How much rates vary
Facilitymedian $245 · 10th to 90th $245 to $295Professionalmedian $295 · 10th to 90th $240 to $501
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 $245.47 Median $245.47 Typical High $295.12 | Facility | None | $245.47 | $245.47 | $295.12 |
Aetna Setting Professional Modifier None (both parts) Typical Low $245.47 Median $245.47 Typical High $354.81 | Professional | None (both parts) | $245.47 | $245.47 | $354.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $154.88 Median $154.88 Typical High $218.78 | Professional | 26 · Professional part | $154.88 | $154.88 | $218.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $91.20 Typical High $138.04 | Professional | TC · Technical part | $91.20 | $91.20 | $138.04 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $245.47 Median $338.84 Typical High $457.09 | Professional | None (both parts) | $245.47 | $338.84 | $457.09 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $151.36 Median $263.03 Typical High $501.19 | Professional | 26 · Professional part | $151.36 | $263.03 | $501.19 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $120.23 Typical High $323.59 | Professional | TC · Technical part | $89.13 | $120.23 | $323.59 |
Cigna Setting Professional Modifier None (both parts) Typical Low $288.40 Median $323.59 Typical High $707.95 | Professional | None (both parts) | $288.40 | $323.59 | $707.95 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $173.78 Median $194.98 Typical High $446.68 | Professional | 26 · Professional part | $173.78 | $194.98 | $446.68 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $125.89 Typical High $269.15 | Professional | TC · Technical part | $107.15 | $125.89 | $269.15 |
Medcost Setting Facility Modifier None Typical Low $245.47 Median $245.47 Typical High $288.40 | Facility | None | $245.47 | $245.47 | $288.40 |
Medcost Setting Professional Modifier None (both parts) Typical Low $190.55 Median $295.12 Typical High $331.13 | Professional | None (both parts) | $190.55 | $295.12 | $331.13 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $147.91 Median $181.97 Typical High $208.93 | Professional | 26 · Professional part | $147.91 | $181.97 | $208.93 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $117.49 Typical High $147.91 | Professional | TC · Technical part | $85.11 | $117.49 | $147.91 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $104.71 Median $263.03 Typical High $512.86 | Professional | None (both parts) | $104.71 | $263.03 | $512.86 |
United Setting Professional Modifier None (both parts) Typical Low $239.88 Median $302.00 Typical High $616.60 | Professional | None (both parts) | $239.88 | $302.00 | $616.60 |
United Setting Professional Modifier 26 · Professional part Typical Low $147.91 Median $186.21 Typical High $389.05 | Professional | 26 · Professional part | $147.91 | $186.21 | $389.05 |
United Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $114.82 Typical High $223.87 | Professional | TC · Technical part | $93.33 | $114.82 | $223.87 |
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 $123.03 Median $123.03 Typical High $125.89 | Professional | 52 · Reduced service | $123.03 | $123.03 | $125.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $48.98 Typical High $50.12 | Professional | 53 · Discontinued | $48.98 | $48.98 | $50.12 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $95.50 Median $147.91 Typical High $239.88 | Professional | 51 · Multiple procedures | $95.50 | $147.91 | $239.88 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $38.02 Median $58.88 Typical High $95.50 | Professional | 80 · Assistant surgeon | $38.02 | $58.88 | $95.50 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $26.92 Median $41.69 Typical High $67.61 | Professional | 81 · Minimal assistant surgeon | $26.92 | $41.69 | $67.61 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $26.92 Median $41.69 Typical High $67.61 | Professional | 82 · Assistant surgeon, no resident | $26.92 | $41.69 | $67.61 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $26.92 Median $41.69 Typical High $67.61 | Professional | AS · PA/NP assist | $26.92 | $41.69 | $67.61 |
Where North Carolina sits
The same service costs 3.3 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· 23rd of 51
$295
AK $589TX $178
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.