How much rates vary
Facilitymedian $282 · 10th to 90th $282 to $661Professionalmedian $302 · 10th to 90th $240 to $479
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 $112.20 Median $112.20 Typical High $123.03 | Professional | 26 · Professional part | $112.20 | $112.20 | $123.03 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $169.82 Typical High $181.97 | Professional | TC · Technical part | $169.82 | $169.82 | $181.97 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $229.09 Typical High $363.08 | Professional | 26 · Professional part | $128.82 | $229.09 | $363.08 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $398.11 Typical High $549.54 | Professional | TC · Technical part | $181.97 | $398.11 | $549.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $158.49 Typical High $288.40 | Professional | 26 · Professional part | $117.49 | $158.49 | $288.40 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $229.09 Typical High $426.58 | Professional | TC · Technical part | $173.78 | $229.09 | $426.58 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $131.83 Typical High $131.83 | Professional | 26 · Professional part | $114.82 | $131.83 | $131.83 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $199.53 Typical High $199.53 | Professional | TC · Technical part | $173.78 | $199.53 | $199.53 |
United Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $114.82 Typical High $190.55 | Professional | 26 · Professional part | $102.33 | $114.82 | $190.55 |
United Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $177.83 Typical High $302.00 | Professional | TC · Technical part | $154.88 | $177.83 | $302.00 |
15 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 $281.84 Median $281.84 Typical High $660.69 | Facility | None | $281.84 | $281.84 | $660.69 |
Aetna Setting Professional Modifier None (both parts) Typical Low $281.84 Median $281.84 Typical High $302.00 | Professional | None (both parts) | $281.84 | $281.84 | $302.00 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $141.25 Median $141.25 Typical High $151.36 | Professional | 52 · Reduced service | $141.25 | $141.25 | $151.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $56.23 Typical High $60.26 | Professional | 53 · Discontinued | $56.23 | $56.23 | $60.26 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $79.43 Median $109.65 Typical High $109.65 | Professional | None (both parts) | $79.43 | $109.65 | $109.65 |
Cigna Setting Professional Modifier None (both parts) Typical Low $288.40 Median $398.11 Typical High $707.95 | Professional | None (both parts) | $288.40 | $398.11 | $707.95 |
Medcost Setting Facility Modifier None Typical Low $281.84 Median $281.84 Typical High $302.00 | Facility | None | $281.84 | $281.84 | $302.00 |
Medcost Setting Professional Modifier None (both parts) Typical Low $208.93 Median $331.13 Typical High $331.13 | Professional | None (both parts) | $208.93 | $331.13 | $331.13 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $104.71 Median $165.96 Typical High $165.96 | Professional | 51 · Multiple procedures | $104.71 | $165.96 | $165.96 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $41.69 Median $66.07 Typical High $66.07 | Professional | 80 · Assistant surgeon | $41.69 | $66.07 | $66.07 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $28.84 Median $46.77 Typical High $46.77 | Professional | 81 · Minimal assistant surgeon | $28.84 | $46.77 | $46.77 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $28.84 Median $46.77 Typical High $46.77 | Professional | 82 · Assistant surgeon, no resident | $28.84 | $46.77 | $46.77 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $28.84 Median $46.77 Typical High $46.77 | Professional | AS · PA/NP assist | $28.84 | $46.77 | $46.77 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $144.54 Median $218.78 Typical High $398.11 | Professional | None (both parts) | $144.54 | $218.78 | $398.11 |
United Setting Professional Modifier None (both parts) Typical Low $263.03 Median $302.00 Typical High $524.81 | Professional | None (both parts) | $263.03 | $302.00 | $524.81 |
Where North Carolina sits
The same service costs 9.8 times more in Alaska than in New York. 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
$302
AK $631NY $64.57
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.