How much rates vary
Facilitymedian $38 · 10th to 90th $38 to $38Professionalmedian $48 · 10th to 90th $38 to $72
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 $12.30 Median $12.30 Typical High $13.18 | Professional | 26 · Professional part | $12.30 | $12.30 | $13.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $25.70 Typical High $29.51 | Professional | TC · Technical part | $25.70 | $25.70 | $29.51 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $13.80 Typical High $39.81 | Professional | 26 · Professional part | $12.02 | $13.80 | $39.81 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $34.67 Typical High $91.20 | Professional | TC · Technical part | $33.11 | $34.67 | $91.20 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $14.45 Typical High $26.92 | Professional | 26 · Professional part | $13.80 | $14.45 | $26.92 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $33.88 Typical High $64.57 | Professional | TC · Technical part | $32.36 | $33.88 | $64.57 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $14.45 Typical High $14.45 | Professional | 26 · Professional part | $11.75 | $14.45 | $14.45 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $33.11 Typical High $33.11 | Professional | TC · Technical part | $25.12 | $33.11 | $33.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $12.88 Typical High $23.99 | Professional | 26 · Professional part | $11.75 | $12.88 | $23.99 |
United Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $29.51 Typical High $51.29 | Professional | TC · Technical part | $25.70 | $29.51 | $51.29 |
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 $38.02 Median $38.02 Typical High $38.02 | Facility | None | $38.02 | $38.02 | $38.02 |
Aetna Setting Professional Modifier None (both parts) Typical Low $38.02 Median $38.02 Typical High $42.66 | Professional | None (both parts) | $38.02 | $38.02 | $42.66 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $19.05 Median $19.05 Typical High $20.42 | Professional | 52 · Reduced service | $19.05 | $19.05 | $20.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.59 Median $7.59 Typical High $8.13 | Professional | 53 · Discontinued | $7.59 | $7.59 | $8.13 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $51.29 Median $54.95 Typical High $54.95 | Professional | None (both parts) | $51.29 | $54.95 | $54.95 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $29.51 Median $70.79 Typical High $79.43 | Professional | None (both parts) | $29.51 | $70.79 | $79.43 |
Cigna Setting Professional Modifier None (both parts) Typical Low $45.71 Median $47.86 Typical High $93.33 | Professional | None (both parts) | $45.71 | $47.86 | $93.33 |
Medcost Setting Professional Modifier None Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | None | $77.62 | $77.62 | $77.62 |
Medcost Setting Facility Modifier None Typical Low $38.02 Median $38.02 Typical High $53.70 | Facility | None | $38.02 | $38.02 | $53.70 |
Medcost Setting Professional Modifier None (both parts) Typical Low $30.20 Median $47.86 Typical High $47.86 | Professional | None (both parts) | $30.20 | $47.86 | $47.86 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $15.14 Median $23.99 Typical High $23.99 | Professional | 51 · Multiple procedures | $15.14 | $23.99 | $23.99 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $6.03 Median $9.55 Typical High $9.55 | Professional | 80 · Assistant surgeon | $6.03 | $9.55 | $9.55 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $4.27 Median $6.61 Typical High $6.61 | Professional | 81 · Minimal assistant surgeon | $4.27 | $6.61 | $6.61 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $4.27 Median $6.61 Typical High $6.61 | Professional | 82 · Assistant surgeon, no resident | $4.27 | $6.61 | $6.61 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $4.27 Median $6.61 Typical High $6.61 | Professional | AS · PA/NP assist | $4.27 | $6.61 | $6.61 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $13.80 Median $48.98 Typical High $95.50 | Professional | None (both parts) | $13.80 | $48.98 | $95.50 |
United Setting Professional Modifier None (both parts) Typical Low $38.02 Median $42.66 Typical High $74.13 | Professional | None (both parts) | $38.02 | $42.66 | $74.13 |
Where North Carolina sits
The same service costs 2.9 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· 28th of 51
$47.86
AK $89.13UT $30.90
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.