How much rates vary
Facilitymedian $74 · 10th to 90th $74 to $74Professionalmedian $112 · 10th to 90th $74 to $186
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 $74.13 Median $74.13 Typical High $74.13 | Facility | None | $74.13 | $74.13 | $74.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $74.13 Median $74.13 Typical High $100.00 | Professional | None (both parts) | $74.13 | $74.13 | $100.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $34.67 Typical High $45.71 | Professional | 26 · Professional part | $34.67 | $34.67 | $45.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $40.74 Typical High $52.48 | Professional | TC · Technical part | $40.74 | $40.74 | $52.48 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | None (both parts) | $100.00 | $100.00 | $100.00 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $79.43 Typical High $162.18 | Professional | 26 · Professional part | $39.81 | $79.43 | $162.18 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $77.62 Typical High $131.83 | Professional | TC · Technical part | $52.48 | $77.62 | $131.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $120.23 Typical High $239.88 | Professional | None (both parts) | $100.00 | $120.23 | $239.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $60.26 Typical High $125.89 | Professional | 26 · Professional part | $50.12 | $60.26 | $125.89 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $58.88 Typical High $123.03 | Professional | TC · Technical part | $48.98 | $58.88 | $123.03 |
Medcost Setting Professional Modifier None Typical Low $123.03 Median $154.88 Typical High $154.88 | Professional | None | $123.03 | $154.88 | $154.88 |
Medcost Setting Facility Modifier None Typical Low $74.13 Median $74.13 Typical High $117.49 | Facility | None | $74.13 | $74.13 | $117.49 |
Medcost Setting Professional Modifier None (both parts) Typical Low $70.79 Median $112.20 Typical High $112.20 | Professional | None (both parts) | $70.79 | $112.20 | $112.20 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $60.26 Typical High $60.26 | Professional | 26 · Professional part | $38.02 | $60.26 | $60.26 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $52.48 Typical High $53.70 | Professional | TC · Technical part | $47.86 | $52.48 | $53.70 |
United Setting Professional Modifier None (both parts) Typical Low $83.18 Median $109.65 Typical High $234.42 | Professional | None (both parts) | $83.18 | $109.65 | $234.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $53.70 Typical High $104.71 | Professional | 26 · Professional part | $38.90 | $53.70 | $104.71 |
United Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $53.70 Typical High $125.89 | Professional | TC · Technical part | $38.90 | $53.70 | $125.89 |
5 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 |
|---|---|---|---|---|---|
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $35.48 Median $56.23 Typical High $75.86 | Professional | 51 · Multiple procedures | $35.48 | $56.23 | $75.86 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $14.45 Median $22.39 Typical High $30.20 | Professional | 80 · Assistant surgeon | $14.45 | $22.39 | $30.20 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $10.00 Median $15.85 Typical High $21.38 | Professional | 81 · Minimal assistant surgeon | $10.00 | $15.85 | $21.38 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $10.00 Median $15.85 Typical High $21.38 | Professional | 82 · Assistant surgeon, no resident | $10.00 | $15.85 | $21.38 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $10.00 Median $15.85 Typical High $21.38 | Professional | AS · PA/NP assist | $10.00 | $15.85 | $21.38 |
Where North Carolina sits
The same service costs 3.2 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· 24th of 51
$112
AK $224TX $70.79
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.