.07 Typical High $75.86 | Professional | None (both parts) | $66.07 | $66.07 | $75.86 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $33.11 Median $33.11 Typical High $38.02 | Professional | 52 · Reduced service | $33.11 | $33.11 | $38.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.18 Median $13.18 Typical High $15.14 | Professional | 53 · Discontinued | $13.18 | $13.18 | $15.14 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | None (both parts) | $79.43 | $79.43 | $79.43 |
Cigna Setting Professional Modifier None (both parts) Typical Low $79.43 Median $83.18 Typical High $144.54 | Professional | None (both parts) | $79.43 | $83.18 | $144.54 |
Medcost Setting Professional Modifier None Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | None | $134.90 | $134.90 | $134.90 |
Medcost Setting Facility Modifier None Typical Low $66.07 Median $66.07 Typical High $75.86 | Facility | None | $66.07 | $66.07 | $75.86 |
Medcost Setting Professional Modifier None (both parts) Typical Low $58.88 Median $87.10 Typical High $87.10 | Professional | None (both parts) | $58.88 | $87.10 | $87.10 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $29.51 Median $43.65 Typical High $43.65 | Professional | 51 · Multiple procedures | $29.51 | $43.65 | $43.65 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $11.75 Median $17.38 Typical High $17.38 | Professional | 80 · Assistant surgeon | $11.75 | $17.38 | $17.38 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $8.13 Median $12.30 Typical High $12.30 | Professional | 81 · Minimal assistant surgeon | $8.13 | $12.30 | $12.30 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $8.13 Median $12.30 Typical High $12.30 | Professional | 82 · Assistant surgeon, no resident | $8.13 | $12.30 | $12.30 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $8.13 Median $12.30 Typical High $12.30 | Professional | AS · PA/NP assist | $8.13 | $12.30 | $12.30 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $23.44 Median $69.18 Typical High $134.90 | Professional | None (both parts) | $23.44 | $69.18 | $134.90 |
United Setting Professional Modifier None (both parts) Typical Low $67.61 Median $74.13 Typical High $134.90 | Professional | None (both parts) | $67.61 | $74.13 | $134.90 |
Where North Carolina sits
The same service costs 4.9 times more in Nebraska 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· 25th of 51
$83.18
NE $155UT $31.62
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.