How much rates vary
Facilitymedian $148 · 10th to 90th $148 to $148Professionalmedian $170 · 10th to 90th $141 to $302
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 $147.91 Median $147.91 Typical High $147.91 | Facility | None | $147.91 | $147.91 | $147.91 |
Aetna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $147.91 Typical High $158.49 | Professional | None (both parts) | $147.91 | $147.91 | $158.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $85.11 Typical High $89.13 | Professional | 26 · Professional part | $83.18 | $85.11 | $89.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $61.66 Typical High $67.61 | Professional | TC · Technical part | $61.66 | $61.66 | $67.61 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | None (both parts) | $147.91 | $147.91 | $147.91 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $144.54 Typical High $275.42 | Professional | 26 · Professional part | $85.11 | $144.54 | $275.42 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $83.18 Typical High $186.21 | Professional | TC · Technical part | $61.66 | $83.18 | $186.21 |
Cigna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $181.97 Typical High $407.38 | Professional | None (both parts) | $162.18 | $181.97 | $407.38 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $109.65 Typical High $245.47 | Professional | 26 · Professional part | $97.72 | $109.65 | $245.47 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $75.86 Typical High $165.96 | Professional | TC · Technical part | $66.07 | $75.86 | $165.96 |
Medcost Setting Facility Modifier None Typical Low $147.91 Median $147.91 Typical High $173.78 | Facility | None | $147.91 | $147.91 | $173.78 |
Medcost Setting Professional Modifier None (both parts) Typical Low $117.49 Median $169.82 Typical High $181.97 | Professional | None (both parts) | $117.49 | $169.82 | $181.97 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $100.00 Typical High $114.82 | Professional | 26 · Professional part | $81.28 | $100.00 | $114.82 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $67.61 Typical High $83.18 | Professional | TC · Technical part | $60.26 | $67.61 | $83.18 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $74.13 Median $158.49 Typical High $309.03 | Professional | None (both parts) | $74.13 | $158.49 | $309.03 |
United Setting Professional Modifier None (both parts) Typical Low $141.25 Median $173.78 Typical High $354.81 | Professional | None (both parts) | $141.25 | $173.78 | $354.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $102.33 Typical High $213.80 | Professional | 26 · Professional part | $81.28 | $102.33 | $213.80 |
United Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $70.79 Typical High $141.25 | Professional | TC · Technical part | $54.95 | $70.79 | $141.25 |
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 $74.13 Median $74.13 Typical High $75.86 | Professional | 52 · Reduced service | $74.13 | $74.13 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $29.51 Typical High $30.90 | Professional | 53 · Discontinued | $29.51 | $29.51 | $30.90 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $58.88 Median $85.11 Typical High $131.83 | Professional | 51 · Multiple procedures | $58.88 | $85.11 | $131.83 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $23.44 Median $33.88 Typical High $53.70 | Professional | 80 · Assistant surgeon | $23.44 | $33.88 | $53.70 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $16.60 Median $23.44 Typical High $37.15 | Professional | 81 · Minimal assistant surgeon | $16.60 | $23.44 | $37.15 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $16.60 Median $23.44 Typical High $37.15 | Professional | 82 · Assistant surgeon, no resident | $16.60 | $23.44 | $37.15 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $16.60 Median $23.44 Typical High $37.15 | Professional | AS · PA/NP assist | $16.60 | $23.44 | $37.15 |
Where North Carolina sits
The same service costs 3.6 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· 26th of 51
$170
AK $380TX $105
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.