How much rates vary
Facilitymedian $155 · 10th to 90th $155 to $155Professionalmedian $141 · 10th to 90th $69 to $269
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 $154.88 Median $154.88 Typical High $154.88 | Facility | None | $154.88 | $154.88 | $154.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $154.88 Typical High $154.88 | Professional | None (both parts) | $138.04 | $154.88 | $154.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $27.54 Typical High $28.18 | Professional | 26 · Professional part | $26.30 | $27.54 | $28.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $125.89 Typical High $125.89 | Professional | TC · Technical part | $109.65 | $125.89 | $125.89 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $28.18 Typical High $28.18 | Professional | 26 · Professional part | $28.18 | $28.18 | $28.18 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $46.77 Typical High $91.20 | Professional | 26 · Professional part | $25.12 | $46.77 | $91.20 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $131.83 Typical High $331.13 | Professional | TC · Technical part | $100.00 | $131.83 | $331.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $69.18 Median $128.82 Typical High $371.54 | Professional | None (both parts) | $69.18 | $128.82 | $371.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $35.48 Typical High $74.13 | Professional | 26 · Professional part | $28.18 | $35.48 | $74.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $100.00 Typical High $302.00 | Professional | TC · Technical part | $36.31 | $100.00 | $302.00 |
Medcost Setting Professional Modifier None Typical Low $125.89 Median $162.18 Typical High $162.18 | Professional | None | $125.89 | $162.18 | $162.18 |
Medcost Setting Facility Modifier None Typical Low $151.36 Median $151.36 Typical High $154.88 | Facility | None | $151.36 | $151.36 | $154.88 |
Medcost Setting Professional Modifier None (both parts) Typical Low $79.43 Median $128.82 Typical High $151.36 | Professional | None (both parts) | $79.43 | $128.82 | $151.36 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $28.18 Typical High $42.66 | Professional | 26 · Professional part | $25.70 | $28.18 | $42.66 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $100.00 Typical High $125.89 | Professional | TC · Technical part | $64.57 | $100.00 | $125.89 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $28.84 Median $138.04 Typical High $269.15 | Professional | None (both parts) | $28.84 | $138.04 | $269.15 |
United Setting Professional Modifier None (both parts) Typical Low $93.33 Median $144.54 Typical High $346.74 | Professional | None (both parts) | $93.33 | $144.54 | $346.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $30.20 Typical High $67.61 | Professional | 26 · Professional part | $25.12 | $30.20 | $67.61 |
United Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $112.20 Typical High $281.84 | Professional | TC · Technical part | $64.57 | $112.20 | $281.84 |
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 $69.18 Median $77.62 Typical High $77.62 | Professional | 52 · Reduced service | $69.18 | $77.62 | $77.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $30.90 Typical High $30.90 | Professional | 53 · Discontinued | $27.54 | $30.90 | $30.90 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $39.81 Median $64.57 Typical High $112.20 | Professional | 51 · Multiple procedures | $39.81 | $64.57 | $112.20 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $15.85 Median $25.70 Typical High $44.67 | Professional | 80 · Assistant surgeon | $15.85 | $25.70 | $44.67 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $10.96 Median $18.20 Typical High $30.90 | Professional | 81 · Minimal assistant surgeon | $10.96 | $18.20 | $30.90 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $10.96 Median $18.20 Typical High $30.90 | Professional | 82 · Assistant surgeon, no resident | $10.96 | $18.20 | $30.90 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $10.96 Median $18.20 Typical High $30.90 | Professional | AS · PA/NP assist | $10.96 | $18.20 | $30.90 |
Where North Carolina sits
The same service costs 3.2 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· 39th of 51
$145
AK $324TX $102
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.