How much rates vary
Facilitymedian $407 · 10th to 90th $407 to $537Professionalmedian $407 · 10th to 90th $269 to $871
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 $407.38 Median $407.38 Typical High $407.38 | Facility | None | $407.38 | $407.38 | $407.38 |
Aetna Setting Professional Modifier None (both parts) Typical Low $398.11 Median $407.38 Typical High $489.78 | Professional | None (both parts) | $398.11 | $407.38 | $489.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $85.11 Typical High $102.33 | Professional | 26 · Professional part | $83.18 | $85.11 | $102.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $323.59 Typical High $371.54 | Professional | TC · Technical part | $302.00 | $323.59 | $371.54 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $457.09 Median $489.78 Typical High $549.54 | Professional | None (both parts) | $457.09 | $489.78 | $549.54 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $177.83 Typical High $288.40 | Professional | 26 · Professional part | $85.11 | $177.83 | $288.40 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $436.52 Typical High $1,023.29 | Professional | TC · Technical part | $177.83 | $436.52 | $1,023.29 |
Cigna Setting Professional Modifier None (both parts) Typical Low $269.15 Median $398.11 Typical High $1,096.48 | Professional | None (both parts) | $269.15 | $398.11 | $1,096.48 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $109.65 Typical High $234.42 | Professional | 26 · Professional part | $89.13 | $109.65 | $234.42 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $288.40 Typical High $870.96 | Professional | TC · Technical part | $169.82 | $288.40 | $870.96 |
Medcost Setting Professional Modifier None Typical Low $128.82 Median $380.19 Typical High $380.19 | Professional | None | $128.82 | $380.19 | $380.19 |
Medcost Setting Facility Modifier None Typical Low $407.38 Median $407.38 Typical High $537.03 | Facility | None | $407.38 | $407.38 | $537.03 |
Medcost Setting Professional Modifier None (both parts) Typical Low $323.59 Median $323.59 Typical High $467.74 | Professional | None (both parts) | $323.59 | $323.59 | $467.74 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $89.13 Typical High $134.90 | Professional | 26 · Professional part | $79.43 | $89.13 | $134.90 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $229.09 Typical High $380.19 | Professional | TC · Technical part | $218.78 | $229.09 | $380.19 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $97.72 Median $478.63 Typical High $954.99 | Professional | None (both parts) | $97.72 | $478.63 | $954.99 |
United Setting Professional Modifier None (both parts) Typical Low $288.40 Median $416.87 Typical High $1,071.52 | Professional | None (both parts) | $288.40 | $416.87 | $1,071.52 |
United Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $95.50 Typical High $213.80 | Professional | 26 · Professional part | $79.43 | $95.50 | $213.80 |
United Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $331.13 Typical High $870.96 | Professional | TC · Technical part | $194.98 | $331.13 | $870.96 |
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 $204.17 Median $204.17 Typical High $213.80 | Professional | 52 · Reduced service | $204.17 | $204.17 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $81.28 Median $83.18 Typical High $85.11 | Professional | 53 · Discontinued | $81.28 | $83.18 | $85.11 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $162.18 Median $162.18 Typical High $331.13 | Professional | 51 · Multiple procedures | $162.18 | $162.18 | $331.13 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $64.57 Median $66.07 Typical High $131.83 | Professional | 80 · Assistant surgeon | $64.57 | $66.07 | $131.83 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $44.67 Median $45.71 Typical High $93.33 | Professional | 81 · Minimal assistant surgeon | $44.67 | $45.71 | $93.33 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $44.67 Median $45.71 Typical High $93.33 | Professional | 82 · Assistant surgeon, no resident | $44.67 | $45.71 | $93.33 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $44.67 Median $45.71 Typical High $93.33 | Professional | AS · PA/NP assist | $44.67 | $45.71 | $93.33 |
Where North Carolina sits
The same service costs 3.2 times more in Alaska than in New Mexico. 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· 43rd of 51
$407
AK $977NM $302
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.