How much rates vary
Facilitymedian $178 · 10th to 90th $178 to $178Professionalmedian $158 · 10th to 90th $72 to $295
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 $177.83 Median $177.83 Typical High $177.83 | Facility | None | $177.83 | $177.83 | $177.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $177.83 Typical High $177.83 | Professional | None (both parts) | $154.88 | $177.83 | $177.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $28.18 Typical High $29.51 | Professional | 26 · Professional part | $27.54 | $28.18 | $29.51 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $147.91 Typical High $147.91 | Professional | TC · Technical part | $125.89 | $147.91 | $147.91 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $48.98 Typical High $48.98 | Professional | 26 · Professional part | $48.98 | $48.98 | $48.98 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $47.86 Typical High $91.20 | Professional | 26 · Professional part | $26.30 | $47.86 | $91.20 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $151.36 Typical High $338.84 | Professional | TC · Technical part | $114.82 | $151.36 | $338.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $69.18 Median $134.90 Typical High $407.38 | Professional | None (both parts) | $69.18 | $134.90 | $407.38 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $35.48 Typical High $75.86 | Professional | 26 · Professional part | $28.18 | $35.48 | $75.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $107.15 Typical High $323.59 | Professional | TC · Technical part | $36.31 | $107.15 | $323.59 |
Medcost Setting Professional Modifier None Typical Low $128.82 Median $165.96 Typical High $165.96 | Professional | None | $128.82 | $165.96 | $165.96 |
Medcost Setting Facility Modifier None Typical Low $169.82 Median $169.82 Typical High $177.83 | Facility | None | $169.82 | $169.82 | $177.83 |
Medcost Setting Professional Modifier None (both parts) Typical Low $77.62 Median $131.83 Typical High $213.80 | Professional | None (both parts) | $77.62 | $131.83 | $213.80 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $28.18 Typical High $42.66 | Professional | 26 · Professional part | $26.30 | $28.18 | $42.66 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $104.71 Typical High $138.04 | Professional | TC · Technical part | $66.07 | $104.71 | $138.04 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $30.90 Median $151.36 Typical High $302.00 | Professional | None (both parts) | $30.90 | $151.36 | $302.00 |
United Setting Professional Modifier None (both parts) Typical Low $93.33 Median $154.88 Typical High $416.87 | Professional | None (both parts) | $93.33 | $154.88 | $416.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $30.90 Typical High $69.18 | Professional | 26 · Professional part | $25.70 | $30.90 | $69.18 |
United Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $123.03 Typical High $346.74 | Professional | TC · Technical part | $67.61 | $123.03 | $346.74 |
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 $89.13 Typical High $89.13 | Professional | 52 · Reduced service | $74.13 | $89.13 | $89.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $35.48 Typical High $35.48 | Professional | 53 · Discontinued | $30.20 | $35.48 | $35.48 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $38.90 Median $66.07 Typical High $120.23 | Professional | 51 · Multiple procedures | $38.90 | $66.07 | $120.23 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $15.49 Median $26.30 Typical High $47.86 | Professional | 80 · Assistant surgeon | $15.49 | $26.30 | $47.86 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $10.96 Median $18.62 Typical High $33.88 | Professional | 81 · Minimal assistant surgeon | $10.96 | $18.62 | $33.88 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $10.96 Median $18.62 Typical High $33.88 | Professional | 82 · Assistant surgeon, no resident | $10.96 | $18.62 | $33.88 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $10.96 Median $18.62 Typical High $33.88 | Professional | AS · PA/NP assist | $10.96 | $18.62 | $33.88 |
Where North Carolina sits
The same service costs 2.9 times more in Alaska than in New Mexico. 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· 41st of 51
$158
AK $347NM $120
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.