How much rates vary
Facilitymedian $112 · 10th to 90th $112 to $135Professionalmedian $132 · 10th to 90th $110 to $234
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 $112.20 Median $112.20 Typical High $112.20 | Facility | None | $112.20 | $112.20 | $112.20 |
Aetna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $112.20 Typical High $144.54 | Professional | None (both parts) | $112.20 | $112.20 | $144.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $64.57 Typical High $85.11 | Professional | 26 · Professional part | $64.57 | $64.57 | $85.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $46.77 Typical High $66.07 | Professional | TC · Technical part | $46.77 | $46.77 | $66.07 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $112.20 Median $112.20 Typical High $186.21 | Professional | None (both parts) | $112.20 | $112.20 | $186.21 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $109.65 Typical High $208.93 | Professional | 26 · Professional part | $64.57 | $109.65 | $208.93 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $63.10 Typical High $158.49 | Professional | TC · Technical part | $46.77 | $63.10 | $158.49 |
Cigna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $144.54 Typical High $331.13 | Professional | None (both parts) | $128.82 | $144.54 | $331.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $81.28 Typical High $186.21 | Professional | 26 · Professional part | $74.13 | $81.28 | $186.21 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $61.66 Typical High $141.25 | Professional | TC · Technical part | $54.95 | $61.66 | $141.25 |
Medcost Setting Facility Modifier None Typical Low $112.20 Median $112.20 Typical High $134.90 | Facility | None | $112.20 | $112.20 | $134.90 |
Medcost Setting Professional Modifier None (both parts) Typical Low $87.10 Median $131.83 Typical High $144.54 | Professional | None (both parts) | $87.10 | $131.83 | $144.54 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $75.86 Typical High $87.10 | Professional | 26 · Professional part | $61.66 | $75.86 | $87.10 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $57.54 Typical High $74.13 | Professional | TC · Technical part | $42.66 | $57.54 | $74.13 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $56.23 Median $120.23 Typical High $234.42 | Professional | None (both parts) | $56.23 | $120.23 | $234.42 |
United Setting Professional Modifier None (both parts) Typical Low $109.65 Median $138.04 Typical High $275.42 | Professional | None (both parts) | $109.65 | $138.04 | $275.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $77.62 Typical High $162.18 | Professional | 26 · Professional part | $63.10 | $77.62 | $162.18 |
United Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $60.26 Typical High $114.82 | Professional | TC · Technical part | $46.77 | $60.26 | $114.82 |
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 $56.23 Median $56.23 Typical High $57.54 | Professional | 52 · Reduced service | $56.23 | $56.23 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $22.39 Typical High $22.91 | Professional | 53 · Discontinued | $22.39 | $22.39 | $22.91 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $42.66 Median $66.07 Typical High $107.15 | Professional | 51 · Multiple procedures | $42.66 | $66.07 | $107.15 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $17.38 Median $26.30 Typical High $42.66 | Professional | 80 · Assistant surgeon | $17.38 | $26.30 | $42.66 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $12.02 Median $18.62 Typical High $29.51 | Professional | 81 · Minimal assistant surgeon | $12.02 | $18.62 | $29.51 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $12.02 Median $18.62 Typical High $29.51 | Professional | 82 · Assistant surgeon, no resident | $12.02 | $18.62 | $29.51 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $12.02 Median $18.62 Typical High $29.51 | Professional | AS · PA/NP assist | $12.02 | $18.62 | $29.51 |
Where North Carolina sits
The same service costs 3.8 times more in Alaska than in Utah. 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· 24th of 51
$132
AK $275UT $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.