How much rates vary
Facilitymedian $120 · 10th to 90th $120 to $275Professionalmedian $132 · 10th to 90th $120 to $288
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 $36.31 Median $36.31 Typical High $44.67 | Professional | 26 · Professional part | $36.31 | $36.31 | $44.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $83.18 Typical High $102.33 | Professional | TC · Technical part | $83.18 | $83.18 | $102.33 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $72.44 Typical High $154.88 | Professional | 26 · Professional part | $41.69 | $72.44 | $154.88 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $128.82 Typical High $316.23 | Professional | TC · Technical part | $87.10 | $128.82 | $316.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $72.44 Typical High $131.83 | Professional | 26 · Professional part | $42.66 | $72.44 | $131.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $169.82 Typical High $288.40 | Professional | TC · Technical part | $93.33 | $169.82 | $288.40 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $51.29 Typical High $56.23 | Professional | 26 · Professional part | $40.74 | $51.29 | $56.23 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $75.86 Typical High $117.49 | Professional | TC · Technical part | $70.79 | $75.86 | $117.49 |
United Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $52.48 Typical High $104.71 | Professional | 26 · Professional part | $40.74 | $52.48 | $104.71 |
United Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $107.15 Typical High $229.09 | Professional | TC · Technical part | $74.13 | $107.15 | $229.09 |
13 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 $120.23 Median $120.23 Typical High $275.42 | Facility | None | $120.23 | $120.23 | $275.42 |
Aetna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $120.23 Typical High $147.91 | Professional | None (both parts) | $120.23 | $120.23 | $147.91 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $131.83 Median $131.83 Typical High $138.04 | Professional | None (both parts) | $131.83 | $131.83 | $138.04 |
Cigna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $239.88 Typical High $416.87 | Professional | None (both parts) | $138.04 | $239.88 | $416.87 |
Medcost Setting Professional Modifier None Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | None | $257.04 | $257.04 | $257.04 |
Medcost Setting Facility Modifier None Typical Low $120.23 Median $120.23 Typical High $151.36 | Facility | None | $120.23 | $120.23 | $151.36 |
Medcost Setting Professional Modifier None (both parts) Typical Low $107.15 Median $120.23 Typical High $173.78 | Professional | None (both parts) | $107.15 | $120.23 | $173.78 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $53.70 Median $60.26 Typical High $125.89 | Professional | 51 · Multiple procedures | $53.70 | $60.26 | $125.89 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $21.38 Median $24.55 Typical High $50.12 | Professional | 80 · Assistant surgeon | $21.38 | $24.55 | $50.12 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $14.79 Median $16.98 Typical High $35.48 | Professional | 81 · Minimal assistant surgeon | $14.79 | $16.98 | $35.48 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $14.79 Median $16.98 Typical High $35.48 | Professional | 82 · Assistant surgeon, no resident | $14.79 | $16.98 | $35.48 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $14.79 Median $16.98 Typical High $35.48 | Professional | AS · PA/NP assist | $14.79 | $16.98 | $35.48 |
United Setting Professional Modifier None (both parts) Typical Low $117.49 Median $154.88 Typical High $331.13 | Professional | None (both parts) | $117.49 | $154.88 | $331.13 |
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· 45th of 51
$132
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.