How much rates vary
Facilitymedian $85 · 10th to 90th $85 to $85Professionalmedian $89 · 10th to 90th $78 to $166
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 $85.11 Median $85.11 Typical High $85.11 | Facility | None | $85.11 | $85.11 | $85.11 |
Aetna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $85.11 Typical High $97.72 | Professional | None (both parts) | $83.18 | $85.11 | $97.72 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $37.15 Typical High $40.74 | Professional | 26 · Professional part | $36.31 | $37.15 | $40.74 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $46.77 Typical High $52.48 | Professional | TC · Technical part | $46.77 | $46.77 | $52.48 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $100.00 Median $100.00 Typical High $151.36 | Professional | None (both parts) | $100.00 | $100.00 | $151.36 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $63.10 Typical High $120.23 | Professional | 26 · Professional part | $35.48 | $63.10 | $120.23 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $63.10 Typical High $125.89 | Professional | TC · Technical part | $44.67 | $63.10 | $125.89 |
Cigna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $100.00 Typical High $229.09 | Professional | None (both parts) | $85.11 | $100.00 | $229.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $45.71 Typical High $104.71 | Professional | 26 · Professional part | $40.74 | $45.71 | $104.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $53.70 Typical High $123.03 | Professional | TC · Technical part | $43.65 | $53.70 | $123.03 |
Medcost Setting Facility Modifier None Typical Low $85.11 Median $85.11 Typical High $100.00 | Facility | None | $85.11 | $85.11 | $100.00 |
Medcost Setting Professional Modifier None (both parts) Typical Low $64.57 Median $89.13 Typical High $107.15 | Professional | None (both parts) | $64.57 | $89.13 | $107.15 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $43.65 Typical High $53.70 | Professional | 26 · Professional part | $34.67 | $43.65 | $53.70 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $45.71 Typical High $63.10 | Professional | TC · Technical part | $43.65 | $45.71 | $63.10 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $41.69 Median $89.13 Typical High $177.83 | Professional | None (both parts) | $41.69 | $89.13 | $177.83 |
United Setting Professional Modifier None (both parts) Typical Low $74.13 Median $93.33 Typical High $204.17 | Professional | None (both parts) | $74.13 | $93.33 | $204.17 |
United Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $43.65 Typical High $91.20 | Professional | 26 · Professional part | $34.67 | $43.65 | $91.20 |
United Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $50.12 Typical High $112.20 | Professional | TC · Technical part | $39.81 | $50.12 | $112.20 |
8 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 $41.69 Median $41.69 Typical High $42.66 | Professional | 52 · Reduced service | $41.69 | $41.69 | $42.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $16.98 Typical High $16.98 | Professional | 53 · Discontinued | $16.60 | $16.98 | $16.98 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $97.72 Median $131.83 Typical High $234.42 | Professional | 50 · Both sides | $97.72 | $131.83 | $234.42 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $32.36 Median $44.67 Typical High $77.62 | Professional | 51 · Multiple procedures | $32.36 | $44.67 | $77.62 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $12.88 Median $17.78 Typical High $30.90 | Professional | 80 · Assistant surgeon | $12.88 | $17.78 | $30.90 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $9.12 Median $12.30 Typical High $21.88 | Professional | 81 · Minimal assistant surgeon | $9.12 | $12.30 | $21.88 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $9.12 Median $12.30 Typical High $21.88 | Professional | 82 · Assistant surgeon, no resident | $9.12 | $12.30 | $21.88 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $9.12 Median $12.30 Typical High $21.88 | Professional | AS · PA/NP assist | $9.12 | $12.30 | $21.88 |
Where North Carolina sits
The same service costs 3.0 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· 30th of 51
$89.13
AK $204TX $67.61
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.