How much rates vary
Facilitymedian $132 · 10th to 90th $132 to $219Professionalmedian $224 · 10th to 90th $132 to $331
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 $131.83 Median $131.83 Typical High $218.78 | Facility | None | $131.83 | $131.83 | $218.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $131.83 Typical High $245.47 | Professional | None (both parts) | $131.83 | $131.83 | $245.47 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $34.67 Typical High $66.07 | Professional | 26 · Professional part | $34.67 | $34.67 | $66.07 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $95.50 Typical High $181.97 | Professional | TC · Technical part | $95.50 | $95.50 | $181.97 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $123.03 Median $123.03 Typical High $218.78 | Professional | None (both parts) | $123.03 | $123.03 | $218.78 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $57.54 Typical High $74.13 | Professional | 26 · Professional part | $35.48 | $57.54 | $74.13 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $151.36 Typical High $162.18 | Professional | TC · Technical part | $75.86 | $151.36 | $162.18 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $58.88 Typical High $173.78 | Professional | 26 · Professional part | $38.02 | $58.88 | $173.78 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $158.49 Typical High $398.11 | Professional | TC · Technical part | $95.50 | $158.49 | $398.11 |
Cigna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $234.42 Typical High $446.68 | Professional | None (both parts) | $181.97 | $234.42 | $446.68 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $69.18 Typical High $134.90 | Professional | 26 · Professional part | $52.48 | $69.18 | $134.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $165.96 Typical High $323.59 | Professional | TC · Technical part | $128.82 | $165.96 | $323.59 |
Medcost Setting Professional Modifier None Typical Low $257.04 Median $323.59 Typical High $323.59 | Professional | None | $257.04 | $323.59 | $323.59 |
Medcost Setting Facility Modifier None Typical Low $131.83 Median $131.83 Typical High $158.49 | Facility | None | $131.83 | $131.83 | $158.49 |
Medcost Setting Professional Modifier None (both parts) Typical Low $114.82 Median $239.88 Typical High $239.88 | Professional | None (both parts) | $114.82 | $239.88 | $239.88 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $67.61 Typical High $67.61 | Professional | 26 · Professional part | $38.02 | $67.61 | $67.61 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $169.82 Typical High $169.82 | Professional | TC · Technical part | $100.00 | $169.82 | $169.82 |
United Setting Professional Modifier None (both parts) Typical Low $147.91 Median $208.93 Typical High $398.11 | Professional | None (both parts) | $147.91 | $208.93 | $398.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $58.88 Typical High $109.65 | Professional | 26 · Professional part | $38.02 | $58.88 | $109.65 |
United Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $147.91 Typical High $275.42 | Professional | TC · Technical part | $102.33 | $147.91 | $275.42 |
6 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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier 52 · Reduced service Typical Low $30.90 Median $30.90 Typical High $54.95 | Professional | 52 · Reduced service | $30.90 | $30.90 | $54.95 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $57.54 Median $120.23 Typical High $141.25 | Professional | 51 · Multiple procedures | $57.54 | $120.23 | $141.25 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $22.91 Median $47.86 Typical High $56.23 | Professional | 80 · Assistant surgeon | $22.91 | $47.86 | $56.23 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $15.85 Median $33.11 Typical High $38.90 | Professional | 81 · Minimal assistant surgeon | $15.85 | $33.11 | $38.90 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $15.85 Median $33.11 Typical High $38.90 | Professional | 82 · Assistant surgeon, no resident | $15.85 | $33.11 | $38.90 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $15.85 Median $33.11 Typical High $38.90 | Professional | AS · PA/NP assist | $15.85 | $33.11 | $38.90 |
Where North Carolina sits
The same service costs 3.3 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· 12th of 51
$224
AK $347TX $105
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.