How much rates vary
Facilitymedian $87 · 10th to 90th $87 to $87Professionalmedian $87 · 10th to 90th $66 to $170
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 $87.10 Median $87.10 Typical High $87.10 | Facility | None | $87.10 | $87.10 | $87.10 |
Aetna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $87.10 Typical High $91.20 | Professional | None (both parts) | $83.18 | $87.10 | $91.20 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $44.67 Typical High $48.98 | Professional | 26 · Professional part | $43.65 | $44.67 | $48.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $42.66 Typical High $44.67 | Professional | TC · Technical part | $39.81 | $42.66 | $44.67 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $85.11 Median $138.04 Typical High $138.04 | Professional | None (both parts) | $85.11 | $138.04 | $138.04 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $69.18 Typical High $141.25 | Professional | 26 · Professional part | $42.66 | $69.18 | $141.25 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $56.23 Typical High $102.33 | Professional | TC · Technical part | $36.31 | $56.23 | $102.33 |
Cigna Setting Professional Modifier None (both parts) Typical Low $66.07 Median $89.13 Typical High $234.42 | Professional | None (both parts) | $66.07 | $89.13 | $234.42 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $56.23 Typical High $120.23 | Professional | 26 · Professional part | $44.67 | $56.23 | $120.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $15.14 Median $35.48 Typical High $109.65 | Professional | TC · Technical part | $15.14 | $35.48 | $109.65 |
Medcost Setting Professional Modifier None Typical Low $72.44 Median $89.13 Typical High $89.13 | Professional | None | $72.44 | $89.13 | $89.13 |
Medcost Setting Facility Modifier None Typical Low $87.10 Median $87.10 Typical High $102.33 | Facility | None | $87.10 | $87.10 | $102.33 |
Medcost Setting Professional Modifier None (both parts) Typical Low $67.61 Median $77.62 Typical High $107.15 | Professional | None (both parts) | $67.61 | $77.62 | $107.15 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $46.77 Typical High $60.26 | Professional | 26 · Professional part | $41.69 | $46.77 | $60.26 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $30.20 Typical High $52.48 | Professional | TC · Technical part | $23.99 | $30.20 | $52.48 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $45.71 Median $91.20 Typical High $181.97 | Professional | None (both parts) | $45.71 | $91.20 | $181.97 |
United Setting Professional Modifier None (both parts) Typical Low $66.07 Median $87.10 Typical High $218.78 | Professional | None (both parts) | $66.07 | $87.10 | $218.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $48.98 Typical High $109.65 | Professional | 26 · Professional part | $40.74 | $48.98 | $109.65 |
United Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $40.74 Typical High $102.33 | Professional | TC · Technical part | $24.55 | $40.74 | $102.33 |
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 $42.66 Median $43.65 Typical High $44.67 | Professional | 52 · Reduced service | $42.66 | $43.65 | $44.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $17.38 Typical High $17.78 | Professional | 53 · Discontinued | $17.38 | $17.38 | $17.78 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | 59 · Distinct service | $79.43 | $79.43 | $79.43 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $33.88 Median $38.90 Typical High $72.44 | Professional | 51 · Multiple procedures | $33.88 | $38.90 | $72.44 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $13.49 Median $15.49 Typical High $29.51 | Professional | 80 · Assistant surgeon | $13.49 | $15.49 | $29.51 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $9.55 Median $10.72 Typical High $20.42 | Professional | 81 · Minimal assistant surgeon | $9.55 | $10.72 | $20.42 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $9.55 Median $10.72 Typical High $20.42 | Professional | 82 · Assistant surgeon, no resident | $9.55 | $10.72 | $20.42 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $9.55 Median $10.72 Typical High $20.42 | Professional | AS · PA/NP assist | $9.55 | $10.72 | $20.42 |
Where North Carolina sits
The same service costs 3.2 times more in Alaska than in Alabama. 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· 33rd of 51
$87.10
AK $219AL $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.