How much rates vary
Facilitymedian $74 · 10th to 90th $74 to $89Professionalmedian $71 · 10th to 90th $30 to $151
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 $70.79 Median $74.13 Typical High $95.50 | Professional | None (both parts) | $70.79 | $74.13 | $95.50 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $19.05 Typical High $30.20 | Professional | 26 · Professional part | $19.05 | $19.05 | $30.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $54.95 Typical High $66.07 | Professional | TC · Technical part | $48.98 | $54.95 | $66.07 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $34.67 Typical High $61.66 | Professional | 26 · Professional part | $19.50 | $34.67 | $61.66 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $52.48 Typical High $120.23 | Professional | TC · Technical part | $25.12 | $52.48 | $120.23 |
Cigna Setting Professional Modifier None (both parts) Typical Low $30.20 Median $41.69 Typical High $181.97 | Professional | None (both parts) | $30.20 | $41.69 | $181.97 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $21.88 Typical High $51.29 | Professional | 26 · Professional part | $19.05 | $21.88 | $51.29 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $8.32 Median $16.98 Typical High $131.83 | Professional | TC · Technical part | $8.32 | $16.98 | $131.83 |
Medcost Setting Professional Modifier None Typical Low $64.57 Median $64.57 Typical High $151.36 | Professional | None | $64.57 | $64.57 | $151.36 |
Medcost Setting Facility Modifier None Typical Low $74.13 Median $85.11 Typical High $117.49 | Facility | None | $74.13 | $85.11 | $117.49 |
Medcost Setting Professional Modifier None (both parts) Typical Low $35.48 Median $51.29 Typical High $102.33 | Professional | None (both parts) | $35.48 | $51.29 | $102.33 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $23.44 Typical High $31.62 | Professional | 26 · Professional part | $20.89 | $23.44 | $31.62 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $30.20 Typical High $81.28 | Professional | TC · Technical part | $16.98 | $30.20 | $81.28 |
United Setting Professional Modifier None (both parts) Typical Low $36.31 Median $72.44 Typical High $169.82 | Professional | None (both parts) | $36.31 | $72.44 | $169.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $20.89 Typical High $46.77 | Professional | 26 · Professional part | $16.98 | $20.89 | $46.77 |
United Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $53.70 Typical High $123.03 | Professional | TC · Technical part | $17.38 | $53.70 | $123.03 |
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 $17.78 Median $25.70 Typical High $79.43 | Professional | 51 · Multiple procedures | $17.78 | $25.70 | $79.43 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $7.08 Median $10.23 Typical High $31.62 | Professional | 80 · Assistant surgeon | $7.08 | $10.23 | $31.62 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $5.01 Median $7.08 Typical High $22.39 | Professional | 81 · Minimal assistant surgeon | $5.01 | $7.08 | $22.39 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $5.01 Median $7.08 Typical High $22.39 | Professional | 82 · Assistant surgeon, no resident | $5.01 | $7.08 | $22.39 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $5.01 Median $7.08 Typical High $22.39 | Professional | AS · PA/NP assist | $5.01 | $7.08 | $22.39 |
Where North Carolina sits
The same service costs 3.6 times more in Alaska than in Indiana. 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· 37th of 51
$70.79
AK $186IN $51.29
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.