How much rates vary
Facilitymedian $776 · 10th to 90th $776 to $1,288Professionalmedian $1,175 · 10th to 90th $776 to $1,950
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 Facility Modifier None Typical Low $776.25 Median $776.25 Typical High $1,288.25 | Facility | None | $776.25 | $776.25 | $1,288.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $776.25 Median $776.25 Typical High $1,318.26 | Professional | None (both parts) | $776.25 | $776.25 | $1,318.26 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $104.71 Typical High $165.96 | Professional | 26 · Professional part | $104.71 | $104.71 | $165.96 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $660.69 Median $660.69 Typical High $1,122.02 | Professional | TC · Technical part | $660.69 | $660.69 | $1,122.02 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $870.96 Median $870.96 Typical High $870.96 | Professional | None (both parts) | $870.96 | $870.96 | $870.96 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $208.93 Typical High $407.38 | Professional | 26 · Professional part | $117.49 | $208.93 | $407.38 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $831.76 Median $1,096.48 Typical High $2,511.89 | Professional | TC · Technical part | $831.76 | $1,096.48 | $2,511.89 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,047.13 Median $1,230.27 Typical High $2,511.89 | Professional | None (both parts) | $1,047.13 | $1,230.27 | $2,511.89 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $162.18 Typical High $346.74 | Professional | 26 · Professional part | $141.25 | $162.18 | $346.74 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $912.01 Median $1,071.52 Typical High $2,187.76 | Professional | TC · Technical part | $912.01 | $1,071.52 | $2,187.76 |
Medcost Setting Facility Modifier None Typical Low $776.25 Median $776.25 Typical High $1,122.02 | Facility | None | $776.25 | $776.25 | $1,122.02 |
Medcost Setting Professional Modifier None (both parts) Typical Low $724.44 Median $1,174.90 Typical High $1,230.27 | Professional | None (both parts) | $724.44 | $1,174.90 | $1,230.27 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $147.91 Typical High $199.53 | Professional | 26 · Professional part | $117.49 | $147.91 | $199.53 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $758.58 Median $1,023.29 Typical High $1,071.52 | Professional | TC · Technical part | $758.58 | $1,023.29 | $1,071.52 |
United Setting Professional Modifier None (both parts) Typical Low $851.14 Median $1,122.02 Typical High $2,398.83 | Professional | None (both parts) | $851.14 | $1,122.02 | $2,398.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $147.91 Typical High $309.03 | Professional | 26 · Professional part | $117.49 | $147.91 | $309.03 |
United Setting Professional Modifier TC · Technical part Typical Low $741.31 Median $977.24 Typical High $2,089.30 | Professional | TC · Technical part | $741.31 | $977.24 | $2,089.30 |
7 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 Professional Modifier 52 · Reduced service Typical Low $380.19 Median $380.19 Typical High $478.63 | Professional | 52 · Reduced service | $380.19 | $380.19 | $478.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $154.88 Median $154.88 Typical High $190.55 | Professional | 53 · Discontinued | $154.88 | $154.88 | $190.55 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $363.08 Median $588.84 Typical High $912.01 | Professional | 51 · Multiple procedures | $363.08 | $588.84 | $912.01 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $144.54 Median $234.42 Typical High $363.08 | Professional | 80 · Assistant surgeon | $144.54 | $234.42 | $363.08 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $100.00 Median $162.18 Typical High $257.04 | Professional | 81 · Minimal assistant surgeon | $100.00 | $162.18 | $257.04 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $100.00 Median $162.18 Typical High $257.04 | Professional | 82 · Assistant surgeon, no resident | $100.00 | $162.18 | $257.04 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $100.00 Median $162.18 Typical High $257.04 | Professional | AS · PA/NP assist | $100.00 | $162.18 | $257.04 |
Where North Carolina sits
The same service costs 2.9 times more in Alaska 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· 22nd of 51
$1,175
AK $2,138TX $741
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.