How much rates vary
Facilitymedian $129 · 10th to 90th $129 to $129Professionalmedian $129 · 10th to 90th $83 to $257
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 $128.82 Median $128.82 Typical High $128.82 | Facility | None | $128.82 | $128.82 | $128.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $128.82 Typical High $128.82 | Professional | None (both parts) | $125.89 | $128.82 | $128.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $63.10 Typical High $66.07 | Professional | 26 · Professional part | $63.10 | $63.10 | $66.07 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $64.57 Typical High $66.07 | Professional | TC · Technical part | $63.10 | $64.57 | $66.07 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $104.71 Typical High $199.53 | Professional | 26 · Professional part | $64.57 | $104.71 | $199.53 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $72.44 Typical High $147.91 | Professional | TC · Technical part | $26.30 | $72.44 | $147.91 |
Cigna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $120.23 Typical High $354.81 | Professional | None (both parts) | $83.18 | $120.23 | $354.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $83.18 Typical High $177.83 | Professional | 26 · Professional part | $66.07 | $83.18 | $177.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $8.51 Median $43.65 Typical High $181.97 | Professional | TC · Technical part | $8.51 | $43.65 | $181.97 |
Medcost Setting Professional Modifier None Typical Low $93.33 Median $114.82 Typical High $114.82 | Professional | None | $93.33 | $114.82 | $114.82 |
Medcost Setting Facility Modifier None Typical Low $128.82 Median $128.82 Typical High $154.88 | Facility | None | $128.82 | $128.82 | $154.88 |
Medcost Setting Professional Modifier None (both parts) Typical Low $97.72 Median $97.72 Typical High $158.49 | Professional | None (both parts) | $97.72 | $97.72 | $158.49 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $67.61 Typical High $87.10 | Professional | 26 · Professional part | $60.26 | $67.61 | $87.10 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $31.62 Typical High $77.62 | Professional | TC · Technical part | $18.20 | $31.62 | $77.62 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $69.18 Median $138.04 Typical High $269.15 | Professional | None (both parts) | $69.18 | $138.04 | $269.15 |
United Setting Professional Modifier None (both parts) Typical Low $87.10 Median $131.83 Typical High $302.00 | Professional | None (both parts) | $87.10 | $131.83 | $302.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $72.44 Typical High $158.49 | Professional | 26 · Professional part | $60.26 | $72.44 | $158.49 |
United Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $66.07 Typical High $144.54 | Professional | TC · Technical part | $20.42 | $66.07 | $144.54 |
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 |
|---|---|---|---|---|---|
Medcost Setting Professional Modifier 50 · Both sides Typical Low $147.91 Median $147.91 Typical High $323.59 | Professional | 50 · Both sides | $147.91 | $147.91 | $323.59 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $48.98 Median $48.98 Typical High $107.15 | Professional | 51 · Multiple procedures | $48.98 | $48.98 | $107.15 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $19.50 Median $19.95 Typical High $42.66 | Professional | 80 · Assistant surgeon | $19.50 | $19.95 | $42.66 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $13.80 Median $13.80 Typical High $30.20 | Professional | 81 · Minimal assistant surgeon | $13.80 | $13.80 | $30.20 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $13.80 Median $13.80 Typical High $30.20 | Professional | 82 · Assistant surgeon, no resident | $13.80 | $13.80 | $30.20 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $13.80 Median $13.80 Typical High $30.20 | Professional | AS · PA/NP assist | $13.80 | $13.80 | $30.20 |
Where North Carolina sits
The same service costs 4.7 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· 38th of 51
$129
AK $339TX $72.44
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.